A 16-year-old male basketball player arrives at the clinic with chronic bilateral lower leg pain. He reports a sharp cramping pain that begins while running and resolves 10-20 minutes after he stops exercising. He reports occasional paresthesias, and numbness to the extremity. He also reports mild swelling and tightness in both legs only during exercise. He denies any known trauma to the extremity. Physical exam is unremarkable.
Prevalence of Chronic Pain in Children and Adolescents with Psychiatric Conditions
A new study published in Pediatric Neonatal Pain examines the prevalence of chronic pain conditions in patients who presented with psychiatric conditions. The paper notes that abdominal pain was more common among girls with a psychiatric diagnosis than in the matched control population. Children and adolescents with neurodevelopmental diagnoses had a higher prevalence of abdominal pain thanchildren and adolescents with other psychiatric diagnoses.
Read the full paper HERE
The Effects of Intraoperative Methadone on Postoperative Pain Control in Pediatric Patients: A Scoping Review
A new systematic review published in Anesthesia & Analgesia by Dr. Sapna Kudchadkar’s group at Johns Hopkin’s Children’s Centre examines the effects of intraoperative methadone for postoperative pain control. Although the studies had methodological issues, it was noted that there was decreased consumption of opioids in the first 24 hours postoperatively compared to patients receiving other shorter-acting opioids or pain management strategies.
Read the full paper HERE
Survey for Chronic Pain Clinicians!
Are you a health professional who treats kids with chronic pain? Researchers at The University of Technology Sydney (UTS) would like to understand more about your clinical experiences in a 15-minute survey
Participate here: https://t.co/071uD1wMw0
Perioperative Gabapentin Usage in Pediatric Patients: A Scoping Review
Gabapentin continues to be used routinely for perioperative analgesia often as part of ERAS protocols. A new paper reviews the evidence via a scoping review.
Read the paper here: https://onlinelibrary.wiley.com/doi/abs/10.1111/pan.14674
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