Amplified Pain—A Helpful Diagnosis

Abstract

cause it targets the systematic exclusion of these patients. In one example, this type of algorithm used a more diverse training data set better aligned with knee pain levels among patients who were Black, had lower incomes, or had completed less education than previous algorithms based on training data from less diverse samples. 8 The key point is that algorithms are the result of people's decisions, and they require consistent attention to structural and systematic barriers to health and health care.Centering equity within health care requires careful attention to the inequities patients have faced over their entire life course, as well as the deeply rooted structural inequities that have existed in our country for centuries. Clinicians and other decision makers can target these roots in at least 2 ways. First, aim to put patients on equal footing in the clinical setting-screening all patients for a health problem, for example-aiming for equality in medical care. Second, scrutinize all health care policies/protocols to center equity, giving careful consideration to whether they unfairly disadvantage patients who are in minoritized groups, who have low income, or have been systematically marginalized. Striving for equity is a process and will require continual evaluation and attention.

Pediatric Complex Regional Pain Syndrome With and Without a History of Prior Physical Trauma at Onset

“…30,31 CRPS is one aspect of amplified pain in general, so it is not unexpected that there would be an overlap of children with both CRPS and other forms of amplified pain. [32][33][34] Likewise, the comorbidities seen in amplified pain are not unexpected in those with CRPS. 21,35,36 We avoided labeling those with a prior history of physical trauma as traumatic CRPS since the relationship to physical trauma is not clearly causal.…”

“…These outcomes have been documented as complicating features in children with CRPS and chronic pain 30,31 . CRPS is one aspect of amplified pain in general, so it is not unexpected that there would be an overlap of children with both CRPS and other forms of amplified pain 32–34 . Likewise, the comorbidities seen in amplified pain are not unexpected in those with CRPS 21,35,36 …”

Signs and symptoms of pediatric complex regional pain syndrome - type 1: A retrospective cohort study

“…Pediatric chronic pain conditions can sometimes present with overlapping symptoms, and in the absence of well-validated diagnostic tests, it can be difficult to distinguish between subtypes. 27 Overlap between symptoms and co-existence of multiple chronic pain conditions may be related to shared physiological mechanisms, including central sensitization. 28 , 29 However, clinical expertise and some research point to clusters of symptoms that are distinct between chronic pain conditions, such as CRPS, neuropathic pain, and fibromyalgia.…”