Physical deconditioning is a process that affects all areas of the body after a long period of inactivity. This could include an inactive lifestyle or extended bedrest, especially after a severe injury or chronic disease. Physical deconditioning can affect patients of all ages and result in musculoskeletal system issues, including decreased muscle size and increased weakness. Some patients may also experience problems with their lungs, heart, and digestive tract.

In some cases, those with physical deconditioning may have a hard time completing tasks such as dressing themselves or sitting up in bed. Physical deconditioning may also cause psychological problems, such as depression and confusion. 

Our Team

An experienced, interdisciplinary care team works with each patient and family to manage a child's pain by promoting healthy daily functioning and pain coping skills using an interdisciplinary rehabilitation model. Our team includes:

  • Pediatric pain fellowship-trained physician
  • Child psychiatrists
  • Pediatricians
  • Pediatric rehabilitation physicians
  • Pediatric psychologists/cognitive behavioral therapists
  • Physical therapists
  • Neuropsychologists
  • Occupational therapists
  • Social workers
  • Care coordinators
  • Case managers
  • Educators
  • Child life specialists
  • Nurses/nurse practitioners
  • Therapeutic recreation specialists

Our Treatment Approach

We offer a multimodal approach to pain management that includes:

  • Cognitive-Behavioral Therapy  (e.g. deep controlled diaphragmatic breathing, progressive muscle relaxation, interactive distraction, guided visual imagery, cognitive restructuring, biofeedback, mindfulness, meditation)
  • Physical Therapy (functional, manual and visceral therapies, heat/cold)
  • Occupational therapy (activities of daily living)
  • Non-narcotic pain medications
  • Interventional pain procedures under sedation
  • Transcutaneous electrical nerve stimulation
  • Other novel and emerging treatment modalities for pain management

As one of the few hospitals in the country to offer interventional pain services for children guided by imaging in an operating room, we offer the following procedures:

  • Epidural steroid injections
  • Facet joint injections
  • Sacroiliac joint injections
  • Piriformis injections
  • Muscle and joint injections
  • Occipital nerve blocks
  • Abdominal blocks (e.g., transverse abdominis plane [TAP] and rectus sheath blocks)
  • Intercostal nerve blocks
  • Sternum injections
  • Bursa injections
  • Scar injections
  • Peripheral nerve blocks
  • Trigger point injections