How to Determine if a Child Has Growing Pains?

Diagnostic Criteria

• Typically begins between ages 3–12, with pain often occurring in the afternoon or evening. Some children may wake up due to severe pain.
• Pain occurs at least once a month and persists for at least 3 months.
• Pain is intermittent, usually recurring monthly or even weekly, with symptom-free intervals lasting at least several days.
• Increased daytime activity may worsen the pain.
• The child shows no abnormalities in joints, local muscles, appearance, or growth and development.
• If auxiliary tests (e.g., blood tests or bone X-rays) are performed, the results are normal.

Seek Further Medical Evaluation if the Following Occur

• The child exhibits systemic symptoms, such as unexplained fever, weight loss, or reduced activity.
• Limb pain is persistent, worsening, or localized to one side (i.e., only one limb hurts).
• Daytime pain, especially in the morning.
• Limping or restricted movement.
• Physical examination reveals local abnormalities: reduced joint mobility, warm skin, tenderness, swelling, or redness.
• Pain is limited to the upper limbs, back, or groin.

How to Alleviate a Child's Growing Pains?

Growing pains are benign and usually disappear within 1–2 years after the first episode, generally not affecting the child's health. However, parents can use the following methods to help relieve the pain.

• For mild growing pains, try local massage or warm compresses

If the pain is not severe, medication may not be necessary. Local massage or warm compresses can effectively reduce discomfort. Be cautious with warm compresses—avoid excessively hot towels to prevent burns.

• If massage and warm compresses are ineffective, consider pain relievers

Over-the-counter analgesics like acetaminophen or ibuprofen are recommended for pain relief. Since pain often peaks at night or after increased daytime activity, taking acetaminophen or ibuprofen before bedtime may help prevent nighttime awakenings due to pain and break the cycle of recurrent discomfort. Note that both medications should be taken at 4–6 hour intervals. Alternating between them is not advised. Always follow a doctor’s instructions for dosage. If these medications fail to relieve pain or provide only short-term relief (less than 4 hours), consult a doctor promptly for further evaluation.