Neuropathic pain, especially in children can be extremely challenging to recognize and treat. Dr. Alyssa Lebel MD, a dually trained pediatric neurologist and pain physician, provides a step by step explanation of neuropathic pain across the pediatric age groups and provides practical tools for how healthcare professionals can recognize and treat it effectively.

 

Takeaways in This Episode

Dr. Lebel's personal connection to and her journey into becoming a pediatric neurologist and pain physician The unique features of pediatric nervous system and neurocognitive development Features distinguishing pediatric neuropathic pain from that among the adults

What are functional neurological disorders or pain presentation of these disorders, and the findings on imaging (Hint: it’s not just made up or feigned symptoms)

Why and when neonates and infants develop neuropathic or chronic pain 

Correlation between colic, headache, and/or abdominal pain

Ways to prevent the triggering of the central nervous system 

Guide to an early recognition of neuropathic pain 

Strategies to treat children's neuropathic pain

What the family/patient needs in addition to the treatment options.

Links

Alyssa Lebel MD

FREE Clinicians'Pain Evaluation Toolkit

Proactive Pain Solutions

 

About the Guest Speaker

Alyssa Lebel MD

Dr. Alyssa Lebel is the Co-Director of Headache Program, and a Senior Associate in Pain Medicine in the Department of Anesthesiology, Critical Care and Pain Medicine at Boston Children's Hospital. She's an Associate Professor of Anesthesia at the Harvard Medical School.

 

Dr. Lebel is fellowship trained in pediatric neurology and pain medicine. After her training Dr. Lebel chose to devote her clinical practice primarily to the treatment of patients with significant pain, initially in both adults and children with cancer, and then in patients of all ages with intractable neuropathic pain. Early in her career, she sought additional training in regional anesthesia and rehabilitative medicine to provide a comprehensive service for challenging referrals. Concurrently, she maintained a general pediatric neurology outpatient clinic and served as a teaching attending for the Department of Neurology. In Philadelphia, she continued to work for the Departments of Anesthesiology, Pain Division, and Neurology, on the inpatient and outpatient services as well as within a partial hospital program for pain rehabilitation, ultimately focusing on pediatric care while at Children's Hospital of Philadelphia. Currently, at Boston Children's Hospital, she has increasingly focused on patients with chronic headache. She has written extensively and lectured nationally and internationally on both the mechanisms and treatment of pediatric headache. She established and directs a multidisciplinary pain-management program for patients with chronic head pain. She is recognized by her colleagues as an expert in the comprehensive assessment and management of pediatric and young adult patients with headache and cranial neuralgia.