Noninvasive Treatments for Pediatric Complex Regional Pain Syndrome: A Focused Review

Katholi, Benjamin; Daghstani, Suzanne S.; Banez, Gerard A.; Brady, Kimberly

doi:10.1016/j.pmrj.2014.04.007

Cited by 17 publications

(15 citation statements)

References 64 publications

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“…Access to medication may be more commonplace in part due to medications frequently being the most readily available and heavily marketed treatment options for both primary care and the majority of medical specialists not connected with academic teaching hospitals. Medications are considered among the less invasive treatments for conditions such as CRPS in a recent review by Katholi et al; nevertheless, this review and promising intervention research findings emphasize an increased need for behavioral approaches to optimally manage this painful condition [31,58,59].…”

Section: Discussionmentioning

confidence: 99%

Medication Use among Pediatric Patients with Chronic Musculoskeletal Pain Syndromes at Initial Pain Clinic Evaluation

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Medication Use among Pediatric Patients with Chronic Musculoskeletal Pain Syndromes at Initial Pain Clinic Evaluation

et al. 2017

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“…For some children with chronic pain, the pain leads to significant disability, often resulting in missed school, extracurricular activities, and age‐appropriate activities, such as chores and dating. For children who do not respond to the approaches outlined in the previous section, an intensive and coordinated interdisciplinary treatment program should be considered [117‐120]. These programs typically include both patients and parents and use a CBT model.…”

Section: Multidisciplinary Pain Rehabilitation Programsmentioning

confidence: 99%

Managing Chronic Pain in Children and Adolescents: A Clinical Review

Landry

Fischer

Driscoll

et al. 2015

PM&R

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Chronic pain in children and adolescents can be difficult for a single provider to manage in a busy clinical setting. Part of this difficulty is that pediatric chronic pain not only impacts the child but also the families of these children. In this review article, we discuss etiology and pathophysiology of chronic pain, along with variables that impact the severity of chronic pain and functional loss. We review diagnosis and management of selected chronic pain conditions in pediatric patients, including headache, low back pain, hypermobility, chronic fatigue, postural orthostatic tachycardia syndrome, abdominal pain, fibromyalgia, and complex regional pain syndrome. For each condition, we create a road map that contains therapy prescriptions, exercise recommendations, and variables that may influence pain severity. Potential medications for these pain conditions and associated symptoms are reviewed. A multidisciplinary approach for managing children with these conditions, including pediatric pain rehabilitation programs, is emphasized. Lastly, we discuss psychological factors and interventions for pediatric chronic pain and potential complementary and alternative natural products and interventions.

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“…Most literature agrees that CRPS does differ in presentation in the pediatric population when compared to the adult population; it often presents more commonly in female patients, in the lower extremities, and has a more favorable outcome (7). However, treatment modalities, including a combination of physical and cognitive-behavioral therapies, conservative analgesic regimens, and interventions including sympathetic blockade, seem to be the most efficacious means of management in both the adult and pediatric populations (8). It is therefore logical that if a pediatric patient has failed this same therapeutic ladder, they may qualify for a more advanced therapy such as SCS or DRG, particularly as more similar studies are published.…”

Section: Discussionmentioning

confidence: 99%

Dorsal Root Ganglion Stimulation Therapy in Pediatric Patients: A Case Series

Graca¹,

Austell²,

Sremac³

et al. 2021

PMCR

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BACKGROUND: Dorsal root ganglion (DRG) stimulation therapy has been shown to provide effective relief in controlling chronic regional pain syndrome (CRPS)-related pain; however, there is little information on its efficacy and safety in pediatric patients. CASE REPORT: Following Institutional Review Board approval, a review of pediatric patients who underwent DRG therapy at a single university pain center was conducted. Five patients under 18 years old with CRPS or intercostal neuralgia who failed prior therapies received DRG stimulation therapy. Three of 5 patients (60%) reported 50% or more relief with DRG therapy. Secondary outcomes including resolution of allodynia, sudomotor and vasomotor dysfunction, and tropic changes as well as school/work attendance and reduced physical restrictions at the longest follow-up were improved in responders. CONCLUSION: In our limited series we found substantially improved analgesia, reduction in symptoms of CRPS, and improved functional outcomes in pediatric patients treated with DRG neuromodulation for unresponsive chronic pain. KEY WORDS: Chronic regional pain syndrome, intercostal neuralgia, neuromodulation, pediatric

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Noninvasive Treatments for Pediatric Complex Regional Pain Syndrome: A Focused Review

Cited by 17 publications

References 64 publications

Medication Use among Pediatric Patients with Chronic Musculoskeletal Pain Syndromes at Initial Pain Clinic Evaluation

Medication Use among Pediatric Patients with Chronic Musculoskeletal Pain Syndromes at Initial Pain Clinic Evaluation

Managing Chronic Pain in Children and Adolescents: A Clinical Review

Dorsal Root Ganglion Stimulation Therapy in Pediatric Patients: A Case Series

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