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Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: Current evidence-based interdisciplinary treatment options for pediatric musculoskeletal pain
Author(s): Caes, Line
Fisher, Emma
Clinch, Jacqui
Eccleston, Christopher
Keywords: Pediatric chronic musculoskeletal pain
Interdisciplinary care
Lifestyle counseling
Complementary and alternative medicine
Digital delivery
Issue Date: Sep-2018
Date Deposited: 1-May-2018
Citation: Caes L, Fisher E, Clinch J & Eccleston C (2018) Current evidence-based interdisciplinary treatment options for pediatric musculoskeletal pain. Current Treatment Options in Rheumatology, 4 (3), p. 223–234.
Abstract: Purpose of the review. 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.  Recent Findings. 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.   Summary. 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 young people 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 of intensive interdisciplinary interventions for chronic pain management, described in detail so that researchers and clinicians can unpack possible active treatment components. 4. Online treatments are likely to be critical in the future. We need to determine which aspects of treatment for which children can be effectively delivered in this way, which will help reduce the burden of the large number of patients needing support from a small number of experts.
DOI Link: 10.1007/s40674-018-0101-7
Rights: © The Author(s) 2018 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
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