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Management

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Management begins with accurate diagnosis of the organic possibilities, which should be ruled out with the appropriate investigation if necessary.

If a diagnosis of non-organic pain is reached, then the following points may be helpful in the management:

  • reassurance that there is nothing serious going on to cause the pain; that there is nothing to find on examination
  • gradual introduction of the idea that non-organic pain can occur, together with vigourous denial that this means the pain "Is all in his head"
  • acknowledgement that the pain for the child is in fact very real
  • further management involves clearer identification of trigger factors and ways to overcome them, methods to prevent reinforcement of pain when it occurs, and referal to psychology colleagues where appropriate.

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