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Chronic Pain

Non-specific aches and pains are common and the differential is broad.

Key points include: 

  • Careful clinical assessment and exclusion of red flags are important.
  • Hypermobility is common in children and a feature of normal development so it is important not to ascribe all aches and pains to hypermobility - many hypermobile children have no pain at all.
  • Inflammatory joint or muscle conditions, metabolic disease (osteomalacia, thyroid disease) can result in aches and pains. 
  • Growing pains are a diagnosis of exclusion.
  • Chronic pain is a feature of idiopathic (medically unexplained) pain syndromes sometimes called Chronic Regional Pain Syndromes (CRPS).  

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