Pain Management

There is much more to pain than physical discomfort, especially for children and teens. When a child hurts, everything suffers — from relationships with friends and family, to learning and behavior at school. At Nemours, our pediatric pain management team uses a family-centered approach to develop a balanced outpatient and/or inpatient plan that’s focused on physical and emotional rehabilitation and whole-child wellness.

Our goal is to use the least amount of medicine possible to relieve your child’s pain, and to bring your child hope for brighter days ahead.

Learn More About Pain Management in Children

Nemours pediatric pain management services are provided by a multidisciplinary team that includes specialists in pediatric anesthesiology, physical medicine and rehabilitation (which includes physical and occupational therapy),and behavior health (psychology and psychiatry), as well as support from compassionate social workers, care coordinators, Child Life specialists, and more.

We work closely with your primary care physician/pediatrician and other specialists your child may see, ensuring everyone is always on the same page and your family gets the best possible care.

Restoring Comfort Inside and Out Through Pediatric Pain Management

Pain is defined as an unpleasant emotional and sensory experience. It can be aching or throbbing, sharp or dull, constant or intermittent (off and on). We understand that pain is physical and mental, and that everyone experiences pain differently. Our team takes the time to get to know your child so we can properly assess the pain and develop the most appropriate treatment.

Pain Symptoms and Conditions We Treat

Pediatric pain symptoms and conditions we treat include:
  • acute pain (pain that’s temporary or short-term from, say, surgery or an injury)
  • chronic pain (pain that lasts more than six months)
  • abdominal pain
  • arthritis/joint inflammation
  • back and leg pain
  • cancer pain
  • fibromyalgia (widespread muscle pain)
  • headaches
  • neck, shoulder and arm pain
  • nerve injuries
  • neuropathic pain (complex regional pain syndrome – also called CRPS or RSD)
  • pain related to mental health disorders (anxiety and depression)
  • pain related to sports injuries

Minimal Medication Therapies for Pediatric Pain Management

Our whole-child approach to pain management in children includes a variety of therapies to help free your child from pain, inside and out. Your child’s personalized pain management plan may include:

  • cognitive behavioral therapy (teaches relaxation techniques and coping skills)
  • physical therapy (improves strength and mobility)
  • occupational therapy (improves daily functioning)

Your child may be referred or prescribed additional therapies such as:

  • hydrotherapy (uses water for exercise and comfort, also called aquatic therapy)
  • acupuncture (stimulates natural healing)
  • biofeedback (trains the mind to control pain)
  • integrative medicine (includes yoga, massage and meditation)

Managing Pediatric Pain With Pain Medications

At Nemours, we’re committed to providing the safest, most effective therapy for your child with the least amount of medication. A balanced pediatric pain management treatment plan may include medicines like:

  • patient-controlled analgesics, or PCA (delivers medication through a pump when activated by the patient)
  • epidurals (pain medication delivered through a small tube in the spine)
  • regional pain blocks (injections that offer pain relief for specific areas of the body)
  • pain medications (anti-inflammatory medications or opioids that reduce the amount of pain messages sent to the brain)
  • other medications (antidepressants or anticonvulsants)


Nemours Children's Specialty Care, Jacksonville

807 Children’s Way
Jacksonville, FL 32207
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For Appointments: (904) 697-3725

Hours: Monday–Friday, 8 a.m. to 5 p.m.
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What to Bring
  • photo ID
  • medical and pharmacy insurance cards
  • preferred pharmacy name and phone number
  • names and dosage of all medications, including over-the-counter medication, your child is currently taking
  • guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
  • any forms required for school, camp, sports, etc.
  • a list of prior immunizations

Please also print and fill out the following form(s) and bring them with you to your appointment:

Forms & Resources
New Patient Forms
  • Patient Registration (PDF)
Returning Patient Forms
  • Release of Information (PDF)
    English | Spanish
  • Patient Presents Without Legal Guardian (PDF)
    English | Spanish
    Note: A parent or legal guardian must be with a child for a first visit.
Resources for Patients & Families

Nemours Children’s Specialty Care, Jacksonville offers a pediatric pain rehabilitation program for children with acute (temporary) or chronic (long-term) pain caused by disease, injury or surgery. Led by a board-certified and fellowship-trained pediatric anesthesiologist, the program seamlessly integrates physical rehabilitation and psychological therapies to relieve your child’s body and spirit from pain, quickly and effectively.

Outpatient Pediatric Pain Rehabilitation Program for Kids (and Families)

Because pain affects a child physically, mentally, emotionally, socially and academically — and can impact the family dynamic — Nemours offers pediatric pain management with a multidisciplinary approach. This allows us to manage pain and begin therapy without delay while we do a complete work-up.

