Through the Pain Rehabilitation Program at Kennedy Krieger Institute, we offer a continuum of services for the evaluation and treatment of chronic pain and functional disability in children and adolescents.
Services include an evaluation clinic, interventional procedures for pain management, outpatient therapies (physical, occupational and cognitive behavioral therapies), intensive day treatment and inpatient rehabilitation. Our patients typically range in age from 6 to 18 years old, with an average age of 13. Treatment is considered on a case-by-case basis for individuals between 18 and 21 years old or younger than 6.
Our goal is to manage and reduce a child’s pain while promoting healthy daily functioning. We aim to help the child develop pain coping skills for successful participation in school, home and community life.
We treat patients with chronic pain who have a variety of medical diagnoses, pain locations and symptoms, including:
- Chronic abdominal pain
- Complex regional pain syndrome
- Persistent post-surgical pain
- Chronic musculoskeletal pain
- Amputation/phantom pain
- Amplified musculoskeletal pain syndrome (AMPS)
- Pain-associated disability
- Neuropathic pain
- Functional gait disorders
- Sickle cell pain
- Pelvic pain
- Chronic unexplained pain
- Sports injuries
- Postural orthostatic tachycardia syndrome (POTS)
- Ehlers-Danlos syndrome
- Neurally-mediated hypotension
- Pain-related mental health symptoms such as depression or anxiety
- Neck and back pain
Most patients who are referred to the Pain Rehabilitation Program are seen for a visit in our outpatient Pain Rehabilitation Clinic and have an initial evaluation by an experienced, interdisciplinary team that includes a pain medicine specialist, a physical therapist, a cognitive-behavioral therapist, a pain clinic nurse and a clinic coordinator. The team then develops a treatment plan that targets the patient’s individual needs and specifies the most appropriate care setting, which could include outpatient, day hospital or inpatient care settings (Settings of Care). Some patients may be referred for additional evaluation by specialists in Neurology, Genetics, Gastroenterology, Physical Medicine & Rehabilitation, or Psychiatry.
- Article: Beyond the Pain
- Article: Practicing Painless Pain Medicine
- Video: Understanding Pain and What to Do About it in Less Than 5 Minutes
- Book: Conquering Your Child’s Chronic Pain: A Pediatrician's Guide for Reclaiming a Normal Childhood by Lonnie K. Zeltzer M.D., Christina Blackett Schlank