You have probably heard the term “growing pains” used to describe an ache or throb in children’s legs during their growing years. They are generally thought to be an uncomfortable, but unavoidable fact of life that children will grow out of, but should they always be ignored? When is it a sign of a more serious problem? And when should you consult a PT or pediatrician about your concerns?

Generally, “growing pains” are an aching or throbbing sensation in the thighs, calves, or behind the knees, and on both legs. The pain may come and go, and be difficult to pinpoint on the body, but tends to occur in the late afternoon to evening.

While not much is known about the cause of “growing pains,” they can sometimes result from tightness in the hamstrings or calves from increased activity or overuse, or from poor foot alignment (i.e. high arches or flat feet). A physical therapist can help determine if your child’s “growing pains” have a biomechanical root cause, screen for more serious conditions, and come up with solutions for decreasing pain by prescribing stretches and activities, or recommending orthotic shoe inserts for proper foot alignment. 

My general advice is that you should consult your child’s pediatrician if you notice persistent pain that is only in one leg, located directly in a joint, or develops alongside an injury, redness, fever, swelling, or tenderness. 

“Growing pains” that are benign and common

• Intermittent pain in the afternoon/evening

• In both legs

• No redness, swelling, tenderness, or bruising

• Limited impact on activities

“Growing pains” that may require follow up

• Pain persists throughout the night and/or into the morning

• Only in one leg or one side of the body

• Redness, swelling, tenderness, or bruising

• Non-use of the affected leg, marked limp, decreased ability to perform activities

If you have any questions about growing pains or are concerned about any pain that your child is experiencing, contact us to see how we can help!