Current Evidence-Based Interdisciplinary Treatment Options for Pediatric Musculoskeletal Pain

Current Treatment Options in Rheumatology
Line CaesC Eccleston

Abstract

We review the prevalence of pediatric chronic musculoskeletal pain, the clinical need, the evidence for pharmacological, psychological, physical and, complementary approaches to pain management, and the possible future development of interdisciplinary and distance care. We summarize the Cochrane Systematic Reviews on pharmacological interventions, which show a lack of evidence to support or refute the use of all classes of medication for the management of pain. The trials for NSAIDs did not show any superiority over comparators, nor did those of anti-depressants, and there are no trials for paracetamol, or of opioid medications. There are studies of psychological interventions which show promise and increasing support for physical therapy. The optimal approach remains an intensive interdisciplinary programmatic treatment, although this service is not available to most. 1. Given the absence of evidence, a program of trials is now urgently required to establish the evidence base for analgesics that are widely prescribed for children and adolescents with chronic musculoskeletal pain. 2. Until that evidence becomes available, medicine review is an essential task in this population. 3. We need more examples and efficacy evaluations ...Continue Reading

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Citations

May 13, 2020·European Journal of Pediatrics·Alessandro AndreucciKate M Dunn
Dec 17, 2020·Open Access Rheumatology : Research and Reviews·Jason Palman, Janet E McDonagh
Sep 11, 2021·Scandinavian Journal of Pain·Nabil Al-JanabiAlessandro Andreucci
Jun 23, 2021·European Journal of Pain : EJP·Anna L Hurley-WallaceChristina Liossi

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