Pediatric Pain

Childhood pain is a widespread problem, yet it often goes untreated. Drawing on the latest research, two leading voices on pediatric pain show parents and medical practitioners how to handle children’s pain, from bumps and bruises to chronic illnesses, providing strategies that make a real difference in kids’ lives.

This is the sixth in the series of edited books from the International Forums of Pediatric Pain (the first four volumes were edited by Dr. Patrick McGrath and Dr. Finley, Dr. Chambers joined as an editor for the last volume). In keeping with the previous publications, the book will focus on a particular theme in pediatric pain; in this case that is the integration of cutting edge science and clinical practice on various themes in pediatric pain through the presentation and discussion of a series of clinical cases. Description of Pediatric Pain: A Clinical Casebook: 10 chapters, 300 pages, 10 figures, 10 tables. Each chapter will consist of an introduction to the chapter theme and the description of up to 3 case presentations. Following each case presentation there will be a description of the relevant clinical decision-making and a summary of what can be learned from the case. Each chapter will close with a general discussion of the theme and an integration of research knowledge with practice.

The oxford textbook of paediatric pain brings together clinicians, educators, trainees and researchers to provide an authoritative resource on all aspects of pain in infants, children and youth.

Parents of a child in pain want nothing more than to offer immediate comfort. But a child with chronic or recurring pain requires much more. His or her parents need skills and strategies not only for increasing comfort but also for helping their child deal with an array of pain-related challenges, such as school disruption, sleep disturbance, and difficulties with peers. This essential guide, written by an expert in pediatric pain management, is the practical, accessible, and comprehensive resource that families and caregivers have been awaiting. It offers in-the-moment strategies for managing a child’s pain along with expert advice for fostering long-term comfort. Dr. Rachael Coakley, a clinical pediatric psychologist who works exclusively with families of children with chronic or recurrent pain, provides a set of research-proven strategies—some surprisingly counter-intuitive—to achieve positive results quickly and lastingly. Whether the pain is disease-related, the result of an injury or surgery, or caused by another condition or syndrome, this book offers what every parent of a child in pain most needs: effective methods for reversing the cycle of chronic pain.

“An important, compassionate book.” — Deepak Chopra “Parents! If you hava child in pain, read this book. There is hope.” — James Campbell, M.D., Professor of Jeurological Surgery and Director, Johns Hopkins University School of Medicine; Founder and President, American Pain Foundation “An outstanding book for parents of children and adolescents with chronic pain. I recommend it highly.” — Charles Berde, M.D., Ph.D., Chief, Division of Pain Medicine, Department of Anesthesiology, Children's Hospital, Boston; Professor of Anaesthesia and Pediatrics, Harvard Medical School “A valuable and important book that will be appreciated by every family struggling with a child in pain.” — Neil L. Schechter, M.D., Professor of Pediatrics, University of Connecticut School of Medicine; Director, Pain Relief Program, Connecticut Children's Medical Center “Reassuring and informative. Parents will gain hope when they discover the many available treatment options.” — Kenneth R. Goldschneider, M.D., F.A.A.P., Director, Division of Pain Management, Cincinnati Children's Hospital Medical Center and Susmita Kashikar-Zuck, Ph.D, Associate Professor of Pediatrics, Cincinnati Children's Hospital Medical Center “I hope Dr. Zeltzer continues to do subjective research on yoga so that the young generation regains freedom from pain...” — B.K.S. Iyengar “A wonderful book! Dr. Zeltzer’s approach is loving, respectful, upbeat, and best of all - successful.” — Laura Schanberg, M.D., Associate Professor, Pediatric Rheumatology, Duke University Medical Center “A must-read for any patient with chronic pain.” — Steven J. Weisman, M.D., Jane B. Pettit Chair in Pain Management, Children's Hospital of Wisconsin; Professor of Anesthesiology and Pediatrics, Medical College of Wisconsin “Now [Dr. Zeltzer’s] wisdom is available to all.” — Patrick J. McGrath, O.C., Ph.D., F.R.S.C., Canadian Institutes of Health Research Distinguished Scientist; Killam Professor of Psychology and Professor of Pediatrics and Psychiatry, Dalhousie University “This is an amazingly caring, competent, and useful book. It opens your mind but also your heart...” — Vanna Axia, Ph.D., Professor of Developmental Psychology, Child Neuro-psychiatry Specialization School, School of Medicine; Director “All [Dr. Zeltzer’s] work has resulted in real solutions for children and their parents.” — David Geffen “One of the few [books] for laypeople on chronic pain in children.” — Washington Post “Informative, practical, and well written.” — Pediatric Pain Letter

