66 | AUGUST 31 • 2023 C hildren experience pain just like adults, but they might not exhibit the same signs. While adults are often able to pinpoint causes of pain and verbalize those sensations, children, especially younger kids, may not know how to express what’s wrong. Instead, they could act withdrawn, cradle an aching body part or cry out unexpectedly. Sometimes, they may be so used to pain that they don’t say or show any signs at all. Studies show that anywhere from 20-35% of children and adolescents experience chronic pain, although this estimate is conservative because pain can often go undetected or unshared. Chronic pain is pain that lasts three months or more, and it can have a serious impact on school- aged children — affecting everything from their school experience to their learning habits. That’s why taking charge of chronic pain is so important. NOT JUST ‘GROWING PAINS’ Farmington Hills-based psychologist Dr. Emily Foxen- Craft, founder of Pediatric Pain and Behavioral Health PLLC, specializes in pediatric chronic pain conditions. Through her private practice and previous work at CS Mott Children’s Hospital and University of Michigan as a psychologist for children with chronic pain, Foxen-Craft says an alarming number of children experience pain on a weekly basis — as high as 42%, she says. “What we’re starting to understand and appreciate is that children experience pain a lot more than people thought,” Foxen-Craft, an active member of the Ann Arbor Jewish community and former Farber Hebrew Day School student, explains. “From bumping our leg or getting a headache, or sometimes a bigger injury, most humans have pain.” The same rings true for children and teens. Historically, Foxen-Craft says pain in youth was often attributed to “growing pains” and dismissed from being true, chronic pain. While the amount of children who experience disability from pain might be smaller than that of adults, pain — and chronic pain — is still a common experience in childhood. Common sources of pain in youth are frequent headaches or migraine attacks, stomachaches and musculoskeletal pain, or pain throughout the body in bones, ligaments and more. One of the most common experiences in adults, meanwhile, is low back pain. SIGNS OF PAIN In preteens and teens, Foxen- Craft says chronic pain rates increase tremendously. Luckily, older children can better express their symptoms, but young children and toddlers may not have the same ability. Instead, Foxen-Craft says these signs may point to a child being in pain: • Crying • Protecting or holding a painful body part • Avoiding certain activities • Increased irritability • More withdrawn • Grimacing on the face The problem, she says, is that children can get used to pain, even talking or grinning Tips For A Pain-Free School Year HEALTH Up to 35% of children experience chronic pain, according to studies. ASHLEY ZLATOPOLSKY CONTRIBUTING WRITER Dr. Emily Foxen-Craft