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Schmerz. 2000 Oct;14(5):340-5.

[Musculoskeletal pain].

[Article in German]

Author information

1
Vestische Kinderklinik Datteln, Universität Witten/Herdecke.

Abstract

BACKGROUND:

In paediatrics, numerous diseases present with the leading symptom of muscular, articular, or bone-related pain. The pain as such is seldom diagnostic with regard to pain etiology. Regularly, the significance of inflammatory as well as non-inflammatory pain is underestimated.

CLASSIFICATION OF MUSCULOSKELETAL DISEASES:

We present 4 case reports, illustrating the classification of musculoskeletal diseases into 4 main groups, being the basis for the modelling of disease, and pain treatment.

THERAPY:

Pain therapy is either symptomatic or based on specific pathophysiology. Pain therapy consists of the moduls analgesics, antiphlogistics, physiotherapy, psychosocial support, and complementary therapies. We give advice on differential therapy. A transparent team-oriented concept comprising physicians, physiotherapists, ergotherapists, psychologists, and social workers is the basis for any successful long-term therapy. Regular outpatient visits in consent with the family doctor are mandatory as are education and treatment periods on ward. We encourage our patients to join formal self-supportive patient groups.

PMID:
12800024
DOI:
10.1007/s004820000028

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