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Presentation and management of chronic pain
  1. Dilini Rajapakse1,
  2. Christina Liossi2,3,
  3. Richard F Howard4
  1. 1Department of Paediatric Palliative Medicine, Great Ormond Street Hospital for Children NHS Trust, London, UK
  2. 2Academic Unit of Psychology, University of Southampton, Southampton, UK
  3. 3Department of Paediatric Psychology, Great Ormond Street Hospital for Children NHS Trust, London, UK
  4. 4Department of Anaesthesia and Pain Medicine, Great Ormond Street Hospital for Children NHS Trust, London, UK
  1. Correspondence to Dr Richard F Howard, Department of Anaesthesia and Pain Medicine, Great Ormond Street Hospital for Children NHS Trust, London WC1N 3JH, UK; R.Howard{at}ucl.ac.uk

Abstract

Chronic pain is an important clinical problem affecting significant numbers of children and their families. The severity and impact of chronic pain on everyday function is shaped by the complex interaction of biological, psychological and social factors that determine the experience of pain for each individual, rather than a straightforward reflection of the severity of disease or extent of tissue damage. In this article we present the research findings that strongly support a biopsychosocial concept of chronic pain, describe the current best evidence for management strategies and suggest a common general pathway for all types of chronic pain. The principles of management of some of the most important or frequently encountered chronic pain problems in paediatric practice; neuropathic pain, complex regional pain syndrome (CRPS), musculoskeletal pain, abdominal pain and headache are also described.

  • Paediatric Practice
  • Pain

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