Health Chats
Pediatric Pain
Wednesday Oct 14, 2009, 12:00PM - 01:00PM (EST)
1011387?1253764674
Program Director, Pediatric Rehabilitation Program & Behavioral Pediatrics Treatment Service
Cleveland Clinic
Center for Pediatric Behavioral Health, Cleveland, OH
Join Dr. Gerard Banez, PhD, staff member of the Cleveland Clinic Children’s Hospital’s Center for Pediatric Behavioral Health and director of the Pediatric Pain Rehabilitation Program, for a live chat and get answers on managing chronic pain from one of the foremost experts in the field. <br><br> Living in constant pain is difficult for anyone – but for children and adolescents, it can be disabling. <br><br> Parents or caregivers may feel helpless and frustrated as they watch a child: - miss school and stop doing things with their friends - drop out of sports and outside activities - avoid personal and family responsibilities - experience increased stress, and/or develop symptoms of depression and anxiety - give up their dreams and goals, and feel increased hopelessness <br><br> Your child is not alone - nor are you. Our Pediatric Pain Rehabilitation Program at Cleveland Clinic Children’s Hospital is specifically designed for children and teens whose chronic pain interferes with their normal activities. Our number one goal is to get your child back to doing things they love to do, while learning to manage their pain. <br><br> Cleveland Clinic Children’s Hospital’s Pediatric Pain Rehabilitation Program is the only one of its kind – in northern Ohio or nationally - that consists of both an in-patient AND out-patient component. This comprehensive, multi-disciplinary approach provides each patient and family with the most complete plan of understanding and managing pain.
ChitChatNine:
Many years ago, my daughter had two bouts of RSD (reflex sympathetic dystrophy) that is in total remission to date. She had two rounds of physical therapy that worked because of great specialists. They diagnosed her early. Taking on your child's pain is the hardest thing I've ever done as a parent. She also had a reactive arthritis at the same time. How does a parent NOT let their child's pain affect them emotionally? Any tips? Thanks.
Dr. Gerard Banez, PhD:
We see a lot of RSD (now often referred to as Complex Regional Pain Syndrome -- CRPS) in our program here in Cleveland. RSD is very stressful to the child and his/her parents. In our program, we find that we sometimes work just as much with parents as we do with their kids because of how difficult it is to be a parent of a child with RSD. Much of the work that we do is geared toward helping parents help their kids to be more independent in their coping and functioning. The hard part of
Dr. Gerard Banez, PhD:
it is that some of the strategies/techniques that we recommend go against what most of us think of as good parenting. In these kids, these strategies may foster a dependence on parents as opposed to the independence that we are aiming for. I suggest that parents of kids with RSD try to channel their emotions into doing what is best for their kids and helping them to live their lives normally. Am glad to hear that your daughter responded well to her treatment.
combs:
Hi ive been having chronic abdominal pain for over 6 months now. I've had numerous blood tests, ultrasound, ct scan, endoscopy. One day I ended up in hospital for 3 days and had tested positive for pancreatitis but it was on the lower end of the scale so they didn't think it was that. When I first got sick I was at a football match and had eaten 2 hot dogs and a pie and I'm wondering if I could have caught a bacterial infection? Also I get bloating and the pain is of a burning sensation and I've been to a psychologist and she said she thinks it's a physical problem. It has taken over my life. I had to leave school and been off work for this whole time. I've tried to go back but the pain is just too much to handle.
Dr. Gerard Banez, PhD:
Am sorry to hear abt your difficulties. Now and again we will see kids whose pain and problems began with an infection of some kind. At some point, the infection resolves, yet the problems persist. If you haven't already, consult with a GI specialist who is familiar with functional GI disorders (GI symptoms/conditions that exist in the absence of specific physical or organic causes). Again, a rehabilitation approach or program may be what you need. The
Dr. Gerard Banez, PhD:
goal of a rehab approach is to help you get control over your life. It sounds now like the pain has control, and a rehab program will help shift the balance by teaching you how to handle your pain and get your life back despite it.
sunshine2008:
Dr. Banez. I am 19 y/o and been in chronic pain for 2.5 years following a car accident. I have cervical and thoracic herniations with spinal cord compression and have seen countless doctors along with having countless treatments. I recently had a thoracic discectomy (5 months ago) and it didn't provide adequate pain relief. My next procedure is nerve root neurolysis, my last option is a thoracic fusion. I have a cerivcal herniation at C5/6, thoracic herniation T9/10,annular injury and protrusion at C6/7, annular bulging at T7/8 and other cervical bulging discs. My injuries were missed for more than 1.5 years. have had every conserative treatment suggested ....rest,ice and heat therapy, physical therapy, chiropractic, massage therapy, traction, ultrasound therapy,various medicationsI currently do not take any pain meds.  2 sets of triggerpoint injections, cervical epidural, acupuncture, facet block injections... 2 thoracic surgeries.Do you have any suggestions?
Dr. Gerard Banez, PhD:
Again, I will make reference to pain rehabilitation. For those whose pain has not responded to traditional/alternative treatments, an interdisciplinary pain rehabilitation program is often the very best and most appropriate treatment.
Dr. Gerard Banez, PhD:
Thank you for the opportunity to answer your questions about pediatric pain. Especially if you have questions about pediatric chronic pain, functional impairment, and their treatment, feel free to contact me at (216) 448-6253. Always remember that 'pain is pain, suffering is optional.' Normal activity and functioning are possible despite the ups and downs of pain, and good pain mgt and trx can help your child and family achieve that goal. Thanks again.
MedHelp:
Thank you so much for answering all these questions today. Dr. Banez has agreed to continue to answer any remaining questions on the topic of pediatric pain after the chat. These questions and answers will be included in the chat archive. Thanks, Dr. Banez!
MedHelp:
And thanks to everyone who joined the chat. We look forward to seeing you in future chats. Please check out the archives for a full transcript of this chat.