When a child complains of joint
or leg pains, parents or caregivers may be concerned. Usually, the discomfort
will simply be growing pains that will go away on their own. However, people
should be aware of the signs and symptoms that may indicate something more
serious.
Growing pains
are a common cause of leg pain in children.
These pains are muscle aches that can occur in the thighs, behind the knees, or
the calves.
Other possible
causes of leg pain that may be more serious can include juvenile
idiopathic arthritis(JIA), lupus, Lyme disease, and leukemia.
In this
article, we look at what we commonly refer to as 'growing pains,' what they
are, and how people can treat them at home. We also cover other possible causes
of joint pains in children and when to see a doctor.
What are
growing pains?
Research
suggests that more than 30 percent of
school children experience chronic musculoskeletal pain. In around half of
these children, the pain is due to growing pains.
Growing pains
most often occur during a child's preschool and preteen years, and they usually
disappear by their teenage years. These pains are harmless and are not a sign
of a serious condition.
Growing pains
typically occur in the thigh and calf muscles or behind the knees, but sometimes
can also happen in the arms. Children with these types of youthful pains may
experience cramps or aches that can range from mild to severe.
Characteristics
of growing pains may include:
· they occur in the evening or night and typically resolving by
morning
· they are severe enough to wake a child from sleep
· they usually affect both legs rather than one
· they happen intermittently or several nights in a row
· they are often accompanied by headaches or abdominal pain
People used to
think that growing pains were the result of the bones growing during growth
spurts. However, doctors no longer believe this to be the case, as there is no
evidence that growth causes pain.
Growing pains
may simply be aches that result from children running, jumping, and climbing
while playing, during the day.
Growing pains
may also be related to other factors, such as fatigue, restless leg syndrome,
low pain tolerance, or even vitamin D deficiency.
How to ease
growing pains
There is no
specific treatment for growing pains. However, the following home remedies can
help ease a child's discomfort:
- A warm bath. Bathing in warm water, especially before bedtime, can help reduce aches and pains and promote sleep.
- Massaging. Gently massaging or rubbing the affected area can make the child feel better. Merely holding or cuddling the child may also help.
- Stretching. Gently stretching the calves and thighs during the day may ease or prevent symptoms. However, stretching exercises may be challenging for younger children. Ask a doctor what types of exercises are best.
- Warmth. Try applying a heating pad or hot water bottle to the affected area. Make sure these are not too hot and take care to protect the child's skin from burning. Do not use these items during sleep.
- Painkillers. Over-the-counter (OTC) medication, such as acetaminophen or ibuprofen, can help relieve aches and pains on an occasional basis.
Other causes
of joint pain in children
Joint pains in
children can sometimes be a sign of a more serious underlying condition,
including:
Juvenile
idiopathic arthritis
If a child
frequently complains of joint pain, then juvenile idiopathic arthritis or JIA
may be the cause.
JIA can cause
pain and swelling in one or more joints. Unlike growing pains, it can also
affect a child's movement or strength.
There are
several different types of JIA and symptoms can vary, so it can be difficult
for a doctor to diagnose. However, early diagnosis and treatment are vital
because JIA can affect bone growth and lead to permanent complications.
Lupus
Systemic lupus
erythematosus (SLE), or lupus, is an autoimmune disorder that can affect nearly
every organ in the body. Lupus is very uncommon in
younger children, but becomes more common in the teenage years, especially in
females.
Lupus causes
many different symptoms including:
· tiredness that continues after resting
· pain, swelling, or stiffness in the joints
· skin rashes, often on or around the nose
· fever
· hair loss
Lupus is a
long-term condition, and symptoms can range in their severity. However, early
diagnosis and treatment can improve the outlook.
Lyme disease
Insects called
ticks can spread a bacterial infection known as Lyme disease. The ticks carry a
bacterium called Borrelia burgdorferi that they pass onto
people when they bite them. These ticks tend to live in grassy areas and
woodlands in particular regions and feed on animals, such as mice and deer.
Symptoms of
Lyme disease include:
· a circular rash around a tick bite, sometimes known as a
bull's-eye rash
· fatigue
· fever or chills
· joint or muscle pain
· facial paralysis
Anyone who
lives or spends time in an area where Lyme disease occurs can become infected,
but children who spend a lot of time playing outside are at greater risk.
To prevent
Lyme disease, children should wear long pants and long-sleeved shirts. Parents
or caregivers should also check the child's whole body for tick bites after
they have played outdoors.
Following a
tick bite, it can take up to 3 weeks for the rash to appear. Joint pain can
sometimes be the first and only symptom in children.
Early
diagnosis and treatment of Lyme disease are critical to prevent severe
complications. Anyone who suspects an infected tick has bitten their child
should see a doctor, as soon as possible.
Source: Medical News Today