What should you know about grow up pain?

The phrase is commonly used for aching in the thighs, calves or behind the knees in children. It does not mean that bone growth itself is damaging the muscles. Episodes often affect both sides, appear after an active day or during the night, and leave the child moving normally between episodes. A child who has pain focused around one joint, swelling, warmth, a limp or reduced movement may have a different problem. Pain near the knee or heel in an active child can occur with conditions such as Osgood-Schlatter Disease or Sever's Disease, which require a clinical examination to distinguish from ordinary night aches.

Gently massage the sore muscles, use a warm bath or a covered warm pack, and try calm stretching if it feels comfortable. Support regular sleep, comfortable footwear and a gradual return to activity after a demanding day. Keep a brief record of where the pain occurs, when it starts, whether both legs are involved and how the child walks the next morning. Do not force a stretch or give medicine unless a parent or clinician has checked that the product and dose are suitable for the child.

Arrange medical advice if pain is one-sided, occurs during the day, repeatedly interrupts normal play, or is becoming more frequent. Seek prompt assessment for a limp, inability to bear weight, fever, unusual tiredness, weight loss, bruising, swelling, redness, warmth, weakness or pain that is steadily worsening. Sudden severe pain after an injury, or a child who cannot walk, warrants urgent care.

Could the location and timing fit growing pains? What examination findings would suggest a joint, bone or muscle problem? Should activity, stretching or footwear change while symptoms continue? Which warning signs should prompt an earlier review?