- Physiotherapy Interventions
This type of treatment is centered on returning a patient to normal functioning through reconditioning, the use of laser and ultrasound treatments, or through adapted exercises such as stretching, strengthening, and endurance.
This type of treatment focuses on relaxation, the development of coping strategies, cognitive behavioural adjustments and techniques such as biofeedback (a treatment technique in which patients are trained to improve their health by using signals from their own bodies).
These types of treatments can involve medications or diagnostic and therapeutic regional blocks (medicating a specific part of the body) to control pain. Communication and detailed explanations between patients and members of the team are essential in the success of these types of treatment plans.
Quantitative Sensory Testing (QST) is a clinical methodology that identifies alterations in the facilitatory pain processes (i.e peripheral and central sensitization). As part of QST, the conditioned pain modulation (CPM) paradigm is used to assess the efficacy of the endogenous pain inhibitory pathways. The extent of pain inhibition during conditioning reflects the efficacy of the diffuse noxious inhibitory control (DNIC) system. The assessment of underlying pain mechanisms with QST and CPM as part of a standard clinical evaluation facilitates decisions concerning pharmacological treatment towards a mechanism-based personalized pain treatment.
The nurse is the communication hub of the team by providing support to families and facilitating coordination between the team and patients. The nurse links children and families with other members of the team based on evolving issues, continuously oversees responses to, and side effects of, treatment, collaborates with families and team members to update plans and goals, and builds connections with healthcare workers at primary health centers
The social worker bridges the gap between the hospital and the school. The social worker (along with other members of the team) can provide the necessary education and tools to schools to allow a child who is suffering from chronic pain to attend school regularly. The influence of the social workers in the efficacy of the treatment includes their therapeutic efforts with the parents.