A Mind-Body Approach to Pediatric Pain Management

Melanie L Brown, Enrique Rojas, Suzanne Gouda, Melanie L Brown, Enrique Rojas, Suzanne Gouda

Abstract

Pain is a significant public health problem that affects all populations and has significant financial, physical and psychological impact. Opioid medications, once the mainstay of pain therapy across the spectrum, can be associated with significant morbidity and mortality. Centers for Disease and Control (CDC) guidelines recommend that non-opioid pain medications are preferred for chronic pain outside of certain indications (cancer, palliative and end of life care). Mindfulness, hypnosis, acupuncture and yoga are four examples of mind-body techniques that are often used in the adult population for pain and symptom management. In addition to providing significant pain relief, several studies have reported reduced use of opioid medications when mind-body therapies are implemented. Mind-body medicine is another approach that can be used in children with both acute and chronic pain to improve pain management and quality of life.

Keywords: acupuncture; hypnosis; meditation; mind–body medicine; pain management; pediatrics; yoga.

Conflict of interest statement

M.B. is supported in part by the Coleman Foundation, the Oberweiler Foundation and the Patient-Centered Outcomes Research Institute (PCORI). E.R. is supported in part by PCORI. The funding sponsors had no role in the design of the article; in the collection, analysis, or interpretation of information; in the writing of the manuscript, or in the decision to publish.

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