Students walked on Lego in different ways in order to evaluate how different conditions impact sensations of pain. Credit: University of Technology Sydney

A new study from the University of Technology Sydney (UTS) highlights the emotional and mental toll on teachers managing student pain in classrooms and calls for systemic change to better support both educators and students.

Chronic pain affects around one in five children and adolescents at some point in their lives, disrupting their education, , and emotional well-being. But while the impact on students is well documented, new research led by UTS Ph.D. and physical therapist Rebecca Fechner reveals that teachers are struggling to identify how best to support students who are suffering from chronic pain.

Children can experience chronic pain from conditions such as migraines, juvenile arthritis, or , all of which can affect their learning and participation at school. Teachers may need to manage issues like fatigue, concentration difficulties, social and , and the need for rest or movement breaks in the classroom.

"Teachers are deeply committed to their students' well-being," says Fechner, who will graduate with her Ph.D. in October. "But when it comes to pain, they're often left to navigate complex situations without training or guidance, relying on instinct and ."

Recently published in , the study involved interviews with eleven teachers across primary and . It found that educators frequently feel helpless, emotionally drained, and unsupported when trying to respond to student pain, particularly when symptoms are medically unexplained.

One teacher said, "I can only do what I can do based on my experience," noting that managing student pain is common, but not something she has ever been taught. Others spoke of sacrificing their own well-being to support students, working through lunch breaks, or losing sleep over whether they had responded appropriately.

"I wake up in the middle of the night, sometimes being like: 'Did I say that thing right? Did I do that thing right?'" said one participant. "I just question whether or not I had done the right thing."

The research identifies three key areas where pain science education can create meaningful change for both teachers and students:

  • Teacher-student relationships: Because pain is a social experience, relationships can positively change pain outcomes. Teachers already possess empathy and that can be harnessed with targeted training.
  • School culture and policy: A collective understanding of the biopsychosocial nature of pain can optimize existing inclusive policies and supportive environments in schools.
  • Societal beliefs: Misconceptions about pain, such as the idea that children exaggerate or that pain must be visible, need to be addressed through pain science education.

"Teachers want to help," said Fechner. "But they need time, training, and support. We must equip them with knowledge about pain science, and a framework to respond to their students with curiosity and validation."

The study calls for pain awareness to be integrated into , school policy, and public health initiatives, recognizing pain as a legitimate barrier to learning and empowering teachers to be part of the solution.

"Pain is complex, but our response doesn't have to be," said Fechner. "With empathy, education, and collaboration, we can make schools safer and more supportive for every student and every teacher."

Building on the findings of this study, Fechner's Ph.D. research explores how pain science can be embedded into the school curriculum through a teacher-led approach.

In collaboration with two pilot schools in Queensland and New South Wales, she has codesigned Australia's first teacher-led pain science education program for teachers and students.

Teachers were provided with foundational content about how the nervous system works and the factors that influence pain and were supported to integrate it into subjects like health and science. The program also encouraged discussion of the social aspects of pain and helping students learn how to support peers.

By placing teachers at the center of the initiative, the program aims to improve health literacy and reshape how school communities understand and respond to .

"It's not just about teaching children. By educating , we empower them to lead and inspire a new generation of students with the skills to better understand and support those in pain," said Fechner.

More information: Rebecca Fechner et al, Improving Pain Outcomes for Children and Adolescents at School via a Socio鈥怑cological Public Health Lens: A Strengths鈥怓ocused Interview Study With Teachers, Paediatric and Neonatal Pain (2025).