It is important that a physician reevaluates the young person and family as soon as all the results of any investigations that have been undertaken have returned. During this second consultation any other differential diagnoses can be put to one side (assuming all appropriate investigations are normal) and other fears that the family may have had talked through (it is not uncommon for parents to worry about cancer or other life-threatening illnesses causing the ongoing pain). This in turn reduces catastrophization. At this stage the consultation can move onto pain education and begin to plan rehabilitation. If possible it is invaluable to share the consultation with an allied health professional that is part of the rehabilitation team.
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