The Pain Management Clinic treats chronic pain -- that which is prolonged or occurring repeatedly for months. A team including nurses, physicians and other pediatric specialists review all aspects of your child's complex pain issues. They work together to develop diagnosis and treatment plans to increase your child's comfort and function in everyday life.
During a visit, your child will be evaluated by:
- a pain psychologist
- a physical therapist with special training in pain disorders
- nurse practitioners with specialized pain management training
- a physician trained in pediatrics, pain medicine and anesthesia
Each team member offers unique treatment approaches that can help in managing your child's pain.
During clinic visits, families will learn pain management skills, lifestyle modifications and functional goals for the patient.
Treatment for children often requires a high-touch, low-tech approach de-emphasizing reliance upon drugs, nerve blocks, or surgical interventions. Restoration of function is emphasized through engaging the patient’s own cognitive resources, and using complementary care to promote return of normal daily activity.
Other services that may be offered depending on your child's needs include:
- Physical therapy
- Ongoing pain psychology evaluation
- Behavior modification
- Stress management
- Sleep improvement
- Reintegration to normal activities
- Return-to-school plans
- Medications for pain control
- Cognitive behavioral therapies such as biofeedback, relaxation, meditation and imagery
- Transcutaneous electrical nerve stimulation (TENS) therapy, which uses low-voltage electrical current for pain relief
- Nerve blocks, injections of medication near nerves to provide relief and comfort
- Aromatherapy, in which the oils of a plant are used to treat pain
Diagnoses managed by pain clinic staff include:
- Complex regional pain syndrome
- Widespread musculoskeletal pain
- Back pain
- Persistent post-surgical pain
- Pain associated with orthopedic and sports injuries
- Nerve-related pain and injuries
- Abdominal pain – functional and recurrent
- Pain associated with hypermobile joints, including Ehlers Danlos Syndrome
- Chronic headache, unresponsive to typical medications
- Pain associated with chronic illness such as arthritis, lupus or neurologic disease
- Children with physical dependence on pain medications needing to be weaned
Operation of the Clinic
- The referring physician remains the primary clinician in the patient’s management, including managing prescribed medications. This avoids hazards of multiple prescribers and keeps the home physician–patient relationship the center of care.
- The clinic will review consult requests made by phone or fax, and report to the physician whether a clinic visit for the patient is within the scope of practice offered. If needed, we may contact the patient by phone to help determine whether the clinic consult would be of benefit.
- The patient and guardian will be evaluated, counseled and advised of treatment recommendations. These will then be reported to the primary clinician in writing. Personal contact will be made as needed to ensure communication is not a barrier to provision of care.