Chronic Pain and Fatigue

Question 1

Complex Regional Pain syndrome

Answer 1

change in colour
swelling
increased hypersensitivity

Question 2

Complex Diffuse Pain Syndrome

Answer 2

mainly affects older children

experience severe levels of pain disproportionate to stimulus

Question 3

Chronic Fatigue Syndrome

Answer 3

severe mental and physical fatigue for >3-6 mths with not other explanation 
constant fatigue 
headache 
reduced concentration and memory 
muscle and joint pain 
poor sleep

Question 4

Management

Answer 4

reassurance and empowerment
involve parents, peers and teachers - need to be educated and supportive
involve specialised MDT
empower self care
pain education for both child and parent
emphasise FUNCTION
Cognitive Behavioural Framework
- graded exposure to activity
- find baseline level of activity that doesn’t flare them up
- progressively increase activity from them
- goals related to function not pain