Pediatric Pain Rehabilitation Clinic (Outpatient)

Kennedy Krieger Institute • 707 North Broadway • Baltimore, Maryland 21205

Directors:

Dr. Sabine Kost-Byerly
Medical Director

Keith J. Slifer, PhD
Psychological Services Director

About Our Program:

The Pediatric Pain Rehabilitation Clinic provides outpatient services for patients with chronic pain (as a result of both known and unknown causes) that have resulted in pain-associated disability syndrome. Our goal is to help patients participate more fully in daily activities and to develop pain coping skills that help them to successfully return to school, home, and community life.

The clinic treats patients with a variety of medical diagnoses and pain locations and symptoms. One of the primary types of pain we see is musculoskeletal pain, including causes and diagnoses such as:

  • Pain as a result of surgery or injury
  • Complex regional pain syndrome (reflex sympathetic dystrophy)
  • Functional gait disorders
  • Hypermobility
  • Ehlers-Danlos syndrome
  • Fibromyalgia

We also see patients with the following:

  • Abdominal pain
  • Chronic fatigue syndrome
  • Postural orthostatic tachycardia syndrome (POTS)
  • Neurally mediated hypotension

In addition, many of our patients have pain-related mental health conditions or symptoms such as depression or anxiety. Our patients typically range in age from 6 to 18 years, with an average age of 13. For individuals older than 18 years and younger than 6 years, inpatient care will be considered on a case-by-case basis.

Our Treatment Approach:

Each patient undergoes an initial evaluation by our outpatient interdisciplinary pain clinic team. A treatment plan is then developed and we will make appropriate recommendations that could include inpatient or outpatient care.

If outpatient care is recommended, patients will be followed in the outpatient interdisciplinary pain clinic for medical management and continued rehabilitation, as well as behavioral and psychosocial assessment and recommendations. Patients may be referred for additional outpatient services within the Kennedy Krieger Institute as appropriate. Patients living too far away to return on a regular basis will receive detailed recommendations for further care.

In addition, many of our patients have pain-related mental health conditions or symptoms such as depression or anxiety. We are able to reassess current medications, adjust, and work to wean patients off medication once other coping strategies have been learned and put into practice.

After discharge, recommendations for outpatient physical therapy, occupational therapy, or mental health services may be provided as appropriate for ongoing therapeutic support, continuation of progress, and ongoing assessment and treatment of pain. Arrangements for community referrals will be provided for patients who live too far away.

Our Team:

Because the needs of patients with chronic pain can be complex, an experienced, interdisciplinary treatment team works with each patient and family. The outpatient team includes:

  • Pediatric Anesthesiologist, Pain Management
  • Nurse
  • Pediatric Psychology Therapist
  • Physical Therapist
  • Clinic Coordinator

We provide consultative services, as needed, in areas including:

  • Psychiatry
  • Nutrition
  • Complementary and alternative therapies (e.g., massage, energy, acupuncture, etc.)
  • Other medical diagnostic consultations (e.g., neurology, etc.)

Our Success:

Our program has a proven record of treatment success and patient satisfaction:

  • 100 percent of family members reported overall satisfaction with our care.
  • 98 percent of children met or exceeded the goals set at their admission.
  • 100 percent of patients would recommend our programs to others in need of rehabilitation.

Contacts:

For more information or to schedule an appointment, please call (443) 923-9400, or toll-free at (888) 554-2080.

TTY (for the speech and hearing impaired): (443) 923-2645

Physician & Healthcare Professionals:

Healthcare professionals wishing to make a referral should contact our Physician Assistance Group at (443) 923-9403.

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