Mild Knee Pain: Could It Be More Than Growing Pains? - Orthopedics

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Mild knee pain?


I've been experiencing some mild pain in my knee lately, and it feels a bit strange.
I'm wondering what's going on.
I did some research online and found that some teenagers also experience mild knee pain and initially think it's growing pains, only to later discover it's bone cancer.
How common is the occurrence of bone cancer?

Xiang Gu, 10~19 year old female. Ask Date: 2016/04/24

Dr. Chen Yongxue reply Orthopedics


Hello, growing pains mostly occur in children aged 3-5 years and 8-12 years.
The pain is more likely to happen in the evening, and most children feel fine upon waking up in the morning.
The intensity of the pain is related to the level of activity during the day.
Bone cancer is more common in adolescents, and the pain becomes more pronounced with increased activity or weight-bearing.
The most affected area is typically around the knee joint, and the pain is localized to the side of the lesion, without alternating between sides.
Most adolescents experiencing knee pain are unlikely to be experiencing the aforementioned conditions, so it is advisable to visit an orthopedic clinic for further examination.
Thank you.

Reply Date: 2016/04/24

More Info


Understanding mild knee pain in adolescents can be a source of concern for both the individual experiencing it and their parents. While growing pains are a common explanation for knee discomfort in children and teenagers, it is essential to consider other potential causes, especially if the pain persists or worsens.

Growing pains typically occur in children between the ages of 3 and 12 and are characterized by intermittent pain in the legs, often occurring at night and usually resolving by morning. These pains are generally benign and do not indicate any underlying pathology. However, they are often confused with other conditions that may require medical attention.

In your case, experiencing mild knee pain could indeed be related to growing pains, but it is crucial to rule out other possible causes. Conditions such as patellar tendinitis (commonly known as "jumper's knee"), Osgood-Schlatter disease, or even more serious issues like osteosarcoma (bone cancer) can present with similar symptoms. Osteosarcoma, while rare, is the most common type of bone cancer in adolescents and can manifest as localized pain, swelling, or tenderness in the affected area.

The incidence of osteosarcoma is relatively low, with approximately 3-4 cases per million adolescents per year. However, it is essential to be vigilant, especially if the knee pain is accompanied by other symptoms such as swelling, a noticeable lump, persistent pain that does not improve with rest, or systemic symptoms like fever or weight loss.

To address your concerns, here are some steps you can take:
1. Monitor Symptoms: Keep track of the pain's frequency, intensity, and any associated symptoms. Note if the pain worsens with activity or at rest, and whether it affects your daily activities.

2. Rest and Ice: If the pain is mild, consider resting the knee and applying ice to reduce any inflammation. This can help alleviate discomfort and prevent further irritation.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can be effective in managing mild pain and inflammation. However, consult with a healthcare provider before starting any medication.

4. Consult a Physician: If the pain persists or worsens, it is crucial to seek medical evaluation. A healthcare professional may perform a physical examination and recommend imaging studies, such as X-rays or MRIs, to assess the knee's condition and rule out any serious underlying issues.

5. Physical Therapy: If the pain is related to overuse or muscle imbalances, a physical therapist can provide exercises to strengthen the muscles around the knee and improve flexibility, which may help alleviate pain.

In conclusion, while mild knee pain in adolescents can often be attributed to growing pains, it is essential to remain vigilant and consider other potential causes. If you have concerns about the nature of your knee pain, do not hesitate to consult a healthcare professional for a thorough evaluation and appropriate management. Early intervention can lead to better outcomes and peace of mind.

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