Chronic pain ranks with ADHD and asthma among the most costly chronic pediatric conditions in the United States. To some extent, the cost—roughly $19.5 billion annually—stems from the large number of children—an estimated 1.9 million—seen for pain every year.
However, in large part the problem may also be one of matching children and adolescents in pain to the appropriate treatments. As psychologist and pain specialist Laura Simons, PhD, and collaborators recently noted in PAIN, pediatrician surveys reveal a lack of consensus when it comes to diagnosing pain, making treatment planning a challenge and potentially putting children at risk for chronic pain problems as adults.
“We’re not catching pain problems early enough,” says Simons, who works in Boston Children’s Hospital’s Department of Anesthesia, Perioperative and Pain Medicine. “Patients may undergo multiple medical procedures, or see several specialists before a diagnosis is given or an appropriate treatment plan is put into place.”