Amplified Musculoskeletal Pain Syndrome (AMPS)

What is Amplified Musculoskeletal Pain Syndrome (AMPS)?

Amplified Musculoskeletal Pain Syndrome (AMPS) is an umbrella term used to describe a group of chronic, non-inflammatory pain conditions in children. These conditions can include juvenile fibromyalgia, complex regional pain syndrome (CRPS), chronic widespread pain, neuropathic pain and other forms of chronic pain. While this pain is very real, it is not caused by ongoing tissue damage. Rather, the pain is best explained by a process called central sensitization. With central sensitization there is a change in how the nervous system processes pain signals. (See further information on central sensitization in section above). 

How do I know if my child has AMPS?

Children with AMPS may experience a wide range of symptoms. Pain can be constant or come and go over time. Children may experience pain in their muscles, joints, bones, or soft tissue and this pain may be localized to one area or more widespread throughout the body. AMPS may begin after an injury, illness, or period of stress, but sometimes it develops without a clear cause.

Some common signs include:

• Persistent or recurring pain lasting longer than 3–6 months

• Pain that does not improve with typical pain medications

• Pain that seems more intense than expected

• Sensitivity to touch (even clothing or light contact may cause pain)

• Changes in skin color, temperature, or swelling (more common in CRPS)

• Difficulty with daily activities due to pain or fear of movement

How can Physical Therapy help with AMPS?

Our physical therapist is educated on specialized AMPS focused treatment that helps re-train the body and nervous system. Treatment takes an active, whole-body approach to restore normal movement, reduce sensitivity, and help your child regain confidence in their body.

Goals of Treatment:

• Help your child return to the activities they love

• Restore strength, endurance, and overall function

• Reduce fear of movement and build confidence

• Improve or resolve pain and related symptoms

• Decrease reliance on medications and medical interventions

• Support independence and long-term success