For many of us, describing physical pain can be as simple as saying “ouch” when we stub our toe. But as a clinician, what happens when your client can’t clearly communicate how much pain they are in? This situation is common for many clinicians at Holland Bloorview Kids Rehabilitation Hospital who often meet children who have difficulty communicating the kinds of physical pain they feel due to a disability or medical condition. Children with cerebral palsy (CP) experience multiple sites and sources of ongoing pain due to changes in the body as a result of CP. In many cases, acute and procedural pain is recognizable to a clinician or parent, whereas chronic pain is more likely to be missed. In fact, a Holland Bloorview study showed that 25