BACKGROUND: Pediatric chronic pain is a common problem with significant economic implications and devastating consequences on quality of life. The present report describes a case involving a 15-year-old girl with severe and debilitating chronic pain.RESULTS: Before her referral to a pain rehabilitation program, the patient saw numerous specialists who treated her with an aggressive medical regimen and two spinal cord stimulators. She was then referred for intensive interdisciplinary treatment and, after three weeks of rehabilitation, she reported clinically significant changes in anxiety, pain catastrophizing and functional disability. The patient was successfully titrated off all of her opioid medications and, eventually, both neurostimulator implants were removed.DISCUSSION: Interdisciplinary pain rehabilitation is a useful treatment for patients with chronic pain. With its primary emphasis on functional restoration as opposed to strictly pain reduction, patients can regain a higher quality of life with reduced pain and fewer medications, surgeries and hospitalizations.

中文翻译：

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缓解疼痛作为主要治疗目标：在什么时候功能和幸福感变得更加重要？一名使人衰弱的慢性疼痛的病例研究

背景：小儿慢性疼痛是一个普遍的问题，具有重大的经济影响，并对生活质量造成毁灭性后果。本报告描述了一例涉及一名15岁女孩的严重且使人衰弱的慢性疼痛的病例。结果：在转介疼痛康复计划之前，患者看到许多专家采用积极的医疗方案和两个脊髓刺激器为她治疗。然后，她被转诊至强化的跨学科治疗，并且在康复三周后，她报告了焦虑，疼痛灾难性和功能障碍的临床显着变化。该患者成功滴下了所有阿片类药物，最终移除了两个神经刺激器植入物。跨学科疼痛康复是对慢性疼痛患者的有用治疗。由于其主要侧重于功能恢复而不是严格减轻疼痛，患者可以减轻疼痛并减少用药，手术和住院的次数，从而获得更高的生活质量。