Pain is a complex, multidimensional phenomenon, with physiological, behav ioral, emotional, cognitive, and developmental aspects (Zeltzer, Barr, McGrath, & Schechter, 1992). To effectively evaluate and manage pain in children, the clini cian must be able to assess the unique ways these complex dimensions interact for the individual child and integrate these dimensions into a treatment plan. This can be a daunting task. The purpose of this book is to provide a framework for conceptualizing pain problems in children that can guide the practitioner in developing an evaluation and treatment plan that is optimal for the individual child. This book is not in tended to be a comprehensive, exhaustive review of the literature on pain manage ment in children. There are several excellent books of this nature (e.g., Bush & Harkins, 1991: McGrath, 1990; Ross & Ross, 1988). Instead, this book is an at tempt to outline an hypothesis testing process of case conceptualizing and treat ment planning that can help structure the task of sorting through the complex interrelationships that determine children's pain.

Back pain is a common musculoskeletal condition that presents to physicians in the primary care office, the urgent care facility, and the emergency room. However, few primary care physicians have received education and training about the appropriate workup and referral for a child who presents with back pain. This book is designed to fill the gaps in primary care physician knowledge and ultimately improve patient care. This book is divided into three major sections. The first section contains seven introductory chapters on epidemiology, anatomy of the spine, imaging studies, clinical considerations, general history questions, and physical examination pearls of the child with back pain. This section gives an overview of common back pain problems and provides instructions on how to best perform a history and examination of the pediatric patient with back pain. Classic historical and examination findings are highlighted that can lead to a focused differential diagnosis, successful treatment and appropriate referral. Recognition of the red flags in the history and physical keep the clinician ‘out of trouble‘. This section concludes with a chapter that guides physicians in "putting it all together". The second section is the largest section of the book and contains 25 case based chapters organized by major presenting clinical features. Each chapter has a similar structure and includes red flags of the history and the physical, case examples, clinical pearls, and editor comments. Cases vary from common presentations of back pain such as back pain related to back packs to rare presentations of back pain such as back pain stemming from tuberculosis. The third and final section of the book contains additional resources for the primary care physician, including web sites, parent handouts, and a bibliography of key articles. This section provides further information and alternative resources for the practicing clinician. Written by experts in the field, Back Pain in the Young Child and Adolescent is a ‘must have’ resource for pediatricians, primary care physicians, and any other clinicians caring for younger patients who are experiencing back pain.

This comprehensive book is designed to help pediatric health professionals of all disciplines gain understanding and skill in how to approach and treat children's pain, and how to help children make sense of and deal with their own pain. Pain is the most common reason for children to seek a medical consultation - and sometimes a common reason for avoiding it. Unaddressed fears and anxiety complicate pain management and recovery. A central theme in this book is the examination of children's fears and anxieties that accompany their need for pain relief, and the communication skills and words that can help calm these fears. This book is addressed to all disciplines, in its valuing of the professional-patient relationship and in the language used to allay anxiety, address fears and promote relief and well-being. It is organized into three parts:Part I explores our scientific understanding of pain as a part of children's development. Part II explores pain treatments themselves, their efficacies and how to combine them for therapeutic impact. Part III uses this understanding to help translate knowledge into clinical practice in three domains of pediatric medicine: the physicians' practice, the dental practice, and in the hospital. This volume also includes contributions by Dr. Jonathan Kuttner, on the neuroanatomy and neurophysiology of pain, Dr. Carl von Baeyer on pain assessment, and Drs Stefan Freidrichsdorf and Helen Karl on the pharmacological management of pain.Without doubt, this volume will stand as the "bible" on pediatric pain management for years to come.