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Before prescribing, providers need to consider the whole patient, including the childs physical and emotional health and the environment they live in, says Sarah Hampl, MD, a coauthor of the AAP guidelines, pediatrician at Childrens Mercy Kansas City, and professor of pediatrics at University of Missouri-Kansas City School of Medicine

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The body floods the area with inflammatory cytokines in an attempt to deal with the injury, but this often makes things worse, creating a vicious cycle of swelling, more pressure, and more pain