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Chronic musculoskeletal and other idiopathic pain syndromes
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Introduction |
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Chronic or recurrent pain in children and adolescents, for which no specific cause can be found, is very common with a point prevalence of at least 15%.1 Such idiopathic pain conditions are usually "benign" in the sense that they are relatively easy to diagnose with a minimum of investigations, and are treated effectively with reassurance and use of simple measures including appropriate use of analgesics. A number of children develop a chronic pain syndrome and become quite disabled. How frequently this "malignant" outcome occurs, and how many children with chronic pain become adults with chronic pain is uncertain, but is probably not rare.2 3 Several studies show that idiopathic musculoskeletal pain persists in both the short and medium term in a significant minority of children, but there are no long term data available.4-6
Adolescents with chronic pain are often fatigued and adolescents
diagnosed with chronic fatigue syndrome frequently have musculoskeletal pain.
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Arch. Dis. Child. 2001 84: 487.[Extract] [Full Text]
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- Chronic pain - a practical approach in the UK?
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