Knee Pain: Is It Growing Pains or Something More? - Orthopedics

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My bones feel strange..?


When I was younger, I often experienced pain near my knee and would tell my mom about it, but I couldn't pinpoint exactly where it hurt.
At that time, it was often thought to be growing pains.
Now that I'm 16, I've noticed that the pain tends to occur more often when the weather gets colder or when it rains.
Sometimes, the pain seems to come out of nowhere.
The symptoms include aching from my knee to my ankle, and sometimes my hands also hurt.

Xiao Dai Dai, 10~19 year old female. Ask Date: 2004/11/25

Dr. Shi Guozheng reply Orthopedics


The area between the knee and the ankle is referred to as the calf.
This region consists of bones, muscles, tendons, and neurovascular structures.
Pain in this area may indicate an issue with one of these tissues; however, if it is related to physical activity, it is most likely a problem with the bones or muscles.
Additionally, poor blood circulation can lead to soreness, especially during changes in weather, but this condition is more commonly seen in elderly individuals with vascular diseases.
Rheumatic diseases typically manifest in the joints, often affecting more than one joint, and can persist for several weeks, accompanied by symptoms such as redness, swelling, heat, and pain.
Therefore, it is essential to consult a physician at a hospital for an accurate diagnosis.

Reply Date: 2004/11/25

More Info


Knee pain in children and adolescents can be a complex issue, often leading to confusion between common conditions like growing pains and more serious underlying problems. Growing pains, typically experienced by children between the ages of 3 and 12, are usually characterized by intermittent pain in the legs, often occurring at night and not associated with any physical activity or injury. These pains are generally benign and tend to resolve as the child grows. However, your experience of knee pain at the age of 16, particularly with the added context of weather changes and other symptoms, suggests that it may be worth exploring further.

The pain you describe, particularly its association with cold weather and rain, could indicate a sensitivity to atmospheric changes, which is not uncommon among individuals with certain musculoskeletal conditions. For instance, some people with conditions like arthritis report increased pain during cold or damp weather. This could be due to changes in barometric pressure affecting the joints or the surrounding tissues.

Additionally, the fact that you experience pain not only in your knees but also in your ankles and hands raises the possibility of a more systemic issue. Conditions such as juvenile idiopathic arthritis (JIA) or other rheumatological disorders can manifest with joint pain in multiple areas and may be exacerbated by environmental factors. It is crucial to differentiate between growing pains and these more serious conditions, especially since your symptoms have persisted into your teenage years.

To address your concerns, it is advisable to consult with a healthcare professional, preferably a pediatric rheumatologist or an orthopedic specialist. They can conduct a thorough evaluation, which may include a physical examination, imaging studies (like X-rays or MRIs), and possibly blood tests to rule out inflammatory or autoimmune conditions.
In the meantime, there are several strategies you can employ to manage your knee pain. These include:
1. Rest and Activity Modification: If certain activities exacerbate your pain, consider modifying your routine. Avoid high-impact sports or activities that put excessive strain on your knees.

2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around your knee and improve flexibility, which may alleviate some of the pain.

3. Heat and Cold Therapy: Applying heat or cold to the affected area can provide relief. Heat can help relax and loosen tissues and stimulate blood flow, while cold therapy can reduce inflammation and numb sharp pain.

4. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation. However, consult with a healthcare provider before starting any medication.

5. Maintain a Healthy Weight: Excess weight can put additional stress on your knees, so maintaining a healthy weight through a balanced diet and regular exercise is beneficial.

6. Stay Hydrated: Proper hydration can help maintain joint health and reduce stiffness.

In conclusion, while growing pains are a common and usually harmless condition in younger children, your ongoing symptoms at 16 warrant further investigation. It is essential to consult with a healthcare professional to rule out any serious underlying conditions and to develop a tailored management plan that addresses your specific symptoms and lifestyle. Remember, early intervention can lead to better outcomes and improved quality of life.

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