Practical Treatment Options for Chronic Pain in Children and Adolescents

An Interdisciplinary Therapy Manual

  • Michael Dobe
  • Boris Zernikow

Table of contents

  1. Front Matter
    Pages i-xxvi
  2. The Basics of Paediatric Pain Treatment

    1. Front Matter
      Pages 1-1
    2. Boris Zernikow, Holger Kriszio, Michael Frosch, Michael Dobe, Julia Wager
      Pages 7-34
    3. Julia Wager, Holger Kriszio, Michael Frosch, Michael Dobe, Lorin Stahlschmidt, Boris Zernikow
      Pages 35-50
    4. Michael Dobe, Michael Frosch, Boris Zernikow
      Pages 51-73
  3. The In-Patient Paediatric Pain Treatment Programme

    1. Front Matter
      Pages 75-75
    2. Michael Dobe, Boris Zernikow
      Pages 77-80
    3. Michael Dobe, Boris Zernikow
      Pages 81-82
    4. Michael Dobe, Boris Zernikow
      Pages 83-88
    5. Michael Dobe, Boris Zernikow
      Pages 105-149
    6. Michael Dobe, Boris Zernikow
      Pages 173-198
    7. Michael Dobe, Boris Zernikow, Michael Frosch, Monique Ribeiro
      Pages 199-220
  4. Add Ons

    1. Front Matter
      Pages 227-227
    2. Julia Wager, Michael Dobe, Boris Zernikow
      Pages 261-287
    3. Lorin Stahlschmidt, Michael Dobe, Boris Zernikow, Julia Wager
      Pages 289-299

About this book


Pain is an increasingly common symptom in children and adolescents. Once recurrent pain leads to pain-related disability that affects a child’s functional, emotional and social well-being, it is considered a chronic pain disorder. Such disorders can develop as the primary condition or be due to a well-defined underlying physical condition, such as migraine or juvenile idiopathic arthritis. Approximately 5% of the paediatric population suffers from a severe chronic pain disorder. Its treatment in childhood and adolescence is complex and needs to address a variety of biological, psychological and social influencing factors.

This treatment manual describes the inpatient treatment programme of one of the world’s largest inpatient treatment facilities for chronic pain management in children and adolescents – the German Paediatric Pain Centre. The guidance provided is also applicable to outpatient pain management or day-hospital approaches.

The manual examines the epidemiology, aetiology, diagnostics and treatment principles in detail, explains the criteria for inpatient treatment, and describes the structure and organisation of a tertiary treatment centre for chronic pain. It also presents therapeutic interventions, such as dealing with “Black Thoughts”, “Distraction ABC”, “Stress Day” and the “Pain Provocation Technique” with the aid of numerous examples of pain management and health care from a clinical perspective.

Lastly, it discusses the special features of pain treatment for children and adolescents with comorbid psychological disorders, family difficulties or defined somatic diseases, as well as pharmacological and interventional treatment options.


Pain Disorder Pain Therapy Palliative Care Parents Pediatrics Psychiatric Disorder

Editors and affiliations

  • Michael Dobe
    • 1
  • Boris Zernikow
    • 2
  1. 1.German Paediatric Pain CentreChildren’s and Adolescents’ Hospital, Witten/Herdecke UniversityDattelnGermany
  2. 2.Department of Children’s Pain Therapy and Paediatric Palliative Care, Faculty of HealthSchool of Medicine, Witten/Herdecke UniversityWittenGermany

Bibliographic information

  • DOI
  • Copyright Information Springer Nature Switzerland AG 2019
  • Publisher Name Springer, Cham
  • eBook Packages Medicine
  • Print ISBN 978-3-030-19200-6
  • Online ISBN 978-3-030-19201-3
  • Buy this book on publisher's site