Best Practice & Research Clinical Rheumatology
Volume 20, Issue 2 , Pages 369-386, April 2006

Chronic idiopathic pain syndromes

  • Debajit Sen (Consultant in Paediatric and Adolescent Rheumatology)

      Affiliations

    • Corresponding Author InformationCorresponding author. Tel.: +44 20 7 380 9279; Fax: +44 20 7 380 9278.
  • Deborah Christie (Consultant and Senior Lecturer in Child and Adolescent Psychology)

Department of Rheumatology, University College of London Hospitals NHS Trust and Great Ormond Street Hospital NHS Trust, Arthur Stanley House, 40-50 Tottenham Street, London W1T 4NJ, UK

University College of London Hospitals NHS Trust, London, UK

In this review, we outline a rational approach to the complex problem of chronic idiopathic pain syndromes. We focus principally on musculoskeletal pain disorders and emphasize the differences between adults and children. The different nomenclatures in use are clarified and the epidemiology is examined. The key clinical findings are highlighted and different therapeutic approaches are reviewed. The evidence base for the interventions reviewed include both ‘medical’ and ‘non-medical’ approaches. Practical problems and issues are dealt with throughout the review in order to construct a pragmatic approach that the authors intend to be of everyday use to the clinician and allied health professionals.

Key words: chronic pain, musculoskeletal, paediatric, adolescent

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PII: S1521-6942(05)00132-4

doi:10.1016/j.berh.2005.11.009

Best Practice & Research Clinical Rheumatology
Volume 20, Issue 2 , Pages 369-386, April 2006

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