Growing Pains Specialists

At The Pediatric Orthopedic Center, we understand that growing pains can be a source of concern for both children and their parents. While they are a common experience, knowing when to seek help is essential. Here, we explore what growing pains are, their symptoms, causes, treatment options, and how to manage them at home.

What Are Growing Pains?

Growing pains are a common, benign condition experienced by many children during their growth spurts. Contrary to what the name suggests, growing pains are not directly related to growth. Instead, they occur due to a mismatch in the growth rates of muscles and bones. As children grow, their bones may lengthen faster than the muscles that support them, leading to discomfort and pain. This phenomenon is also referred to as Myo-Osseous Disproportion Syndrome.

Typically, growing pains affect children between the ages of 3 and 12, but they are most prevalent in girls aged 12 to 14 and boys aged 14 to 16, coinciding with peak growth spurts. The discomfort primarily manifests in the lower extremities—particularly in the legs and shins—but can also affect the upper limbs.

Common Symptoms of Growing Pains

The hallmark symptom of growing pains is intermittent leg pain, usually bilateral, occurring during the evening or at night. Children often describe the pain as an aching or throbbing sensation in the muscles rather than the joints. Other common symptoms include:

• Pain that typically occurs in the front of the legs or in the shins
• Discomfort that wakes the child from sleep
• Pain that diminishes during the day, particularly after active play
• Absence of swelling, redness, or warmth in the affected areas

When Should I See a Growing Pains Specialist?

While growing pains are generally harmless, there are certain situations that warrant a visit to a growing pains specialist. If your child experiences any of the following symptoms, it may indicate a more serious condition:

• Increased Intensity: If the pain becomes more severe during or after physical activity, it might signal an underlying issue.
• Persistent Pain: If the discomfort continues despite rest and home management, it’s time to consult a specialist.
• Accompanying Symptoms: If growing pains are associated with fever, loss of appetite, or abdominal pain, seek medical attention immediately.
• Waking at Night: If growing pains regularly wake your child at night, and home remedies like warm baths or gentle massages fail to provide relief, a professional evaluation is recommended.

Causes and Risk Factors of Growing Pains

Growing pains are primarily caused by the discrepancy in growth rates between muscles and bones, but several factors can contribute to the condition:

• Overactivity: Active children who engage in sports or other physical activities may be more susceptible to experiencing growing pains.
• Poor Nutrition: Inadequate nutrition and lack of essential vitamins, particularly vitamin D, can exacerbate growing pains.
• Inherent Factors: A family history of growing pains may increase the likelihood of a child experiencing this condition.

Conditions Linked to Growing Pains

It’s essential to differentiate between growing pains and other orthopedic conditions that can mimic their symptoms. Some common conditions include:

• Osgood-Schlatter Disease: Pain at the front of the knee due to irritation at the growth plate.
• Sever’s Disease: Heel pain commonly seen in children involved in sports that involve running and jumping.
• Achilles Tendonitis: Inflammation of the Achilles tendon, often due to overuse.
• Patellofemoral Syndrome (Runner’s or Jumper’s Knee): Pain around the kneecap from repetitive stress.

Treatment Options for Growing Pains

Fortunately, there are various effective treatments available for growing pains, including:

• Pain Relievers: Over-the-counter medications like ibuprofen (Advil) or acetaminophen (Tylenol) can help alleviate pain.
• Warm Compresses: Applying a heating pad or a warm water bottle to the affected area can provide soothing relief.
• Gentle Massage: Massaging the legs can help relax the muscles and reduce discomfort.
• Stretching Exercises: Incorporating stretching into your child’s routine can promote flexibility and reduce pain. Regular stretching for 10 minutes, three times a day, can be beneficial.

Managing Growing Pains at Home

Managing growing pains at home involves a combination of lifestyle changes and practical solutions. Here are some tips to help ease your child’s discomfort:

• Encourage Rest: Allow your child to take breaks from intense physical activity, especially if they are experiencing growing pains.
• Warm Baths: A warm bath before bed can help relax muscles and may reduce nighttime pain.
• Nutrition: Ensure your child has a balanced diet rich in vitamins and minerals to support healthy growth and bone strength.
• Hydration: Keep your child hydrated throughout the day, particularly if they are active.
• Activity Modification: Monitor your child’s activity levels and modify them as necessary to prevent overexertion.

If your child continues to experience growing pains despite these management techniques, or if you notice any concerning symptoms, it’s important to schedule an appointment with a growing pains specialist.

Request an Appointment

At The Pediatric Orthopedic Center, our experienced team is dedicated to providing comprehensive care for growing pains and other pediatric orthopedic conditions. If your child is suffering from leg pain or if you have concerns about their growth and development, we encourage you to contact us. To request an appointment, please call us at (973) 538-7700 or fill out our online appointment request form. We’re here to help your child thrive and enjoy their active lifestyle without discomfort.