Chronic pain in children and young people.

Curr Opin Support Palliat Care

Sheffield Children's Hospital, Western Bank, Sheffield, UK.

Published: June 2011

Purpose Of Review: In response to a considerable volume of clinical research into chronic pain in children and young people, recent systematic reviews now provide an evidence base for management. Clinicians should be aware of this evidence and areas in which evidence is lacking.

Recent Findings: There is a strong evidence base for psychological interventions in several conditions; computerized delivery with therapist support shows promise. Multidisciplinary services are required for a small cohort of patients. The role and effects of parents in their child's pain is becoming clearer; effective interventions for parents are being developed. The evidence for effective pharmacotherapy is poor, apart from the acute management of headache.

Summary: Clinicians need to be aware of the therapeutic effect of the psychosocial approach to the management of chronic pain in children and young people. Further research is required into the pharmacological and physical aspects of management, which remain important.

Download full-text PDF

Source
http://dx.doi.org/10.1097/SPC.0b013e328345832dDOI Listing

Publication Analysis

Top Keywords

chronic pain
12
pain children
12
children young
12
young people
12
evidence base
8
clinicians aware
8
evidence
5
people purpose
4
purpose review
4
review response
4

Similar Publications

Endometriosis (EM) is a chronic disease that can cause pain and infertility in patients. As is well known, immune cell infiltrations (ICIs) play important roles in the pathogenesis of EM. However, the pathogenesis and biomarkers of EM that can be used in clinical practice and their relationship with ICIs still need to be elucidated.

View Article and Find Full Text PDF

The potential role of hydrogen sulfide (HS) in the modulation of neuropathic pain is increasingly recognized. This study investigated the therapeutic effect of intraperitoneal injection of the HS donor sodium hydrosulfide (NaHS) on neuropathic pain. Utilizing the spared nerve injury (SNI) model in mice, the research investigates the role of astrocytes and the excitatory neurotransmitter glutamate in chronic pain.

View Article and Find Full Text PDF

Intradiscal pharmacokinetics of oral antibiotics to treat Chronic Lower Back Pain.

NPJ Antimicrob Resist

May 2023

Infection, Immunity & Inflammation Department, University College London, Great Ormond Street Institute of Child Health, 30 Guilford St, London, WC1N 1EH, UK.

Oral coamoxiclav and amoxicillin, for extended dose regimens of up to 100 days, have shown benefit in the treatment of Chronic Lower Back Pain (CLBP) associated with vertebral bone oedema, known as Modic type 1 changes, which may be caused by a bacterial infection, but the magnitude of clinical improvement has been variable. The objectives of this review were to use sparse data from the literature to estimate the exposure of amoxicillin in the intervertebral disc, and to determine whether adequate antimicrobial exposure may have been achieved. Exposure to amoxicillin in herniated disc tissue was approximately 6.

View Article and Find Full Text PDF

This study aimed to examine the efficacy of a 2-week self-administered gentle mechanical skin stimulation on chronic neck and shoulder discomfort. In participants (n = 12) with chronic neck and shoulder discomfort, subjective measures of pain sensation, discomfort, and difficulty in moving using a visual analog scale (VAS, 0-10) and objective measures of 12 different joint range of motions (ROMs) for the cervical and shoulder regions, using a digital goniometer, were collected before and after self-care with contact acupuncture, called microcones. The self-care for 2 weeks significantly (p < 0.

View Article and Find Full Text PDF

Multiple chronic ulcers of the small intestine are primarily attributed to Crohn's disease. Other differential diagnoses include rare monogenic disorders caused by mutations in and , the latter responsible for chronic enteropathy associated with (CEAS), a condition mainly reported in Asian patients. We present the case of a 10-year-old girl from India with a 5-year history of abdominal pain, altered bowel habits and failure to gain weight.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!