Stanford University School of Medicine, Stanford, California.
Lucile Packard Children's Hospital, Stanford, California.
JBJS Rev. 2020 Apr;8(4):e0174. doi: 10.2106/JBJS.RVW.19.00174.
Children and adolescents with chronic pain are best managed by an interdisciplinary team. In cases of complex regional pain syndrome (CRPS), the interdisciplinary team consists of a pain management specialist, such as an anesthesiologist or physiatrist, a physical therapist, an occupational therapist, a pain psychologist, and an orthopaedist. It may also include other professions, such as a gastroenterologist, psychiatrist, nurse practitioner, nutritionist, endocrinologist, acupuncturist, or social worker. Key factors include rapid recognition of CRPS and the initiation of appropriate treatment, both for the pain syndrome as well as for the orthopaedic injury. Intensive therapies have been shown to be effective in treating CRPS in children. Children often are more responsive to noninvasive treatments than adults.
患有慢性疼痛的儿童和青少年最好由跨学科团队进行管理。在复杂区域疼痛综合征（CRPS）的情况下，跨学科团队由疼痛管理专家（如麻醉师或物理治疗师）、物理治疗师、职业治疗师、疼痛心理学家和矫形外科医生组成。它还可能包括其他专业人员，如胃肠病学家、精神科医生、护士从业者、营养师、内分泌学家、针灸师或社会工作者。关键因素包括快速识别 CRPS 和启动适当的治疗，既针对疼痛综合征，也针对骨科损伤。已经证明强化治疗对儿童 CRPS 有效。儿童通常对非侵入性治疗的反应比成年人更好。
