Society for Pediatric Pain Medicine
Better Care for Children in Pain.

A 10-year-old female, weighing 35 kg and six months post–liver transplantation, is referred to the pain clinic for evaluation of abdominal wall pain accompanied by bilateral leg pain following a complicated postoperative course. She is receiving tacrolimus and reports burning and deep aching pain that worsens with activity. Her average pain score is 6–7/10, sleep is disrupted, and she uses intermittent oxycodone at home with partial relief. Physical examination revealed focal tenderness near the transplant incision, with no redness, swelling, or other physical abnormalities. The patient also reported poor sleep quality, while laboratory tests showed normal allograft function.