Children often complain of aches and pains, especially during periods of rapid growth. While these pains are commonly brushed off as “growing pains,” it’s important for parents to understand what growing pains really are, what’s normal, and when it’s time to seek professional advice.
What Is Growing Pain?
Growing pains are recurrent aches or discomfort in children, most commonly felt in the legs. Despite the name, they are not directly caused by bones growing, but rather are believed to be linked to muscle fatigue, physical activity, and a developing musculoskeletal system.
They are one of the most common causes of limb pain in children and usually occur in otherwise healthy kids.
Are Growing Pains Real?
Yes, growing pains are real and well recognised by healthcare professionals. They typically affect children between the ages of 3 and 12 years and are considered benign, meaning they are not dangerous and usually resolve on their own over time.
Although the exact cause is still not fully understood, growing pains are thought to be a normal part of childhood development as a child’s body adapts to increasing height, strength, coordination, and activity levels.
Symptoms and Common Characteristics
Growing pains often have a recognisable pattern. Typical symptoms include:
- Aching, throbbing, or cramping pain in the calves, thighs, shins, or behind the knees
- Pain that usually affects both legs
- Symptoms that occur in the evening or at night, sometimes waking the child from sleep
- No pain, stiffness, or limping during the day
- No swelling, redness, or tenderness in the joints
- Pain that improves with massage, warmth, or reassurance
Children with growing pains are generally active, healthy, and pain-free during the day.
Causes of Growing Pains
There is no single confirmed cause, but several factors are thought to contribute, including:
- Muscle fatigue from high levels of physical activity during the day
- Increased stress on muscles as children grow taller and stronger
- Developing coordination and movement patterns
- Differences between bone growth and muscle flexibility
- Possible increased sensitivity of pain receptors in some children
Importantly, growing pains are not caused by inflammation, infection, or structural damage.
Should I Ignore My Child’s Pain?
Not entirely. While growing pains themselves are harmless, not all pain in children is normal, and it’s important not to dismiss symptoms too quickly.
Some childhood conditions can initially look like growing pains but require medical attention. These include juvenile arthritis, hip or bone disorders, infections, and other musculoskeletal conditions. Children can also sustain injuries that need proper rehabilitation, just like adults.
If pain is affecting your child’s sleep, mood, or daily activities, it’s worth having it assessed – even if you suspect it’s growing pains.
Diagnosis and Tests
There is no specific test for growing pains. Diagnosis is usually made based on:
- A detailed medical history
- The pattern and timing of pain
- A physical examination showing normal joint movement and strength
In typical cases, no scans or blood tests are needed. However, if symptoms are unusual or concerning, a healthcare provider may request further tests to rule out other conditions.
When Should I See My Healthcare Provider?
You should seek professional advice if your child’s pain:
- Is persistent, severe, or worsening
- Occurs during the day or with activity
- Is only on one side of the body
- Causes a limp or reduced activity
- Is associated with swelling, redness, fever, weight loss, or fatigue
- Appears suddenly without an obvious reason
Constant or unrelenting pain at any age should always be investigated.
Book an Appointment
If your child is experiencing ongoing leg pain or you’re unsure whether it’s growing pains, early assessment can provide clarity and peace of mind. Our experienced team can assess your child’s movement, growth, and overall musculoskeletal health, and guide you on the best next steps.
Book an appointment today: https://www.masnad.com.au/services/podiatry/
