• Growing Pains

    Definition

    Growing pains are temporary pains of the limbs in children. They often occur in the afternoon, evening, or shortly after going to sleep. These pains usually last 30 minutes to 2 hours. These pains are not associated with serious or dangerous conditions.

    Causes

    Growing pains are not actually associated with growth. The pain may develop for no reason or after periods of excessive physical activity, such as running, jumping, and climbing. It may also be the result of:
    • Lower pain threshold
    • Decreased bone strength
    • Hypermobility syndrome—the joint is looser than it should be

    Risk Factors

    Growing pains are most common in children aged 4-14 years. It occurs equally in boys and girls.
    Factors that may increase the risk of growing pains include:
    • A family history of growing pains
    • Emotional or family stress
    • Personal or family history of migraines
    • Family history of restless legs syndrome (RLS)
    Rapid growth has not been proven to be a risk factor for growing pains.

    Symptoms

    Growing pains often occur in the front of the thighs, calves, or behind the knees but may also occur in the upper limbs. The pain will come and go and does not occur every day. Pain that occurs in the evening may awaken a child from sleep.
    Growing pain does not happen in the morning and does not occur constantly.
    The Knee
    IMAGE
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    Diagnosis

    The doctor will ask about pain and any other symptoms, as well as medical history. A physical exam will be done.
    The doctor may suspect growing pains based on your description. No further testing is needed.

    Treatment

    Talk with your doctor about the best treatment plan for your child. Growing pains will pass on their own. Over time, the pains will become less painful and eventually will stop happening all together.
    During an episode, some basic home care can help decrease discomfort, such as:
    • Massage
    • Stretching
    • Applying heat to the area
    • Over the counter pain medications, such as acetaminophen or ibuprofen

    Prevention

    There is no known way to prevent growing pains.

    RESOURCES

    Family Doctor—American Academy of Family Physicians http://www.familydoctor.org

    Healthy Children—American Academy of Pediatrics http://www.healthychildren.org

    CANADIAN RESOURCES

    Canadian Paediatric Society http://www.cps.ca

    Health Canada http://www.hc-sc.gc.ca

    References

    Growing pains. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 5, 2016. Accessed July 8, 2016.

    Growing pains. Kids Health—Nemours Foundation website. Available at: http://kidshealth.org/en/parents/growing-pains.html#kha%5F11. Updated June 2015. Accessed July 8, 2016.

    Growing pains are normal most of the time. Healthy Children—American Academy of Pediatrics website. Available at: https://www.healthychildren.org/English/health-issues/conditions/orthopedic/Pages/Growing-Pains-Are-Normal-Most-Of-The-Time.aspx. Updated November 21, 2015. Accessed July 8, 2016.

    Revision Information

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