Our goal is first and foremost to make your child comfortable, and then after a complete assessment, the team will develop a longer-term strategy focused on avoiding opiate pain medicines and maximizing the control your child has over pain and the anxiety it brings. Since every child is different, our pediatric pain management team customizes the assessment and rehabilitation planning specific to your child’s needs, combining proven treatments.

Physical Rehabilitation

Physical therapy increases mobility and builds strength to help relieve pain. In Jacksonville, the rehabilitation specialist is the therapy coordinator for the chronic pain program at Brooks Rehabilitation. An integral part of the physical therapy involves teaching your child exercises and stretches to use at home and school, and may include prescribing aqua therapy, biofeedback and other proven pain relief strategies.

Child Psychology and Behavioral Health

Psychological tools in pediatric pain management involve learning coping strategies to help overcome the emotional and psychological aspects of pain. The division chief of psychology, a member of our pediatric pain management team, teaches healthy ways to think about and react to pain through individual, family and/or group therapy (with other children and teens). Psychological tools may include cognitive behavioral therapy and biofeedback, and complementary medicine techniques such as guided relaxation and imagery to help relieve your child’s pain.

Learn More About Child Psychology and Psychiatry at Nemours Children's Specialty Care, Jacksonville »

Medications for Pain

Children are not little adults and our pediatric specialists understand the effects certain medicines have on our youngest patients. The pain management rehabilitation team in Jacksonville is led by a board-certified and fellowship-trained pediatric anesthesiologist (named among the Best Doctors in America® year after year) who provides effective medicines for children with pain. Used only as a last resort, and in the lowest possible dosage necessary, we may prescribe patient-controlled analgesics, nerve blocks, anti-inflammatory medications, antidepressants or anticonvulsants proven to reduce pain. 

Learn More About Pediatric Anesthesiology at Nemours Children’s Specialty Care, Jacksonville »

What to Expect at Nemours Children’s Specialty Care, Jacksonville

It’s often difficult for kids to describe what they’re feeling, that’s why it’s important to have experienced pediatric specialists engaged in your child’s care. Our team will take the time to get to know your child and find out exactly where it hurts — and how much — so we can help make it better, faster.

Some of the pain symptoms and conditions our pain specialists treat in children and teens may be temporary or short-term (from a surgery or injury) or long-lasting (more than six months). We treat all types of pediatric pain, with special expertise in complex regional pain syndrome and pain related to neuromuscular disorders.

Learn About These and Other Children’s Health Topics From Nemours »

Complex Regional Pain Syndrome in Children

Complex regional pain syndrome (CRPS) — also known as reflex sympathetic dystrophy (RSD) is most commonly triggered by mild or severe trauma to a limb, such as a sprained ankle, fracture or soft tissue injury, but it can also develop without a clear cause. Children with CRPS often describe the pain as a burning sensation ("pins and needles") or a "squeezing" pressure. Sometimes the limb can extremity can be cold, swollen and/or have a mottled or glossy appearance.

At Nemours, our multidisciplinary approach allows us to manage pain and begin therapy while performing a complete assessment, which shortens the time between diagnosis and treatment by months — or even years. This expedited care gives kids with CRPS the best possible chance of recovering full function, activity and life quality.

Your Child’s Pediatric Pain Rehabilitation Care 

Your child’s first appointment may include evaluations with a variety of specialists and may take several hours.

What to Expect During the First Visit

Depending on your child’s needs, you can expect to:

  • First meet with our anesthesiologist, who will take a complete medical history, perform a medical examination and spend time getting to know you and your child.
  • Meet with a pediatric psychologist who will evaluate your child’s emotional status and your family’s concerns.
  • Visit with a rehabilitation specialist, who will evaluate your child’s symptoms and need for physical therapy.
  • See other medical specialists, if necessary (such as a neurologist, rheumatologist or gastroenterologist).
  • Spend time with a social worker, who can help coordinate your child’s care and find information, community services and resources for your child and family.
  • Get necessary diagnostic tests and lab work while you’re here.
Coping and Support Services for Your Family

We provide support services that begin on the very first day we meet and continue throughout your journey. Our support services include:  

Learn More About the Support Services at Nemours Children’s Specialty Care, Jacksonville »

Caring for the Whole Child and Family 

At Nemours, we’re committed to not only treating your child’s physical condition, but also attending to the emotional health and wellness of the entire family. We’re here with you every step of the way, educating you about the medical condition and treatments, helping you manage your child’s home care and providing your child and family with coping strategies for success at home, at school and out in the community.  

Learn More About Why Families Choose Us »