Key Learning Points

• The chronic pain experience in childhood presents a multifaceted challenge to clinicians, as it not only causes suffering and interruption to daily living, but also has distinctive issues that are individual to each child and family.

• Evaluation of the many factors (physiological, individual, family, school and peers, healthcare system) within the child's immediate environment and in the community at large that have an impact on the pain experience, is an important aspect of pain management.

• Biological, psychological, and functional aspects of pain should be considered in the management of diverse childhood persistent and recurrent pain experiences.

• Management plans should, where possible, be based on the current best evidence for efficacy of specific interventions for chronic pain conditions in childhood.

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