IntroductionMusculoskeletal pain in adolescents is highly prevalent. A systematic review reported that up to 25% of adolescents experience musculoskeletal pain several days a week (King et al., ), although these estimates are limited by a large variability in how prevalence was assessed. Musculoskeletal pain is a common reason for youth to seek medical attention from their general practitioner, with up to 64% of adolescents’ complaints continuing years later (El‐Metwally et al., ). This will have a negative effect on physical activity, health‐related quality of life, anxiety, school attendance, participation in hobbies and social activities, and can cause disturbances in appetite, sleep and mental health (Brattberg, ; Fuss et al., ; Rathleff et al., ).In adults, a greater number of pain sites appear to have a larger influence on physical and social activities, compared to localized pain (Kamaleri et al., ), indicating the impact of pain may depend on how widespread pain it is. In adult patients general practice having musculoskeletal complaints in more than one location is associated with poorer prognosis (Bot et al., ; Smidt et al., ; Kastelein et al., ). Multi‐site pain is common not only in adults (Kamaleri et al., ), as a high proportion of adolescents also report pain in more than one
European Journal of Pain – Wiley
Published: Jan 1, 2018
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