Published on July 19, 2017
It's the middle of the night and your tween-aged child cries out in pain. When you get to her room, she's in tears, complaining about aching legs. While it can be alarming, it may simply be growing pains. But how can you tell the difference between growing pains and something more serious?
Dr. Marnie Baker, a pediatrician at Saddleback Medical Center in Laguna Hills, California, shares what parents should know about growing pains and how to help children find relief.
Are Growing Pains Real?
"There is no scientific proof that growing pains are truly caused by rapid bone, muscle or ligament growth," said Baker, "But any parent can tell you they are real, including myself, as a mom of two school-age boys," she added.
Although experts do not know the exact cause of growing pains, they may be related to a child's level of physical activity during the day.
What Are the Symptoms of Growing Pains?
According to Dr. Baker, growing pains typically cause discomfort in the:
- Thighs
- Calves
- Behind the knees
- Ankles
Common Signs of Growing Pains
Children often describe the pain as:
- Severe
- Deep
- Aching
The pain usually:
- Occurs in both legs
- Develops in the evening or at night
- Can make it difficult to fall asleep
- May wake a child from sleep
Growing pains can affect children during the toddler years and again between the ages of 8 and 12.
How Do You Know It's Growing Pains and Not Something Else?
Because leg pain can have many causes, it's important to understand the characteristics that distinguish growing pains from more serious conditions.
Signs That Point to Growing Pains
"Growing pains have specific features that help distinguish them from other potentially more serious conditions," noted Baker.
Growing pains typically:
- Occur in a general area, such as both legs or both knees
- Affect both sides of the body
- Come and go intermittently
- Occur primarily at night
- Do not interfere with normal daytime activities
Signs That Warrant a Visit to the Pediatrician
Growing pains should not cause:
- Swelling
- Redness
- Warmth in the affected area
- Persistent pain
- Limping
- Difficulty participating in normal activities
If your child experiences any of these symptoms, or if leg pain is preventing them from running, playing or staying active during the day, it is important to schedule an evaluation with a pediatrician.
How Parents Can Help Ease Growing Pains
Growing pains can be upsetting for both children and parents. Fortunately, there are several simple ways to help relieve discomfort and provide reassurance.
Comfort Measures That May Help
To ease symptoms, try:
- Gentle leg massage
- A warm heating pad
- Ibuprofen, if recommended by your child's healthcare provider
- Extra comfort, reassurance and cuddles
Sometimes the most effective treatment is helping your child understand that the pain is temporary and common.
Encourage Healthy Coping Skills
"Teaching your child that growing pains are common and if they are awakened by them, to give their legs a rub and go back to sleep is the simplest way to ensure a good night’s sleep for all," says Baker.
Helping children recognize and manage growing pains can build confidence and reduce anxiety when symptoms occur.
When to Seek Medical Advice
While growing pains are common and generally harmless, parents should trust their instincts. If symptoms seem unusual, become more frequent or are accompanied by swelling, redness, fever or difficulty walking, contact your child's pediatrician for evaluation.
Helping Your Child Through Growing Pains
Growing pains may be mysterious, but they are a normal part of childhood for many kids. By understanding the symptoms, knowing when to seek medical care and providing comfort measures at home, parents can help their children navigate this temporary stage with confidence.
A little reassurance, a warm hug and some gentle care can often go a long way toward helping everyone get a better night's sleep.