Chronic Musculoskeletal Pain in Childhood

Song, Kit M.; Morton, Anne A.; Koch, Karl D.; Herring, John A.; Browne, Richard; Hanway, Jeffrey P.

doi:10.1097/01241398-199809000-00003

Cited by 13 publications

(2 citation statements)

References 26 publications

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“…The absence of children with idiopathic musculoskeletal pain in the series indicated that the spectrum of aetiologies of MSP in primary care differed from that recorded in tertiary centres. [10][11][12][13][14][15][16][17] Similarly, there were no cases of underlying neoplasia 18 or chronic arthritis. 19 There are significant methodological differences between this study and other series.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of musculoskeletal pain in primary care

Arocena¹

2004

Archives of Disease in Childhood

136

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Section: Discussionmentioning

confidence: 99%

Epidemiology of musculoskeletal pain in primary care

Arocena¹

2004

Archives of Disease in Childhood

136

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“…4 The differential diagnosis of children with MSK complaints may indicate a wide range of diseases, from benign conditions, such as 'growing pains', through inflammatory and degenerative changes, to potentially fatal disorders, such as leukaemia or osteosarcoma. [5][6][7][8] Pain patterns are described as 'inflammatory' when the pain increases at rest and improves with activity or 'mechanical' when the opposite is true. 9 Juvenile idiopathic arthritis (JIA) is considered to be the most common cause of chronic inflammatory diseases with MSK pain.…”

Section: What This Paper Addsmentioning

confidence: 99%

Knee pain as a reason for referral to a paediatric rheumatologist: A retrospective study

Gorczyca

Iwańczyk²,

Staś³

et al. 2023

J Paediatrics Child Health

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Aim: Knee pain is the most frequently reported type of lower extremity pain among children and adolescents. The objective of this study was to establish the features distinguishing inflammatory knee pain from non-inflammatory knee pain and to determine the specific variables to consider in suspected juvenile idiopathic arthritis (JIA). Methods: A retrospective chart review was performed among children with knee pain evaluated through paediatric rheumatology consultations at a single centre between 2012 and 2019. Results: Among the 262 children, 32 patients (12.2%) were diagnosed with JIA, 46 patients (17.6%) presented with inflammatory knee pain (IP) of an origin different than JIA, and 57 patients (21.7%) with non-inflammatory knee pain (NIP). In 127 cases (48.5%), no musculoskeletal disorder was diagnosed (NDD). The presence of limping, joint swelling, decreased passive range of motion and decreased active range of motion of the knee joint were registered more frequently in the JIA group compared to the other three groups. Multivariate analysis showed that a family history of autoimmune diseases and pain in other joints were associated with inflammatory pain. Increased pain after physical activity, pain only in the knee joint and absence of limping were predictors of NIP. The risk factors of JIA were limping and an erythrocyte sedimentation range of ≥10 mm after an hour. In the NDD group, the risk factors included no increase in pain after physical activity, serum C-reactive protein level < 5 mg/L and normal musculoskeletal ultrasound image. Conclusions: The majority of children with knee pain referred to a paediatric rheumatologist do not have arthritis. Knee pain alone, as a chief complaint, rarely leads to a final JIA diagnosis. Further studies are necessary in order to design the appropriate diagnostic and therapeutic algorithms.

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Pain syndromes in children

Sherry

2000

Curr Rheumatol Rep

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The pediatric rheumatologist cares for children who may have a wide variety of causes of musculoskeletal pain. These include such diverse conditions as arthritis, low-back pain, hypermobility, metabolic bone pain, and amplified pain syndromes such as complex regional pain syndrome and fibromyalgia. This review examines the recent literature on these and other conditions causing musculoskeletal pain in children and adolescents. Overall, headway is being made, but differentiating soma from psyche remains a problem. This is perhaps due to the marked and unique effect pain brings to each of us. Children are different from adults in causes, presentations, and outcome. Vigilance in history, physical examination, and judicious use of laboratory investigations are usually sufficient in establishing a diagnosis, as well as an appreciation for the variety of presentations each condition can manifest.

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Chronic Musculoskeletal Pain in Childhood

Cited by 13 publications

References 26 publications

Epidemiology of musculoskeletal pain in primary care

Epidemiology of musculoskeletal pain in primary care

Knee pain as a reason for referral to a paediatric rheumatologist: A retrospective study

Pain syndromes in children

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