Pediatric Pain & Palliative Care

We help ease symptoms such as pain, anxiety and nausea, so children at any stage of illness can enjoy a better quality of life.
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Whole-child care for pain and serious illness

Helping your child feel well goes beyond treating their illness. At the Stad Center for Pediatric Pain, Palliative & Integrative Medicine, we draw on a range of techniques – from the latest medical advances to ancient healing methods – to care for the whole child.

Whether your child has a serious health condition or is going through a difficult treatment, we're here to help. We work to ease pain, anxiety, nausea and other symptoms while supporting mental health, healing and well-being.

Our program is one of the most comprehensive of its kind in the nation. We blend pain management, palliative medicine (comfort-focused care) and integrative therapies, such as massage and meditation, to give kids the most relief possible with the fewest side effects. We work with children of all ages to help them live life with less pain and more joy.

Our doctors, nurses, psychologists, social workers and complementary medicine providers specialize in caring for pediatric patients. They work closely with your child's other doctors to coordinate care.

Pediatric palliative care

Palliative care focuses on improving quality of life for children with serious illnesses, such as cancer, heart disease and genetic conditions. Our specialists treat symptoms and side effects of treatment.

We work closely with parents and caregivers to ensure the care plan respects your family's values, culture and preferences. We also help families cope with the challenges of serious illness, grief and important medical decisions.

Patients can benefit from palliative care at any stage of illness. Palliative care can help with symptoms such as:

  • Anxiety, depression and other mental health concerns

  • Eating and sleeping difficulties

  • Fatigue

  • Nausea

  • Pain

Pediatric pain management

We help ease pain from injuries and illnesses, such as cancer and sickle cell disease. Our pain medicine specialists use many methods to keep your child as comfortable as possible, including medications, psychotherapy, physical rehabilitation and mind-body practices.

Learn more about our pain management techniques.

Pediatric amplified pain rehabilitation

Our Pediatric Amplified Pain Rehabilitation (PAPR) Program provides specialized inpatient care for children with primary pain syndromes. In these conditions, an overactive nervous system sends pain signals, even though there is no clear injury or illness.

Primary pain disorders include amplified musculoskeletal pain syndrome, complex regional pain syndrome and juvenile fibromyalgia.

Our program is nationally recognized for our expertise, and families travel from across the country to receive care here.

Who is the PAPR program for?

This program is for children whose prolonged pain has significantly affected their ability to function. They may be missing school, sports or their regular activities. Most of the children who come to us have already tried standard treatments, such as medication, physical therapy and psychotherapy, without success.

What does the PAPR program involve?

Children stay overnight in our hospital for three to four weeks. During that time, our team works to address the physical, mental and emotional challenges of the pain.

We help each child set goals and slowly rebuild their function, movement and stamina. Whether their goal is to return to a sport or get through a full school day, we help them build the coping skills and confidence to get there.

Our doctor-led team includes physical therapists, occupational therapists and psychologists. Each expert works one-on-one with your child. We also offer integrative medicine services, such as acupuncture and massage for pain relief and relaxation.

What happens after leaving the hospital?

We provide follow-up care after your family returns home. We check in at one, three, six and 12 months to make sure your child is on track. We can also connect your child to counselors or psychotherapists for continued support.

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Our services

  • Pain management

    We treat pediatric pain with a blend of child-safe medications, psychotherapy, mind-body methods like hypnosis, and physical rehab. We're experts at treating the discomfort of cancer, sickle cell disease and more, including amplified pain, which makes pain feel unusually intense.
  • Integrative medicine

    To complement our advanced medical care, we offer healing practices not found in most U.S. hospitals, from acupuncture to massage, meditation and more for soothing children's pain and stress. Having many options empowers patients and families to discover what works best for them.
  • Additional support

    We offer psychological therapies to bolster your child's mental health, since that can aid in relieving symptoms too. And we help your family cope with the challenges of serious illness, the grieving process and navigating important medical decisions.
  • Get further details about the pain medications, psychological therapies and alternative treatments we offer to complement your child’s existing medical care.
  • Palliative care

    We help children with serious illnesses like cancer live as well as possible by treating their symptoms and providing extra emotional and spiritual support. Patients can benefit from palliative care at any age or stage of illness, whether or not their condition is curable.

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    Awards & achievements

    Recognized nationally for excellence, we pair world-class medical expertise with compassionate care to deliver the best possible outcomes for patients.
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    • U.S. News & World Report Best Children's Hospitals 2026-2027, ranked in 11 specialties

      Ranked among the nation's best in 11 specialties

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    Related conditions & treatments

    • Conditions
      • Amplified Musculoskeletal Pain Syndrome (AMPS)
      • Anxiety
      • Chronic Pain
      • Depression
      • Fatigue
      • Fibromyalgia
      • Musculoskeletal Pain Syndromes
      • Nausea
      • Pain
    • Treatments
      • Acupuncture
      • Complementary Medicine
      • Massage Therapy
      • Meditation
      • Pain Management
      • Palliative Care
      • Palliative Care for Symptom Management
      • Palliative Care for Treatment Side Effects
      • Palliative Care Management of Anxiety

    UCSF has thousands of clinicians and researchers who get up every morning to eradicate disease. Our team gets up every day to eradicate pain and suffering.

    Dr. Stefan Friedrichsdorf, medical director of the Stad Center

    Explore what we do

    Meet our providers and learn how they care for patients and families.

    Support services

    • Certified child life specialists ease the stress and anxiety of childhood illness through therapeutic play, schooling and family-focused support.
    • Family-friendly amenities help you relax and take care of yourself while staying close to your child. We offer lounges, kitchens, showers, breastfeeding rooms and more.
    • social-services-2x
      Social workers ease the effect of illness, injury and hospitalization on your family with counseling and assistance to help you navigate the challenges.
    • activity-rooms-2x
      Activity rooms offer a relaxed environment for children of all ages. Features include a playroom, digital arts studio and teen lounge. Find out more.
    • art-therapy-program-2x
      Art therapy helps kids and families express themselves, making it easier to cope with pediatric health issues. Group and bedside services are available.
    • music-program-2x
      Board-certified music therapists help kids cope with illness and the feelings that come with it. Find out about group activities and bedside therapy.
    • school-program-2x
      Our schoolroom services and individual learning programs help children hospitalized at UCSF continue their education and get ready to return to school.
    • school-re-entry-program-2x
      We help kids return to school after hospitalization by educating staff and students about their needs and recommending needed accommodations. Read more.
    • individual-playtime-and-tutoring-2x
      If your child can't be around other kids for medical reasons, you can sign up for private sessions in our activity and school rooms. Find out how.
    • interpreters-2x
      Interpreter services in many languages and TDDs are available for families that need help communicating with care teams. Here's how to access them.
    • We help families cope with the challenges of childhood illness and hospitalization in a relaxing environment where parents can get a much-needed break.
    • family-support-program-2x
      Weekly activities, including knitting, scrapbooking, chair massage and more, help family caregivers get a much-needed break. Find out more.
    • patient-relations-2x
      Patient relations reps and nursing supervisors are here to answer questions and address concerns. Learn about your rights, how to reach us and more.
    • spiritual-care-2x
      Chaplains help UCSF patients, families and staff cope with the spiritual and emotional challenges of childhood illness. Learn more.
    • international-services-2x
      If you're coming to UCSF from outside the U.S., we coordinate your child's appointments and provide other helpful services. Here's how to get started.

    Support the Stad Center

    Gifts to our program help relieve pain and improve quality of life for our patients.