Pediatricians, particularly pediatric rheumatologists, review a large number of adolescents who have a wide variety of pains (1,2). Many of these pains do not have an inflammatory or other obvious disease process driving them but have a significant impact on the physical and emotional well-being of the young person and their family (2).

Unfortunately in pediatrics these patients tend to be passed from one specialist to another in order to find a cause and a cure; there can be "over-medicalization" and further increase in the pain associated disability. It is important for physicians and allied health professionals to recognize chronic pain conditions and move forward, starting appropriate treatment plans addressing physical and emotional health and also including the family.

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