Leg Pain in Children: Causes and Concerns - Orthopedics

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Leg pain


My daughter has frequently experienced leg pain (specifically in the calf area) since she was young.
Some doctors have said it is "growing pains." However, recently she has been complaining of pain in various different areas, but she cannot specify how it hurts; the pain is mostly concentrated in her legs, and the locations vary almost every time.
What could be the reason for this? Additionally, my mother-in-law mentioned on TV that some people have incurable conditions related to this, which makes me very anxious.
Is this a possibility?

Ting, 50~59 year old female. Ask Date: 2007/02/12

Dr. Chu Baijun reply Orthopedics


Hello: 1.
May I ask how old your daughter is? Is she very active? Has she sustained any injuries or overexerted herself? 2.
"Concentrating on the legs, almost all positions are quite different," makes it difficult to determine the cause.
Would it be possible to bring her in for further examination? As for "incurable diseases," it's hard to make a judgment based on just a few sentences.
Instead of being anxious, it would be better to seek medical evaluation! This message is on behalf of Dr.
Li Wei-Chiang from the Rehabilitation Department of Taoyuan Hospital.

Reply Date: 2007/02/12

More Info


Understanding leg pain in children can be a complex and concerning issue for parents. It's important to recognize that children experience various types of pain for different reasons, and while some causes are benign, others may require medical attention.

One common explanation for leg pain in children, particularly during their growth years, is "growing pains." This term generally refers to discomfort that occurs in the legs, often in the evening or at night, and is typically not associated with any underlying medical condition. Growing pains are most prevalent in children aged 3 to 12 years and can manifest as aching or throbbing sensations in the legs, particularly in the calves, thighs, or behind the knees. Although the exact cause of growing pains is not well understood, they are thought to be related to the rapid growth phases that children undergo.

However, it is crucial to differentiate growing pains from other potential causes of leg pain. If your daughter is experiencing pain in various locations and is unable to describe the nature of the pain, it may warrant further investigation. Conditions such as juvenile idiopathic arthritis, infections, or even overuse injuries can present with similar symptoms. In some cases, pain that is persistent, severe, or accompanied by other symptoms (such as swelling, redness, fever, or limping) should prompt a visit to a healthcare professional for a thorough evaluation.

Your concern about the possibility of a "terminal illness" due to the pain is understandable, especially when influenced by anecdotal information from family or media. However, it is essential to approach this situation with a level-headed perspective. While there are serious conditions that can cause leg pain in children, they are relatively rare. The majority of leg pain cases in children are benign and can be attributed to growing pains or minor injuries.

To address your daughter's pain, consider the following steps:
1. Consult a Pediatrician: If you haven't already, consult a pediatrician who can perform a comprehensive evaluation. They may recommend blood tests, imaging studies, or referrals to specialists if necessary.

2. Monitor Symptoms: Keep a diary of your daughter's pain episodes, noting the time of day, duration, location, and any associated symptoms. This information can be invaluable for healthcare providers.

3. Manage Pain at Home: For mild discomfort, over-the-counter pain relievers such as acetaminophen or ibuprofen can be effective. Additionally, gentle stretching, warm baths, or heat packs may provide relief.

4. Encourage Activity: Ensure that your daughter engages in regular physical activity, as this can help strengthen muscles and improve overall health. However, be mindful of overexertion, which can lead to injuries.

5. Emotional Support: Sometimes, pain can have a psychological component. Providing emotional support and reassurance can help alleviate anxiety related to the pain.

In conclusion, while growing pains are a common and usually harmless cause of leg pain in children, it is essential to remain vigilant and seek medical advice if the pain persists or worsens. By working closely with healthcare professionals, you can ensure that your daughter receives the appropriate care and support she needs. Remember, most leg pain in children is not indicative of a serious condition, but it is always best to err on the side of caution and consult a doctor when in doubt.

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