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• W1182069510 abstract "There is an old adage that says a society should be judged by how it treats the most vulnerable. It is interesting to apply this concept to the area of pain management. There is perhaps nothing as distressing as a child in pain; the helpless suffering of children touches us at a deeply human level and, I would argue, represents a profound failure of the healthcare system to address the needs of a very vulnerable group. A recent publication by King et al 1 suggests that chronic persistent or recurrent pain in children is ‘overwhelmingly prevalent’ and represents a major health concern for this population. In their review of epidemiological studies, King et al 1 found that the prevalence of headache in children ranged from 8-83%, abdominal pains from 4-53%; and for conditions that physiotherapists are perhaps more associated with , the prevalence rates were: back pain 14 – 24%, musculoskeletal pain 4 – 40%, multiple pains 4 – 49%, and general pain 5 – 88%. Because of the wide variation in reported prevalence rates it is difficult to make generalisations, however, chronic pain in children increased with age, tended to affect girls more than boys, and was associated with psychosocial variables including anxiety, depression and low self-esteem. Most worryingly, these authors suggested that the prevalence of chronic pain in children had increased in the last number of decades. When pain in children becomes chronic or persistent, it can signal long term future health problems. 2 Children with pain often become adults with pain; it is well recognised that pain during infancy causes longlasting changes in pain processing that extend well into childhood and adulthood . 3 Another recent study exploring pain in an extremely vulnerable group, by Maria Walsh and colleagues at the National University of Ireland 4 reported the prevalence and impact of chronic pain in adults with intellectual disability in Ireland (n = 753). These authors found that the overall prevalence of chronic pain in those with intellectual disability was 15.4%, and again the prevalence among females (20.1%) was higher than males (13.4%); Walsh et al 4 cautioned that these figures may even represent an under estimation of the problem. Among the most frequent causes of pain in this population was arthritis and musculoskeletal pain, and with respect to management, massage (29.8%) and physiotherapy (21%), featured among the most common treatments. For those with intellectual disability to have to carry the burden of chronic pain (and almost one third of cases had moderate to severe pain) in addition to the other challenges that their condition brings, is an appalling situation." @default.
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• W1182069510 date "2012-01-01" @default.
• W1182069510 modified "2023-09-27" @default.
• W1182069510 title "Editorial: Pain management and the undergraduate curriculum – is it a case of ‘could do better’?" @default.
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• W1182069510 doi "https://doi.org/10.3233/ppr-2012-33101" @default.
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