Growing pains in children
Despite the Hebrew and foreign name (Growing pains) it is not at all about pain associated with growth. Therefore, the English term benign nocturnal pains of childhood is a much better term. Quickly translated into Hebrew – nocturnal benign pains of childhood. Therefore, with your permission I will continue in this chapter to call these pains growth pains.
In addition, in textbooks this value is generally found in the field of rheumatology and not orthopedics …
This is a condition that on the one hand is very common in pediatrics, and on the other hand bothers (often unjustly) many parents. On the other hand, the missed price of other conditions is high so parents should be familiar with the typical characteristics of growing pains in children.
What is the prevalence of growing pains in children?
The prevalence is about 10-20% of children. This condition is more common at ages 4-12 years.
What are the characteristics of growing pains in children?
Growing pains have a number of unique characteristics that set them apart from other important medical conditions.
Pay attention to what is characteristic and no less important pay attention to what Not feature:
The complaints are intermittent – yes and no. Week yes and week no. for sure Not Every night in a row for a long time.
Both sides of the body ache – once right and once left. Not Always in the same place and side.
Location – thigh in front area and calf are common. Never Joints And never In the groin area. Pain in the upper limbs is also less common, but this is an exception.
The nature of the pain – mainly a feeling of contractions and discomfort. The pain does not increase in its intensity And does no Paralyzes the child.
Daytime – especially in the late afternoon or evening. More in the evenings after days when the child was in strenuous activity. for most Not during the day.
According to textbooks, sometimes uncommon, the pain can wake the child from sleep, although it will be a pain that passes quickly and will always disappear the next morning. On the other hand, in my humble opinion pain that really wakes them up from sleep must be clarified with a pediatrician.
The pain responds relatively quickly to massage or painkillers.
Why is it important to know and recognize growth pains in children?
Mainly in order not to miss another important diagnosis but also to give appropriate care to the child.
When should you go to the pediatrician on this subject?
There is no harm in going to a pediatrician and telling him about the characteristics of the same "growth pain" in your child. Let the pediatrician go over the characteristics in his head and decide and reassure that everything is fine.
Certainly and certainly a visit to the pediatrician is required in those cases where there is something in the pain that is not typical of the signs I mentioned.
What is the role of the pediatrician in this matter?
The pediatrician will take the story of the disease from the parents and make sure that the pain meets all the characteristics of growing pains in children and that there are no "red flags" aimed at a different diagnosis.
The pediatrician will make sure that the child is healthy, without fever and that he is not losing weight.
A physical examination of a child with an emphasis on muscles, bones and joints should be flawless. There can be no local redness, swelling or tenderness. The range of motion in all joints must be maintained.
Laboratory tests or skeletal photographs are not required in typical cases.
Do children with growing pains suffer from other concomitant disorders?
Interesting but today growth pains are linked to a different perception of pain in those children. It has also been shown that these children have a tendency to later suffer and complain more about headaches or abdominal pain.
That it will not be understood from the things that the child does not hurt or that he does himself. But something in the amplification of pain is probably different in those children.
What is the treatment for growing pains in children?
Explain to children (and parents) that these pains are very common and do not hide any complex or worrying medical condition.
During an episode, a massage for aching muscles can help miraculously. Stretching the muscles can also help when in pain. Even hot compresses can help.
Painkillers especially ibuprofen (a non-steroidal anti-inflammatory drug can also help).
In conclusion, a banal and simple subject. That’s why I love pediatrics so much. In a different sense of things, do not fall into the trap and miss other important diagnoses.
Therefore, in any case of doubt and certainly and certainly given an atypical picture, seek the advice and examination of the pediatrician closest to you.