Knee Pain in Growing Teens: Causes and Solutions - Orthopedics

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Hello, doctor?


Doctor, may I ask? My sister is in the second year of junior high school, and her knees often feel sore.
Is this due to her growth spurt, or is there another reason? She hasn't had any injuries.

Lurén Jiǎ, 20~29 year old female. Ask Date: 2006/05/20

Dr. Shi Guozheng reply Orthopedics


At around fourteen years old, during the second year of junior high school, it is possible to experience knee pain due to growth spurts.
However, there are other potential causes, such as issues with the patella or ligaments.
Additionally, problems with the meniscus within the knee joint can also lead to pain.
Therefore, if the pain persists for an extended period, it is advisable to take the child to see a physician for a proper evaluation.

Reply Date: 2006/05/20

More Info


Knee pain in growing teens is a common concern among parents and caregivers. As children transition into their teenage years, they experience rapid growth and physical changes that can lead to discomfort, particularly in the knees. Understanding the causes of knee pain during this developmental stage and exploring potential solutions can help alleviate concerns and provide relief.


Causes of Knee Pain in Growing Teens
1. Growth Spurts: One of the primary reasons for knee pain in adolescents is growth spurts. During periods of rapid growth, the bones, muscles, and tendons may not grow at the same rate, leading to temporary discomfort. This phenomenon is often referred to as "growing pains," which typically occurs in the evening or at night and can wake a child from sleep.

2. Osgood-Schlatter Disease: This condition is particularly common in active adolescents, especially those involved in sports. It occurs when the tendon that connects the kneecap to the shinbone becomes inflamed, causing pain just below the knee. This is often exacerbated by physical activity and is more prevalent in boys aged 10 to 15 and girls aged 8 to 13.

3. Patellar Tendonitis: Also known as "jumper's knee," this condition results from overuse of the knee joint, particularly in sports that involve jumping or running. It can cause pain around the kneecap and is often seen in athletes.

4. Knee Injuries: Even if a child does not recall a specific injury, they may have sustained a minor injury that can lead to pain. Conditions such as ligament sprains or meniscus tears can occur during physical activities.

5. Other Medical Conditions: While less common, conditions such as juvenile idiopathic arthritis or infections can also cause knee pain. It is essential to rule out these possibilities if the pain persists or is severe.


Solutions for Alleviating Knee Pain
1. Rest and Activity Modification: Encouraging your teen to rest and avoid activities that exacerbate the pain is crucial. If they are involved in sports, consider modifying their training regimen or allowing for a break to prevent further irritation.

2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb the pain. It is recommended to ice the knee for 15-20 minutes several times a day, especially after physical activity.

3. Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can be effective in managing pain and reducing inflammation. However, it is essential to consult with a healthcare provider before administering any medication.

4. Physical Therapy: Engaging in physical therapy can be beneficial for strengthening the muscles around the knee and improving flexibility. A physical therapist can design a tailored program that focuses on the specific needs of your teen.

5. Stretching and Strengthening Exercises: Incorporating stretching and strengthening exercises into their routine can help alleviate pain. Focus on exercises that strengthen the quadriceps, hamstrings, and calf muscles, as these can support the knee joint.

6. Footwear and Orthotics: Proper footwear is essential for supporting the feet and knees. If your teen participates in sports, consider investing in shoes designed for their specific activity. In some cases, custom orthotics may be recommended to provide additional support.

7. Consult a Specialist: If knee pain persists despite these interventions, it is advisable to consult an orthopedic specialist. They can perform a thorough evaluation, including imaging studies if necessary, to determine the underlying cause of the pain and recommend appropriate treatment.


Conclusion
Knee pain in growing teens can stem from various causes, including growth spurts, overuse injuries, and underlying medical conditions. While growing pains are typically benign and resolve on their own, persistent or severe pain warrants further investigation. By implementing rest, ice therapy, and appropriate exercises, many teens can find relief from knee pain and continue to enjoy their activities. Always consult with a healthcare professional for personalized advice and treatment options tailored to your teen's specific needs.

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