Treatment Programs

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Pediatric Pain Program

The Pediatric Pain Program at MassGeneral Hospital for Children offers a full range of pain management services for infants, children and teens.

The Pediatric Pain Program provides specialized care to infants, children, and adolescents who suffer from a variety of acute and chronic pain syndromes. We offer both inpatient and outpatient evaluation and treatment of pain.

Our group consists of a specialized team of physicians and nurse practitioners who work in consultation with child life specialists, psychologists, psychiatrists, physical and occupational therapists to provide a comprehensive and multidisciplinary approach to pain management.

State-of-the-art techniques are used to provide safe and effective pain control for all children.

Inpatient Pediatric Pain Service

Techniques used to treat pain include:

Medications

  • Intravenous opioids, intermittent and continuous infusions
  • PCAs (Patient Controlled Analgesia)

Interventions

  • Epidural analgesia
  • Regional nerve blocks

Therapies

  • Cognitive and behavioral therapies
  • Acupuncture, acupressure
  • Massage
  • Family intervention and education

In addition to inpatient services, our Pediatric Pain Clinic provides evaluation and treatment of recurrent or chronic pain syndromes.

Ongoing pain is disruptive

Pain may limit your child’s ability to participate in school, sports, and social activities, as well as your ability to maintain a normal home routine and work schedule. When standard therapies, including surgery and medications, have not been effective, we offer children the physical and psychological tools they need to lead an active life and cope with pain.

When to seek help

Whatever the source of your child’s pain, consider our pain clinic if your child:

  • Misses school on a regular basis
  • Has withdrawn from friends, social activities, sports, or other interests
  • Is experiencing increased stress and/or symptoms of anxiety or depression related to pain.

Outpatient Pediatric Pain Clinic

The Pediatric Pain Clinic provides interdisciplinary evaluation of children and adolescents with persistent pain issues and functional impairment. Our evaluation will help determine which treatments will be most effective in helping your child return to normal activities. We give your child or adolescent the skills to manage pain, and teach you how to support their efforts.

Our unique approach

Children attending the Pediatric Pain Clinic will be seen primarily by pediatric pain specialists and may be referred to other services as needed. Your child will be cared for by our team of specialists which means they may not be seen by the same provider at every visit. The advantages to this are convenience in scheduling appointments for your child.

How we can help

Your child and family will benefit from the expertise of our interdisciplinary team.

We offer a range of comprehensive services, including:

  • Medical expertise
  • Behavioral health services
  • Cognitive behavioral and complementary therapies
  • Rehabilitation therapies

Additional services include parent and family education and assistance with school re-entry.

Results and clinical outcomes

Since the start of our program in 2009, we have treated 119 children and adolescents with a wide variety of recurrent and chronic pain issues in the outpatient setting. Our results consistently show that functional impairment and school attendance are improved. At the time of initial consult, 40% of our patients did not attend school on a regular basis due to pain issues. Approximately 70% of patients reported impaired function due to chronic pain. Over the course of intervention, 35% of patients with poor school attendance reported improvement; 15% reported significant improvement. Over 60% of patients with impaired function reported improvement; 10% reported significant improvement.

Common pain conditions we treat:

  • Chronic cancer related pain
  • Pain associated with Sickle Cell disease
  • Pain associated with arthritis and autoimmune disorders
  • Recurrent abdominal pain
  • Complex Regional Pain Syndrome (CRPS)
  • Spine and limb pain

Going the distance

Crossing the finish line of a marathon is a feat in itself, but completing the race and supporting a good cause is a triumph times two.

Acute Pain Management Symposium 2013

This unique three day course is designed to offer a comprehensive update on the quickly developing field of acute pain and to present the best current techniques and approaches to managing this population.

MGHfC Pediatric Pain Service

Yawkey Center for Outpatient Care
32 Fruit Street
Suite 8B
Boston, MA 02114

Phone: 617-643-1097
Fax: 617-724-6030
Hours: M-F 9:00 am - 4:00 pm, Clinic Monday afternoons 1:00 pm-4:00 pm

Public Transportation Access: yes
Disabled Access: yes

Information for Healthcare Professionals

Inpatient referrals: Consultation available upon request (pager# 3-OUCH)

Outpatient referrals: Mass General physicians will complete the MD referral form found on our website at www.massgeneralforchildren.org/pain-center

Please fax completed referrals to the Access Center Fax 617-724-6030.

Appointments are held Monday afternoons in the Yawkey Ambulatory Clinic, Suite 8B.

Urgent outpatient referrals: Please page #3-OUCH. Patients will be seen in the referring physician’s office.

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Family-centered care

We respect that the family is the center of a child’s life and we welcome families to participate in every aspect of their child’s care.

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Team approach

At MassGeneral Hospital for Children, members of the patient’s care team work together to provide coordinated, multidisciplinary treatment.