Patient's question:
A 4-year-old boy has been complaining of leg pain since he was over two years old, especially when taking naps. When asked while standing, he says it doesn't hurt, but as soon as he lies down or sits, he says it does. The pain is not in his thighs but only in the area above the knees and above the feet (the lower legs). X-rays have shown no abnormalities, and a check for trace elements revealed no calcium deficiency. At night, when taking naps, he sometimes tosses and turns, and when asked what's wrong, he says it's leg pain. He dislikes having adults rub his legs for relief. Recently, when asked how the pain feels, the child said it's not painful, not numb—it's just pain. I don't understand what this pain means. It's been going on for over a year now. What could be the cause?Doctor's answer:
I'm glad to help you solve your question. Based on your description, it is likely growing pains. Growing pains refer to pain in the area around the knee joints or the front of the lower legs in children. These areas have no history of injury, and the children's movement is normal. There is no redness, swelling, or tenderness in the affected area. The pain almost always occurs at night. During the day, children are more active, so even if they feel uncomfortable, they may not notice it because they are focused on other things. At night, when the body and mind are relaxed, the pain symptoms can make the child feel uncomfortable, even unbearable. In terms of treatment, there is no need for special medication. Massage or focusing the mind can often help.