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The requirement to wear a mask at Holland Bloorview for all members of the team, clients and families will not be changing for the foreseeable future. See our statement for more information.


Get Up and Go (Persistent pediatric pain service)

This service is a rehabilitation program aimed at helping your child regain function and return to usual activities.

The Get up and Go Persistent Pediatric Pain Service is a rehabilitation program aimed at helping your child regain function and return to usual activities.

It consists of a two week inpatient stay followed by a two week day patient program. During this time, the team will work together on a plan that is right for your child in order to reach these goals.

What is persistent pain and how can we help?

Persistent pain (lasting longer than three months) takes a team to successfully treat it. As Canada’s first inpatient multidisciplinary pediatric pain service, we are committed to working together with you and your family to create a plan that is right for you.

Service criteria - persistent pediatric pain service

The following information is to assist practitioners navigate the referral process for the Get up and go: persistent pediatric pain service at Holland Bloorview Kids Rehabilitation Hospital.  

Only referrals from a chronic pain clinic in Ontario will be considered. Referrals are assessed and prioritized for children and families with persistent pain, and who meet the following criteria:

  • All reasonable investigations have been complete
  • Reasonable and accessible pain treatments have been tried with insufficient success
  • Pain has a significant impact on some aspects of life including self-care, sleep, mobility, school attendance, leisure activities, relationships and/or mood
  • Client and family have consented to the referral 

Exclusion Criteria:

  • Clients who require opioid weaning
  • Conversion Disorder
  • Psychosis   

Typical diagnoses include:

  • CRPS (complex regional pain syndrome)
  • Widespread pain with sleep disturbance
  • Chronic abdominal pain 

Referrals are particularly encouraged when the child has:

  • Exacerbations of persistent pain that resulted in Emergency Department admissions
  • Complex psychosocial influences that affect pain behaviour which require specialized assessment and care 

Get up and go:  persistent pediatric pain service will require:

  • Completion of the referral form
  • Accompanying documents where appropriate

Note: Incomplete forms may delay the referral process.  Upon discharge from the Get up and go: persistent pediatric pains service, the referring physician/provider will receive a written report with recommendations for ongoing management and a follow-up appointment will be made with the referring chronic pain clinic.