Growing pains
"Growing pains" generally affect
children between the ages of four and nine.
Growing pains have nothing to do with
periods of growth.
They are treated by reassurance and
simple measures.
They are a self-limiting condition.
They are not associated with any
underlying organic disease.
What are
growing pains?
Children
between the ages of four and nine often complain of vague pains usually in the
thighs or calves, and often at night. These are inaccurately called growing
pains because they often occur during periods when there is no growth.
An
important fact is that the child’s normal physical activity is in no way
affected during the day.
Despite
the child’s complaints, examination of the legs fails to show any evidence of
muscle or joint disease.
How are
growing pains diagnosed?
The
diagnosis is based on the typical history and failure to show any pathological
process on the examination. No investigations are needed.
How are
growing pains treated?
Reassurance is most important. It is essential not to create the idea in the
child’s mind that there is a chronic illness. This would be best achieved by a
sympathetic yet firm attitude on the part of the parents.
Initially, an analgesic such as paracetamol could be used. Simple procedures
such as massaging the legs or warming them by use of extra blankets may help.
Caution must be exercised if using a heating appliance not to burn the child.
When to
see the doctor
Leg pain
could be caused by a number of serious diseases such as osteitis (infection of
the bone) or rheumatoid arthritis.
Contact
a health professional if the child has:
Fever.
Pain limited to a joint.
Swelling of the joints or muscles.
Extreme tiredness, loss of appetite or
weight loss.
Limping.
Pain
on waking in the morning.
The
child’s daily activities are affected.
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