Dear Dr. Christina
PM Pediatrics

Our PainLESS Practice at PM Pediatrics

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What is our PainLess Practice? This can be summarized in one sentence:
If you come to PM Pediatrics in pain, you will leave with less pain.

How many times has your child been in pain from an injury or illness when it’s late in the evening, and you don’t want to spend hours in an ER? It is for this reason that PM Pediatrics is here for you. All of our locations can offer prompt pain relief if your child is suffering. In addition, each practice is open every day until midnight, including weekends and holidays. Let’s face it — injuries and illness often occur when other options are closed!

Pain is one of the most common reasons patients come to PM Pediatrics. We have multiple treatment options to reduce pain and anxiety, whether it’s an injury from falling off the monkey bars, a sore throat that is preventing your child from eating or drinking, or a nervous toddler in need of stitches. All of our providers are trained pediatric specialists and advocates for children who recognize how important it is to offer pain relief as soon as possible.

How do we make sure that your child’s pain is being addressed at PM Pediatrics?
1. Consistent, early approachEVERY patient who comes to PM Pediatrics with a pain-related complaint should be offered something to relieve that pain, as soon as possible.

2. Non-medical pain relief Sometimes pain can be relieved without medication. Examples include: ice/cool packs, splinting of an injured arm or leg, and patient distraction. Studies have shown that distraction can be a very powerful and effective pain reliever. We have TV’s in every room that are tuned to child-friendly stations, as well as free Wifi for smartphones and tablets so children can play their favorite games and videos. We also offer Saf-T-Pops (lollipops) and stickers to help soothe a crying child.

3. Pain MedicationsVirtually every patient who comes to PM Pediatrics in pain is offered pain medication. The most common pain reliever that we provide is Ibuprofen (Advil/Motrin), which is very effective for many painful conditions. However, there are times when Ibuprofen is not enough and in those instances we have stronger medicines for severe pain. We make sure to have medications onhand in forms that young children can easily take, including liquid form or nasal sprays. Pain relieving nasal sprays are a new method of delivering strong medications for severe pain, without the painful process of receiving an IV or a shot. These pain relieving sprays are great for patients who need a fast-acting pain medication, and are also excellent options for painful procedures.

4. Procedural pain control and anxiety relief Procedures can be painful and scary for children, adolescents, and even young adults. Below is our step-by-step approach to procedural pain control and anxiety relief.

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a. Topical medications – If a wound is deep enough to require stitches, we offer a pain relieving topical liquid called LET. We can apply LET for approximately 30-45 minutes while your child relaxes and watches his/her favorite TV program. After LET application, your child will feel little to no pain as we place the stitches. A small number of patients may need additional numbing medication via injection afterwards, but the injection hurts far less after LET application. In older patients, we can use a pain relieving topical cold spray before any needle-related procedures.

b. Distraction & Patient Positioning – We know how important it is for a child to be as comfortable as possible during a procedure. All of our providers have been trained on how to help parents hold their children during procedures. As mentioned before, all of our procedure rooms have TVs and free Wifi to help distract your child while we repair their wounds.
c. Anxiety medication – Younger children and infants can be terrified of medical procedures and needles. If a parent requests, we can administer an anxiety-relieving nasal spray. This spray contains a safe and fast-acting medicine that can help your child relax in just 10-15 minutes. Both you and your child will feel calmer as we repair the injury in a calm and controlled environment. Safety is always our first priority, so it is important to know that this is a safe medication that has been well studied and tested in the pediatric population.

DischargeOnce we have taken care of your child and relieved his or her pain, we want to make sure that you have a clear outpatient plan for pain relief at home. We’ll provide detailed written and verbal instructions to ensure you stay Painless once you walk through your front door. And, of course, our Saf-T-Pops and stickers are offered to every child at discharge – it goes a long way to help make them feel better!