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Highlights from this issue

MANAGING CHRONIC PAIN Chronic pain is complex and challenging and often poorly recognised, evaluated and managed leading to unnecessary distress for children and families and poor health outcomes. In a comprehensive review Rajapakse and colleagues discuss the presentation and management. The review emphasises the complex pathophysiology whereby the severity and impact of chronic pain on everyday function is shaped by the complex interaction of biological, psychological and social factors that determine the experience of pain for each individual, rather than a straightforward reflection of the severity of disease or extent of tissue damage. The authors discuss this biopsychosocial concept of chronic pain, the evidence base for management strategies and a ‘best’ approach to overall care. Specific conditions including neuropathic pain, complex regional pain syndrome, musculoskeletal pain, abdominal pain and headache are also discussed. It is a helpful, up to date and relevant review and relevant to everyday clinical practice. See page 474.