Abstract
Chronic pain is a significant problem in the pediatric population. It is estimated that it affects 15% to 20% of children at some point in their life. Abdominal pain, recurrent chest pain, complex regional pain syndromes (CRPS), musculoskeletal pain and diffuse widespread pain are just a few examples of chronic pain in children. Chronic pain is defined as pain persisting beyond a period of time in which an initial injury would be expected to heal, usually but not necessarily 3 to 6 months. A good example is severe pain occurring a few weeks after a fracture. This could be CRPS type I (previously known as reflex sympathetic dystrophy, or RSD) where the fracture is clinically healed but the patient suffers from intense burning pain in the limb. Chronic pain sometimes occurs in the absence of an identifiable injury or causal event as is the case in myofascial pain and fibromyalgia [1]. Chronic pain can also occur during life-long diseases such as sickle cell anemia, diabetes or juvenile arthritis, to name but a few.
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References
Sherry DD, McGuire T, Mellins E et al (1991) Psychosomatic musculoskeletal pain in childhood: clinical and psychological analyses of 100 children. Pediatrics 88:1093–1099
Sherry DD, Wallace CA, Kelley C et al (1999) Shortand long-term outcomes of children with complex regional pain syndrome type I treated with exercise therapy. Clin J Pain 15:218–223
International Association for the Study of Pain (1990) Desirable characteristics for pain treatment facilities. IASP, Seattle, WA
American Society of Anesthesiologists (1997) Practice guidelines for chronic pain management: a report by the American Society of Anesthesiologists Task Force on Pain Management, Chronic Pain Section. Anesthesiology 86:995–1004
Berde C, Sethna NF, Masek B et al (1989) Pediatric pain clinics: recommendations for their development. Pediatrician 16:94–102
Berde CB, Soloniuk J (2003) Multidisciplinary programs for management of acute and chronic pain in children. In: Schechter N, Berde CB, Yaster M (eds) Pain in infants, children and adolescents, 2nd edn. Lippincott Williams & Wilkins, Philadelphia, pp 472–486
Desparmet JF, Aquan-Assee J, Bradley K et al (2000) L’entrevue simultanée dans un centre de douleur chronique pédiatrique. Doul Analg 1:15–19
McGrath PA (1999) Chronic pain in children. In: Crombie IK, Croft PR, Linton SJ, LeResche L, Von Korff M (eds) Epidemiology of pain. IASP Press, Seattle, pp 81–101
McGrath PA, Ruskin D (2007) Caring for children with chronic pain: ethical considerations. Pediatr Anesth 17:505–508
Berde CB, Lebel A (2005) Complex regional pain syndromes in children and adolescents. Anesthesiology 102:252–255
Finniss DG, Murphy PM, Brooker C et al (2006) Complex regional pain syndrome in children and adolescents. Eur J Pain 10:767–770
Lee BH, Scharff L, Sethna NF et al (2002) Physical therapy and cognitive-behavioural treatment for complex regional pain syndromes. J Pediatr 141:135–140
Anthony KK, Schanberg LE (2005) Pediatric pain syndromes and management of pain in children and adolescents with rheumatic disease. Pediatr Clin North Am 52:611–639
Wilder RP (1995) Reflex sympathetic dystrophy in children and adolescents: differences from adults. In: Janig W, Stanton-Hicks M (eds) Reflex sympathetic dystrophy: a reappraisal, vol 6. IASP Press, Seattle, pp 67–77
Dadure C, Motais F, Ricard C et al (2005) Continuous peripheral nerve blocks at home for treatment of recurrent complex regional pain syndrome I in children. Anesthesiology 102:387–391
Reid GJ, McGrath PJ, Lang BA (2005) Parent-child interactions among children with juvenile fibromyalgia, arthritis, and healthy controls. Pain 113:201–210
Conte PM, Walco GA, Kimura Y (2003) Temperament and stress response in children with juvenile primary fibromyalgia syndrome. Arthritis Rheum 48:2923–2930
Imbierowicz K, Egle UT (2003) Childhood adversities in patients with fibromyalgia and somatoform pain disorder. Eur J Pain 7:113–119
Brown GT, Delisle R, Gagnon N et al (2001) Juvenile fibromyalgia syndrome: proposed management using a cognitive-behavioural approach. Phys Occup Ther Pediatr 21:19–36
Gedalia A, Garcia CO, Molina JF et al (2000) Fibromyalgia syndrome: experience in a pediatric rheumatology clinic. Clin Exp Rheumatol 18:415–419
Breau LM, McGrath PJ, Ju LH (1999) Review of juvenile primary fibromyalgia and chronic fatigue syndrome. J Dev Behav Pediatr 20:278–288
Mikkelsson M (1999) One-year outcome of preadolescents with fibromyalgia. J Rheumatol 26:674–682
Clark P, Burgos-Vargas R, Medina-Palma C et al (1998) Prevalence of fibromyalgia in children: a clinical study of Mexican children. J Rheumatol 25:2009–2014
Siegel DM, Janeway D, Baum J (1998) Fibromyalgia syndrome in children and adolescents: clinical features at presentation and status at follow-up. Pediatrics 101(3 Pt 1):377–382
Lewis DW (2001) Headache in the pediatric emergency department. Semin Pediatr Neurol 8:46–51
Burton LG, Quinn B, Pratt JL et al (1997) Headache etiology in a pediatric emergency department. Pediatr Emerg Care 13:1–4
Di Lorenzo C, Youssef NN, Sigurdson L et al (2001) Visceral hyperalgesia in children with functional abdominal pain. J Pediatr 139:838–843
Wilder RT, Berde CB, Woholan M et al (1992) Reflex sympathetic dystrophy in children. Clinical characteristics and follow-up in seventy patients. J Bone Joint Surg Am 74:910–919
Rosenblatt R, Pepitone-Rockwell F, McKillop MJ (1979) Continuous axillary analgesia for traumatic hand injury. Anesthesiology 51:565–566
Maneksha FR, Mirza H, Poppers PJ (2000) Complex regional pain syndrome (CRPS) with resistance to local anesthetic block: a case report. J Clin Anesth 12:67–71
Jadad AR, Carroll D, Glynn CJ et al (1995) Intravenous regional sympathetic blockade for pain relief in reflex sympathetic dystrophy: a systematic review and a randomized, doubleblind crossover study. J Pain Symptom Manage 10:13–20
Kaplan R, Claudio M, Kepes E et al (1996) Intravenous guanethidine in patients with reflex sympathetic dystrophy. Acta Anaesthesiol Scand 40:1216–1222
Lunn R, Sethna N, Berde C et al (1989) Stellate ganglion blockade in infants and children. Anesthesiology 71:A1023
Wilder RT (2002) Regional anesthetic techniques for chronic pain management in children. In: Schecter NL, Berde CB, Yaster M (eds) Pain in infants, children, and adolescents, 2nd edn. Lippincott Williams & Wilkins, Baltimore, pp 396–416
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Desparmet, J. (2009). Chronic Pain Management: Organization, Techniques and Guidelines. In: Astuto, M. (eds) Basics. Anaesthesia, Intensive Care and Pain in Neonates and Children. Springer, Milano. https://doi.org/10.1007/978-88-470-0655-3_19
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DOI: https://doi.org/10.1007/978-88-470-0655-3_19
Publisher Name: Springer, Milano
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