In this section
We are a multidisciplinary chronic pain management team which
meets weekly to assess new patients and to review current patients.
An outpatient approach is preferred, with an emphasis on return to
school and normal function. Cognitive behavioural approaches are
often employed in conjunction with analgesic techniques including
acupuncture, occupational therapy and physiotherapy.
Referrals must be accompanied by a written letter of referral
letter from a Medical Practitioner. The letter should include
details of the patient's relevant history and investigations.
Referrals are accepted from Doctors outside of the Royal Children's
Hospital. Referrals should be directed to the Head of Pain
Management, Dr George Chalkiadis who can be contacted by telephone
(03) 9345 5233 or by mail:
Department of Anaesthesia & Pain Management
Royal Children's Hospital
Parkville, VIC 3052
Once a letter of referral has been received, an appointment is
sent out to the patient and their family. A new patient referral
takes 3 to 5 hours. It involves assessment by our physiotherapist,
occupational therapist, psychologist, child psychiatrist and a pain
medicine specialist. The team then meets to discuss the treatment
options and later meets with the patient and their family to inform
them of the team's assessment. A letter detailing the team's
findings and recommendations are sent to the referrer and to the
patient's General Practitioner.
New patients are assessed on Wednesday and Thursday
mornings. Assessments commence at 8am. The final meeting with
the patient and family is usually concluded by 1pm.
Chronic Pain Multidisciplinary Assessments are performed on
Wednesday and Thursday mornings in the Specialist Clinic B
(located on the 1st floor near the green lifts) (PDF).
Chronic or persistent pain is a multi-dimensional problem that
affects the patient and their family in a variety of ways. This is
influenced by the mind-body connection and occurs at various levels
including physically and emotionally (such as mood or stress), as
well as the ability to function at home, at school or work, and
Our approach to assessment involves looking at your pain from
all these perspectives. Therefore, in the multidisciplinary Chronic
Pain Outpatient Clinic assessment you will see several
specialists over 3-5 hours. They will either see you in a sequence
of interviews or with all the specialists in one room together. You
will also be asked to fill out a few questionnaires which will take
between 20 and 30 minutes. These will either be mailed to you
beforehand, or you will have time to do them at the beginning or
towards the end of your session with us. You or your parents will
be given a consent form to sign, to give us permission to
communicate with your referring doctor, your treating specialist,
and your school and/or work.
More information can be found in Children's Pain Management Clinic: Information for families.
Useful Links: http://www.youtube.com/watch?v=4b8oB757DKc
- a five minute cartoon style explanation about persistent pain
(Produced by the Hunter Integrated Pain Services, NSW)