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Chronic Pediatric Pain Management: a Review of Multidisciplinary Care and Emerging Topics

  • Pediatric Rehabilitation Medicine (A Houtrow and M Fuentes, Section Editors)
  • Published:
Current Physical Medicine and Rehabilitation Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Chronic pain is a prevalent, disabling, and expensive pediatric condition. Specific treatment options have limited evidence and are often extrapolated from adult care. This review evaluates pain outcome measures, psychological treatment, pharmacologic management, multidisciplinary treatment models, and emerging topics in pediatric pain medicine.

Recent Findings

Multimodal cognitive behavioral therapy and intensive interdisciplinary pain treatment have the strongest evidence for improving pain and function while decreasing healthcare utilization. There is emerging evidence that parental involvement in care is an important factor in pediatric outcomes. While there is increased interest in emerging topics such as use of marijuana-derived products, acupuncture, and virtual reality, the evidence behind such interventions remains limited.

Summary

Pediatric chronic pain treatment centers on the biopsychosocial model of pain and multidisciplinary treatment. Recent research shows that intensive interdisciplinary pain treatment can improve pain, function, and healthcare utilization. Long-term benefits and risks of emerging treatments in pediatric chronic pain remain poorly understood.

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Authors and Affiliations

  1. Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA

    Andrew B. Collins

  2. Divisions of Pediatric Rehabilitation Medicine and Pediatric Pain Management, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, MLC 4009, Cincinnati, OH, 45229, USA

    Andrew B. Collins

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  1. Andrew B. Collins
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Correspondence to Andrew B. Collins.

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Collins, A.B. Chronic Pediatric Pain Management: a Review of Multidisciplinary Care and Emerging Topics. Curr Phys Med Rehabil Rep 7, 30–39 (2019). https://doi.org/10.1007/s40141-019-0211-7

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