Growing Pains in Children

Understanding Childhood Musculoskeletal Pain

Pediatrics

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Last updated: Mar 24, 2025

What Are Growing Pains?

Growing pains are recurrent aches and discomfort that typically occur in children aged 3-12 years. Despite their name, these pains aren't actually caused by growth.

Common Characteristics

  • Location: Usually affects both legs, particularly in the:
    • Front of thighs
    • Calves
    • Behind the knees
  • Timing: Typically occurs in the late afternoon or evening
  • Duration: Pain usually disappears by morning

Key Features

  • Occurs in both legs (bilateral)
  • Pain-free periods during the day
  • Normal physical examination
  • No limping or reduced activity during the day

Risk Factors

  1. Age (3-12 years)
  2. High physical activity levels
  3. Family history
  4. Flat feet or other foot problems

Management Strategies

Immediate Relief

  • Gentle massage
  • Warm compress
  • Over-the-counter pain relievers (if recommended by healthcare provider)
  • Stretching exercises

Prevention

  • Regular exercise
  • Good posture
  • Proper footwear
  • Adequate hydration

When to See a Doctor

Seek medical attention if:

  • Pain is severe or persistent
  • Pain occurs in only one leg
  • Pain is associated with:
    • Swelling
    • Redness
    • Fever
    • Reduced mobility

Prognosis

Growing pains are benign and self-limiting. Most children outgrow them by early adolescence without any long-term effects.

Additional Resources

  • Keep a pain diary
  • Discuss concerns with pediatrician
  • Monitor patterns and triggers

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