Your Child's Leg Pain: Causes and Solutions - Orthopedics

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Leg issues in children?


My child is seven years old, and since he started walking at one year old, he occasionally experiences pain in his calf bones.
However, the pain does not occur in both legs at the same time; it alternates between the left and right legs.
After physical activity, there is a higher chance that his legs will hurt.
I have taken him to see several doctors, but they all said there is nothing wrong.
I would like to know if it is really nothing to worry about.
Will this affect his leg development? If this continues for a long time, what methods are available for a complete cure? Thank you for your time.

Amy, 30~39 year old female. Ask Date: 2005/09/18

Dr. Li Wenlin reply Orthopedics


Hello: In response to your question.
You are a very dedicated mother, but please try not to be overly anxious.
Your son's symptoms do indeed resemble growing pains, and you have already consulted several doctors without finding any abnormalities.
The likelihood of a child having skeletal development issues is quite low, and even if there are problems, the chances of severe complications are also very rare, so please don't worry too much.

I have two suggestions for you.
First, consistently follow up with the same physician for check-ups, as tracking is a fundamental aspect of diagnosis.
By comparing follow-up visits, it will be easier to determine if there are any real issues.
Second, keep a record of the symptoms, such as the time of day when the pain occurs, where it is located, how long it lasts, when the symptoms resolve, whether he is unable to attend school, any walking abnormalities, and if there is a fever present, among other details.
If these symptoms occur frequently and do not improve after a night of rest or observation, then bring your son along with the symptom log for a consultation.
This will be very helpful for diagnosis! Wishing you all the best!

Reply Date: 2005/09/18

More Info


Understanding your child's leg pain can be a challenging experience for any parent. It's important to recognize that leg pain in children, especially in those around the ages of 4 to 7, is quite common and can often be attributed to a variety of benign causes. One of the most frequently mentioned causes is "growing pains," which typically occur in the late afternoon or evening and can wake children from sleep. However, there are other potential causes that should be considered, especially if the pain is persistent or severe.


Common Causes of Leg Pain in Children
1. Growing Pains: These are often described as a dull ache in the legs, usually occurring in the evening or at night. They are not associated with any swelling or redness and typically resolve on their own. Growing pains are thought to be related to the rapid growth spurts that children experience.

2. Muscle Strain: If your child is active in sports or physical activities, muscle strains can occur, leading to localized pain. This pain often improves with rest and may be accompanied by tenderness in the affected area.

3. Overuse Injuries: Repetitive activities, especially in sports, can lead to overuse injuries. These injuries may manifest as pain that worsens with activity and improves with rest.

4. Injury: Sometimes, a child may not recall a specific injury but could have sustained a minor injury during play, leading to pain.

5. Other Medical Conditions: While less common, conditions such as juvenile idiopathic arthritis, infections, or even bone conditions can lead to leg pain. If there are accompanying symptoms such as swelling, redness, fever, or persistent pain that does not improve with rest, further evaluation by a healthcare professional is warranted.


What to Do About Your Child's Leg Pain
1. Observation: Keep a detailed record of when the pain occurs, its duration, and any activities that seem to trigger it. This information can be helpful for your healthcare provider.

2. Rest and Ice: Encourage your child to rest when they experience pain. Applying ice to the affected area can help reduce inflammation and alleviate discomfort.

3. Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can be used to manage pain, but always consult with your pediatrician before administering any medication.

4. Physical Activity: While rest is important, gentle stretching and low-impact activities can help maintain flexibility and strength in the muscles and joints.

5. Consult a Specialist: If the pain persists or worsens, consider consulting a pediatric orthopedic specialist. They can perform a thorough evaluation, including physical examinations and imaging studies if necessary, to rule out any underlying conditions.


Will This Affect Your Child's Development?
In most cases, growing pains and similar benign conditions do not affect a child's overall development or growth. However, if there are concerns about persistent pain or if it interferes with your child's ability to participate in normal activities, it is essential to seek medical advice. Early intervention can help address any potential issues and provide peace of mind.


Conclusion
While it can be distressing to see your child in pain, many cases of leg pain in children are benign and self-limiting. By monitoring the situation, providing appropriate care, and consulting with healthcare professionals when necessary, you can help ensure that your child's leg pain is managed effectively. Remember, your observations and concerns as a parent are invaluable in guiding the healthcare process, so don’t hesitate to advocate for your child’s health.

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