What is pain? From where comes the pain? How do I stop? I cannot take it anymore! Yowch! These are all words that pass we can think when something hurts. But even more it hurts when sufferers are children...
Rehabilitation (rehab) and Physical medicine Non-pharmacological management of children chronic pain
mental disorders
According to experts, it is a painful feeling pain often caused by intense stimuli or vermin, such as stubbing a toe, burning a finger when put alcohol on a cut, and bumping a "funny bone". Because it is a complex and subjective pain was a defining challenge. International Association for the Study of Pain widely used definition states: "Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage." In medical diagnosis, pain is a symptom.

Pain motivates the individual to withdraw from harmful situations, to protect a damaged body part while it heals, and avoid similar experiences in the future.
Psychogenic pain also is called: psychical or somatic. The pain is acute or chronic, and caused by: mental factors, emotional or behavior.
Headaches, back pain, and stomach pain are sometimes diagnosed as psychogenic. A sufferer are often stigmatized, because both medical professionals and the general public they tend to believe that psychological pain from a source and is not "real". However, experts consider that it is no less real or hurtful than pain from any other source.
People with long term pain frequently displays mental disorders with high scores on the Minnesota Multiphasic Personality Inventory scales of hysteria, depression and hypochondria (the "neurotic triad"). Some researchers have argued that it neurosis that causes acute pain and chronic pain turn into a chronic but clinical evidence indicates otherwise, chronic pain is what causes neurosis.
Non-pharmacological strategies are recommended as first-line management for chronic pain. However current estimates suggest that more than half of people with chronic pain have only used drugs to manage their condition.
Whether using opioids or other drugs, patients should receive non-pharmacological therapies.
Benefits of non-pharmacological management:
  •  For many people, non-pharmacological therapies reduce pain to a level that is easier to control.
  • Pharmacological therapies may be more effective in combination with non-pharmacological techniques.
  • Active strategies of auto management.
There is growing evidence that active strategies, rather than passive greater power to retrain the brain to reduce pain. For example, some physical techniques such as thermotherapy, manual therapy, trans-cutaneous electrical nerve stimulation (TENS) and acupuncture are considered passive, while others, such as strengthening and aerobic exercises, stretching and hydrotherapy are active.
The goal of physical therapy for chronic pain is to encourage self-management. Passive therapies may be helpful in the short term to initiate improvement and help to desensitization.
Rehabilitation (rehab) and Physical medicine Non-pharmacological management of children chronic pain
chronic pain
In general, however, as the patient progresses, need oriented approach involving the gradual increase in activity. Therapeutic Guidelines states that passive therapies should be discouraged long-term, unless it is sustained and measurable improvement in function and quality of life.
Chronic and recurrent pain in children and adolescents has a point prevalence of at least 15%. Girls report more pain than boys and tips incidents are at an average age of 14 years. The most common is headache, followed by recurrent abdominal pain and musculoskeletal pain.
Rehabilitation (rehab) and Physical medicine Non-pharmacological management of children chronic pain
chronic pain children
Many children and adolescents with chronic and recurrent pain are generally treated effectively by your family doctor, or simply do not require professional attention. However, a remarkable number of children are severely affected by pain; their families are desperate to see their children suffer. Doctor’s specialists invest time and energy in investigating child in the absence of a serious underlying illness and concerns for further evaluation. During the time spent in this "void diagnostic", the child often receives help in management pain. If, as is usually the case, no specific cause can be found child, family and doctor often become frustrated sometimes antagonists to one another, and pain management that does not evolve positively. Fear and frustration are often fueled by inaccurate diagnoses, so it's a, ,,functional pain’’ or psychosomatic. Families often interpret these labels as their guilt for the pain the child, and the labels tend to reinforce their need to move from doctor to doctor looking for a different diagnosis and healing.
Rehabilitation (rehab) and Physical medicine Non-pharmacological management of children chronic pain
chronic pain  -  Ayurveda
Way to chronic pain is characterized by unsuccessful attempts to adjust and cope, experiences become uncontrollable and frightening effects. Over time the weight of this experience leads the patient to develop chronic symptoms concomitant physical disability, anxiety, sleep disturbances, lack of school and social withdrawal. Causes may be stress and severe parental role dysfunctional families. Malignant effects of chronic pain in children are multi-factorial and relatively inflexible without treatment.
Rehabilitation (rehab) and Physical medicine Non-pharmacological management of children chronic pain
chronic  pain
Chronic pain in children is an important issue. For certain conditions such as headache success both pharmacological and non-pharmacological strategies is remarkable. Even for children with the most severe pain and disability early evidence shows that it may be possible to reduce the impact of pain on the lives of patients and their families. More action is required. First, it needs more pediatric centers to develop programs for chronic pain. Second, we must address the embarrassing lack of data. The collaboration between centers would be required to provide large enough samples of patients with various pain conditions. Finally, we must remain aware that the incidence of chronic pain in children and adolescents is similar to that of adults, but that knowledge on how to help children cope with chronic pain is poorly developed. Given this fact, the likelihood that many children with untreated chronic pain to grow, then these children will become adults with chronic pain disability, so this lack of knowledge has the potential cost to society.
Rehabilitation (rehab) and Physical medicine Non-pharmacological management of children chronic pain
Non-Pharmacological Management

Non-Pharmacological Management:
  • Physical medicine and rehabilitation

  • Transcutaneous electrical nerve stimulation
  • Acupuncture
  • Light Therapy
  • Psychological approach
  • Cognitive Behavioral Therapy
  • Hypnosis
  • Mindfulness meditation
  • pain mild

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