Expert opinion on heat therapy for teenagers' musculoskeletal pain management.

Autor:	Rodriguez-Maruri G; Primary Care Musculoskeletal Unit, Area V, Health Service of the Principality of Asturias (Servicio de Salud del Principado de Asturias, SESPA), Gijón, Spain., Celotto S; Primary Care Department, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy., Guidi D; Sports Physical Therapist, Bologna, Italy., Hirschmüller A; ALTIUS Swiss Sportmed Center, Rheinfelden, Switzerland.; Department of Orthopaedic Surgery and Traumatology, Albert-Ludwigs University Freiburg, Faculty of Medicine, Medical Center, Freiburg, Germany., Sosa González G; Department of Orthopedic Surgery and Traumatology, Pediatric Orthopedics Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Jazyk:	angličtina
Zdroj:	Annals of translational medicine [Ann Transl Med] 2024 Oct 20; Vol. 12 (5), pp. 84. Date of Electronic Publication: 2024 Aug 05.
DOI:	10.21037/atm-23-1931
Abstrakt:	Background: Among children and adolescents, up to 40% will experience musculoskeletal pain (MP), which can significantly impair functional ability, reduce quality of life, cause emotional distress, and lead to sleeping disorders for both patients and their families. The first-line treatment often involves pharmacological interventions, even though there is a lack of evidence supporting the efficacy or the safety of this approach in this specific age group. Recent guidelines recommend the implementation of preventative strategies and physical tools as the first option to minimize the use of medications. We aimed to provide an expert opinion on the use of heat therapy for MP management in young patients. Methods: This paper is the result of a virtual advisory board held by the authors in order to discuss and provide an expert opinion about the use of heat therapy in MP in children and adolescents. Results: MP is a significant burden affecting children and adolescents. While non-steroidal anti-inflammatory drugs are currently the first-choice treatment of acute and chronic MP in children and adolescents, avoiding or reducing them in such patients is advisable, to reduce side effects and to prevent the development of chronic pain and medication overuse headaches. Heat therapy can be an additional treatment option due to its ability to promote muscle relaxation, enhance blood circulation, and modulate nociceptors with a good safety profile. Conclusions: MP in children and adolescents is a common condition that should be approached multidisciplinary, including information, therapeutic exercise and physical therapies like hot or cold therapies. Future studies should be conducted to evaluate the safety, efficacy and indications of each treatment in MP. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://atm.amegroups.com/article/view/10.21037/atm-23-1931/coif). All authors report that this work was supported by Angelini Pharma S.p.A., which sponsored the expert meeting from which this manuscript arose. Angelini also provided financial support to Ethos srl, which provided editorial support to the authors in the preparation of the manuscript. This has not impacted the content of the manuscript in any way. The authors have no other conflicts of interest to declare. (2024 AME Publishing Company. All rights reserved.)
Databáze:	MEDLINE
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