Understanding Chronic Pain

Chronic pain is any pain that lasts longer than the expected healing time (usually three to six months). It can be continuous pain or it can come and go. 

 

The pain may be related to medical conditions like arthritis, or may be a disorder itself such as migraines or fibromyalgia.

Chronic Pain is Real Pain

15-39% of children live with chronic pain

Even if there is no clear cause for your child’s chronic pain, it is important to believe that their pain is real. 

 

If your child has pain, it’s important to talk with your healthcare provider about possible reasons and treatments.  

Treatment

Because there are many possible reasons for chronic pain and because every child experiences pain differently, your child might need different types of treatment to manage their pain. This could include a combination of medication, psychological, and physical treatments. Chronic pain teams can work with you and your child to find ways to help manage your child’s pain. 

Chronic Pain Teams

Pediatric chronic pain clinics usually have teams of health care professionals available to help children gain control over their pain. A typical team may include specialist physicians, nurses, and allied health professionals such as psychologists and physiotherapists.

Nurses
Nurses have an important role in helping children, teens, and their families manage chronic pain. They are often the first person you talk to at the pain clinic, and can help you with your child's treatment plan.
Physiotherapists
Physiotherapists are experts on how the body moves and what stops it from moving. As movement specialists, physiotherapists help you restore, maximize, and maintain movement.
Psychologists
Psychologists understand how we think, feel, and behave, and then use this information to help people understand, explain, and change their behaviour.
Physicians
Physicians, or doctors, provide direct care to patients. They work with other health care providers to make sure you are getting the care and treatment you need. Physicians can diagnose, order and interpret diagnostic tests, make referrals, prescribe medications and treatments, and follow-up with patients.
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Nurses
Nurses have an important role in helping children, teens, and their families manage chronic pain. They are often the first person you talk to at the pain clinic, and can help you with your child's treatment plan.
Physiotherapists
Physiotherapists are experts on how the body moves and what stops it from moving. As movement specialists, physiotherapists help you restore, maximize, and maintain movement.
Psychologists
Psychologists understand how we think, feel, and behave, and then use this information to help people understand, explain, and change their behaviour.
Physicians
Physicians, or doctors, provide direct care to patients. They work with other health care providers to make sure you are getting the care and treatment you need. Physicians can diagnose, order and interpret diagnostic tests, make referrals, prescribe medications and treatments, and follow-up with patients.
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Coping Skills
Too little or too much physical activity, sleep problems, stress, anxiety, and emotions can all have effects on pain signals going to the brain. Here are some ways to cope with chronic pain: 

Relaxation

We all need to relax some times, and it’s good to take breaks when the pain is getting to be too much. Anything from listening to music, practicing mindful breathing, or stretching out on the couch can help distract your child from the pain.

Gentle Exercise

Gentle exercise can motivate your body and mind to be more active and can help with pain relief. Taking a jog, practicing yoga, playing badminton or even going for a walk can help.

Sleep

Getting enough sleep is very important for your child. Too little sleep or sleep that isn’t restful can affect your child’s mood and their experience of pain. Help your child get a good night’s sleep by sticking to a bedtime routine, avoid caffeine, limit screen time within a few hours of bedtime, and encourage regular exercise.

Medication

Some children may take pain medication to help manage their pain. Sometimes these medications won’t help your child. You can talk to your child’s pain team about medications as part of your child’s treatment plan.

Find a Clinic

Choose the Province or Territory you live in to find pediatric chronic pain services near you. If your area is not listed, try contacting your healthcare provider. 

BC Children’s Hospital Complex Pain Service

4480 Oak Street
​Main hospital building, Room E400, Vancouver, BC V6H 3V4

SickKids Hospital Chronic Pain Clinic
Room 5308, 555 University Avenue, Toronto ON M5G 1X8

 

Holland Bloorview Kid’s Rehabilitation Hospital
150 Kilgour Road, Toronto ON M4G 1R8

 

Children’s Hospital of Eastern Ontario (CHEO) Chronic Pain Service

Max Keeping Wing
401 Smyth Road, Ottawa ON K1H 8L1

 

London Health Sciences Centre Pediatric Chronic Pain Program
Room B1-200, 800 Commissioners Road East, London, ON N6A 5W9

 

McMaster Children’s Hospital Pediatric Chronic Pain Program
1200 Main Street West, Hamilton ON L8N 3Z5

Chu Sainte-Justine
3175 Chemin de la Côte Ste-Catherine, Montréal QC H3T 1C5

Montreal Children’s Hospital Chronic Pain Clinic
1001 Decarie Blvd, Montreal QC H4A 3J1

This research was funded by the Canadian Institutes of Health Research and the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute

Women and children's health research institute Stollery Childrens Hospital Foundation logo

© ECHO Research, 2022. This resource may not be modified, reproduced or distributed without prior written consent of ECHO Research. Contact shannon.scott@ualberta.ca

The information contained in this video/multimedia content (the “Multimedia”) is provided on an “as is” basis and is offered for general information and educational purposes only; it is not offered as and does not constitute professional advice. There is no guarantee about the accuracy, applicability, fitness or completeness of the information found in the Multimedia. This information is provided without warranty of any kind, and the University of Alberta, its agents, employees, and students disclaim responsibility to any party for any loss or damage of any kind that may arise directly or indirectly as a result of the use of or reliance on the information contained in the Multimedia.

Physical treatments can include physiotherapy, prescribed exercise plans, strengthening exercises, massage, and more. 

Psychological treatments can include counselling or talk therapy, supportive therapy, cognitive behaviour therapy, mediation, and more. They can be provided on a one-on-one basis or in a group setting. 

Disclaimer

The information contained in the video/multimedia content (the “Multimedia”) is provided on an “as is” basis and is offered for general information and educational purposes only; it is not offered as and does not constitute professional advice. There is no guarantee about the accuracy, applicability, fitness or completeness of the information found in the Multimedia. This information is provided without warranty of any kind, and the University of Alberta, its agents, employees, and students disclaim responsibility to any party for any loss or damage of any kind that may arise directly or indirectly as a result of the use of or reliance on the information contained in the Multimedia.

These resources may not be modified, reproduced or distributed without prior written consent of ECHO Research. Contact shannon.scott@ualberta.ca.