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Musculoskeletal pain is any pain that affects the muscles, bones, joints, or connective tissue such as tendons and ligaments. Musculoskeletal pain can be very debilitating, affecting daily function and can even interfere with activities of daily living such as getting dressed and eating.
Musculoskeletal pain can range from minor, short-lived pain to constant and severe pain. Sometimes musculoskeletal pain can develop into a chronic condition; this may require the expertise of our Multidisciplinary Chronic Pain Clinic to effectively treat the pain.
Musculoskeletal pain usually occurs after an injury or trauma to the area. Musculoskeletal pain can also occur from being inactive for long periods of time or after a period of deconditioning. It can also be related to poor posture, as this puts extra strain on the muscles leading to pain.
Anyone can develop musculoskeletal pain, and it does not affect people of a specific gender or age more than others.
Musculoskeletal pain can cause a variety of sensations:
If your child has suffered a known or suspected trauma recently and has physical signs of injury, see a doctor immediately to make sure there are no fractures or other internal injuries.
At Children’s Hospital Colorado, your child’s doctor will perform a full history and physical exam to help determine the cause of the pain. At our Chronic Pain Clinic, this includes a complete assessment of the pain history and previous workup, a physical therapy evaluation, and an assessment of all psychosocial factors that play a role in your child’s pain.
Imaging tests are often used in the evaluation of musculoskeletal pain; these tests include x-rays, ultrasounds, CT scans and sometimes MRIs. CT scans and MRIs are longer exams and may require sedation. Sometimes laboratory tests looking for signs of inflammation may be ordered. While this would require a blood sample, our nurses and laboratory technicians are highly skilled at working with pediatric patients.
At Children’s Colorado, we always keep your child’s comfort in mind and our clinicians will order the fewest and least invasive tests possible in order to make the proper diagnosis. Specialists at the Chronic Pain Clinic will use these test results to help create an individualized plan for your child’s pain.
We have a vast array of medical specialty teams available to help diagnose and treat your child’s pain. We have almost every medical specialty and subspecialty available in our hospital, and we work with each other to provide the best care possible for your child.
Not only do all specialists have access to your child’s electronic medical record, but we are also constantly talking with each other to help figure out the best treatment for your child. If your child needs sedation or anesthesia for their test or procedure, we have over 50 specialty-trained pediatric anesthesiologists and anesthetists who will make sure your child is safe and comfortable during the test or procedure.
These test range from very fast and non-invasive, to longer and more invasive studies that may require an IV or a blood draw. We make every effort to make sure your child is comfortable; we have child life specialists that can help provide comfort and distractions to children who are anxious or scared.
The providers at Children’s Colorado will integrate all the information from the history, physical exam, and diagnostic tests to figure out the source of your child’s pain. In more complex cases, providers may make referrals to other specialists to help with accurate diagnosis and to figure out the best treatment plan for your child. We all work together to find the answer to the problem and the best way to help fix it.
Treatment of chronic musculoskeletal pain depends on the cause and location of the pain. At Children’s Hospital Colorado, we use the latest evidence-based medicine in the treatment of pain; typically, treatment includes a combination of medications, pain psychology interventions (biofeedback, cognitive behavioral therapy, relaxation techniques) and physical or occupational therapy. Sometimes procedures or even surgery may be needed to treat certain conditions. These decisions will be made by your team of providers and will be discussed in detail with you during your visit.
As the only pediatric specialty pain clinic in the region, we have a comprehensive list of specialists to help with your child’s diagnosis and treatment. Our experts work very closely together to provide the best possible care for your child in pain.
Specialists in our Chronic Pain Clinic offer a multi-disciplinary approach to your child’s pain. Children’s Hospital Colorado has the only pediatric chronic pain clinic in the region, and we often treat children who have not made progress with other specialty clinics (for example, orthopedics, rheumatology, rehabilitation medicine, neurology.
Certified Pediatric Nurse Practitioner