Your Child's Leg Pain: Causes and When to Seek Help - Orthopedics

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Children often complain of leg fatigue and weakness?


Hello Doctor, my daughter is 4 years and 4 months old and often complains of leg pain, soreness in her feet, and weakness in her legs, especially in the morning when she wakes up and at night before going to bed.
She has poor balance and frequently bumps into things or falls.
What could be the cause of this? Should I take her to see a doctor? Which specialty should we consult? Also, her father often bumps into things and his legs shake when he exerts himself; could this be hereditary? Thank you! Wenzi

Wenzi, 30~39 year old female. Ask Date: 2006/10/19

Dr. Li Wenlin reply Orthopedics


Hello: In response to your question, it is advisable for your daughter to first see a pediatrician.
The pediatrician will provide a diagnosis and may recommend referrals to various specialists as needed.
Wishing you all the best!

Reply Date: 2006/10/19

More Info


Hello, Wenzi. Thank you for reaching out with your concerns about your daughter's leg pain and balance issues. It's understandable to be worried when a child expresses discomfort or difficulty with their physical abilities. Let's break down the potential causes and when it might be necessary to seek medical help.


Possible Causes of Your Daughter's Symptoms
1. Growing Pains: At the age of 4, children often experience growing pains, which are typically felt in the legs and can occur in the evening or at night. These pains are usually harmless and are thought to be related to the rapid growth that occurs during early childhood.

2. Muscle Fatigue: If your daughter is active during the day, she may experience muscle fatigue, especially if she is not used to certain activities or if she has been playing more vigorously than usual. This can lead to feelings of weakness or soreness in her legs.

3. Balance Issues: The balance problems you mentioned could be due to a variety of factors, including developmental coordination disorder (DCD), which affects a child's ability to coordinate movements. Children with DCD may appear clumsy and have difficulty with tasks that require balance and coordination.

4. Flat Feet or Other Structural Issues: Flat feet or other foot structure abnormalities can lead to discomfort in the feet and legs, especially after activity. This could also affect her balance and coordination.

5. Neurological Concerns: While less common, neurological issues could also lead to symptoms like leg weakness or balance problems. If there are concerns about her neurological development, this would need to be evaluated by a specialist.


When to Seek Medical Help
Given your daughter's symptoms, it would be prudent to consult a pediatrician. They can perform a thorough examination and determine if further evaluation is necessary. Here are some signs that would warrant a visit to the doctor:
- Persistent pain that does not improve with rest.

- Difficulty walking or significant changes in her ability to move.

- Any signs of swelling, redness, or warmth in the legs or feet.

- If her balance issues are affecting her daily activities or causing frequent falls.


Which Specialist to See
Initially, you should see a pediatrician, who can assess her overall health and development. If necessary, they may refer you to a pediatric orthopedic specialist for musculoskeletal issues or a pediatric neurologist if there are concerns about her neurological function.


Family History Considerations
You mentioned that her father also has issues with bumping into things and experiencing leg tremors. While some physical traits and coordination issues can be hereditary, it’s essential to evaluate each case individually. The pediatrician can help assess whether there is a genetic component to your daughter's symptoms and whether any further investigation is needed.


Conclusion
In summary, while your daughter's symptoms could be related to normal developmental changes, it is always best to err on the side of caution. A visit to the pediatrician will provide you with peace of mind and help identify any underlying issues that may need to be addressed. Early intervention can be crucial in managing any potential developmental concerns. Thank you for your inquiry, and I wish you and your daughter the best in finding the answers you need.

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