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Case Study: Chronic Pain Program – Amplified Musculoskeletal Pain Syndrome (AMPS)

Patient History

  • 15-year-old female
  • Diagnosed with AMPS
  • Received outpatient physical therapy with limited progress

Condition Upon Admission for Inpatient Rehabilitation

  • Walking with crutches
  • Unable to complete leisure activities (dancing, riding bicycle, swimming)
  • Required assistance for all activities of daily living (ADLs)
  • Sleep disturbance
  • Pain reported throughout body, but mostly in legs
  • Reports of discoloration and swelling of lower extremities

Condition Upon Discharge

  • Walking and running independently
  • Riding bicycle for 20-plus minutes, dancing and excited to swim
  • Supervision for showers without assistive device; independent for all other ADLs
  • Reports improved sleep quality
  • Less frequent reports/symptoms of pain, even at higher levels of activity
  • Minimal to no observed discoloration or swelling of lower extremities

Alternative Without Inpatient Rehabilitation

  • Ongoing specialist visits
  • Continued use of pain medication
  • Sedentary lifestyle
  • Social isolation from friends and school
  • Dependence with ADLs
  • Ongoing need for DME

For additional information on Good Shepherd PediatricsChronic Pain Program, contact Brenda Early, RN, BSN, at 484-788-5492 or [email protected].