Abdominal pain is an extremely common symptom of inflammatory bowel disease. Among the most frequently mentioned bowel diseases are certainly Crohn's disease and ulcerative colitis. The pain that occurs can arise from various mechanisms that may include, for example, partial blockage, distension of the intestine, but also severe intestinal inflammation. Pain is therefore a common complaint in inflammatory bowel disease and has significant consequences on the quality of life of the patient. A thorough assessment is needed to be able to determine the source of the pain in a proper way. For these reasons, a patient examination is performed, which includes clinical, laboratory, radiological and endoscopic assessments. In this way it is possible to distinguish between active inflammation, secondary complications and functional pain which is considered to be quite complicated. Even in situations where all active diseases are adequately treated, physicians have difficulty managing chronic pain. Improved understanding of the peripheral and central mechanisms of pain leads to the creation of new treatment strategies that consider pain to be a psychosocial problem. In order to deal with severe and disabling manifestations of pain in the most effective way, it is necessary to improve the underlying inflammation, reduce the irritability of sensitized afferent pathways and changes in emotional or cognitive functions. The most important in the treatment of pain in inflammatory diseases is certainly a multidisciplinary approach. The approach involves combining different non-invasive measures such as aerobic exercise, physical therapy, medication and psychotherapy. The aim of this paper is to review the literature to show the most effective approaches within the diagnosis and treatment of chronic abdominal pain.