Pain Management

  • Sonia Malhotra
  • Scott MaurerEmail author
Part of the Pediatric Oncology book series (PEDIATRICO)


Pain is a common and often underreported and undertreated symptom in children with cancer. Recognition of pain and prompt and vigilant treatment are essential facets of high quality patient care. This chapter serves to provide an overview of the assessment and management of pain in pediatric oncology patients. The ability to assess pain in children of all ages and developmental ability as well as identify and diagnose different pain types is an imperative skill, and various assessment tools are discussed. Management of pain in children is based on the World Health Organization’s pain ladder, and a step-by-step approach to opioid management is provided along with case examples and common side effects. Since neuropathic pain is a common symptom experienced by children with cancer, a separate section with descriptions of adjuvant therapies is also provided. More recently, data are emerging in support of non-pharmacologic pain management techniques, and a brief overview is discussed. Finally, oncology-specific pain topics such as vincristine-related peripheral neuropathy, osteonecrosis and post-lumbar puncture headache are addressed.


Neuropathic Pain Oral Mucositis Transcutaneous Electrical Nerve Stimulation Opioid Dose Epidural Blood Patch 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Section of Palliative Care and Medical Ethics, Division of General Internal MedicineUniversity of Pittsburgh School of MedicinePittsburghUSA
  2. 2.Division of Pediatric Hematology/Oncology and Department of Supportive CareChildren’s Hospital of Pittsburgh, University of Pittsburgh School of MedicinePittsburghUSA

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