“Growing pains” in young children: A study of the profile, experiences and quality of life issues of four to six year old children with recurrent leg pain

Evans, Angela; Scutter, Sheila; Lang, Linda M.G.; Dansie, Brenton

doi:10.1016/j.foot.2006.02.006

Cited by 30 publications

(46 citation statements)

References 15 publications

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“…İlk olarak 1823'te Duchamp tarafından büyüme ağrıları terimi ortaya atılmıştır [9,10]. Çok sayıda adolesanda artmış kas-iskelet ağrısı hızlı kemik gelişimine bağlanmıştır.…”

Section: Discussionunclassified

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Çocuk hastalarda alt ekstremite ağrısı etiyolojisine yönelik retrospektif değerlendirme

Küçük¹,

Korkmaz²,

Erdoğan³

et al. 2012

CMJ

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Amaç. Çocuklarda alt ekstremite ağrısına neden olan etiyolojilerin saptanması ve büyüme ağrılarının etiyolojideki yerinin belirlenmesi amaçlandı. Yöntem. Kasım-Nisan 2011 tarihleri arasında Ortopedi ve Travmatoloji, Çocuk ve Aile Hekimliği polikliniklerine alt ekstremite ağrısı şikayeti ile başvuran 3-15 yaş grubundaki çocuk hastaların demografik ve klinik özellikleri, tanılarına ait bilgiler ve tetkik sonuçları poliklinik dosya kayıtlarından geriye dönük olarak elde edildi. Bulgular. Alt ekstremite ağrısı ile başvuran 92 hastanın 41'i (%44,5) kız ve 51'i (%55,5) erkekti. Yaşları 3-15 yaş arasında değişmekteydi (ortalama 10,1 yaş). Hastaların fizik muayene ve laboratuvar tetkikleri sonucunda; 32'sinde (%35) ortopedik bozukluk, 31'inde (%33,6) üst solunum yolu enfeksiyonuna (ÜSYE) bağlı reaktif artrit, 21'inde (%22,8) travma ve 8 (%8,6) olguda diğer sebepler saptandı. Tekrarlayan ağrıları olan 10 (%10,8) hasta, büyüme ağrısı açısından takibe alınmış. Sonuç. Çocuklarda eklem şikâyeti sık karşılaşılan bir durum olup, büyüme ağrıları gibi inflamatuar olmayan nedenler kas-eklem ağrısının en sık sebebidir. Ancak romatizmal hastalıklar, enfeksiyonlar ve maligniteler gibi organik bütün nedenler mutlaka dışlandıktan sonra büyüme ağrısı tanısının konulması gerekir.Anahtar sözcükler: Eklem ağrısı, çocuk, büyüme ağrısı, ekstremite ağrısı Abstract Aim. We aimed to determine the etiologies causing lower extremity pain in children and to identify the place of growth pain in the etiology. Method. The demographic and clinical characteristics, information about their diagnoses and the test results of the pediatric patients between 3-15 years of ages, admitted to pediatric, orthopedics and traumatology, and family medicine polyclinics with complaining of lower extremity pain from November to April 2011 were screened retrospectively from outpatient records. Results. Of 92 pediatric patients with lower extremity pain, 41 (44.5%) patients were female and 51 (55.5%) were male. Their ages ranged from 3 to 15 years (mean 10.1 years). As a result of physical examination and laboratory investigations of the patients, orthopedic disorders were diagnosed in 32 (35%) patients, reactive arthritis due to upper respiratory tract infections (URTI) in 31 (33.6%), trauma in 21 (22.8%) and other causes in 8 (8.6%) patients. 10 (10.8%) patients with recurrent pain were followed up for growth pain. Conclusion. Joint complaint is a common condition in children and noninflammatory causes, such as growth pain, is the most common cause of muscle-joint pain. However, a diagnosis of growth pain should be established after the exclusion of all organic causes, such as rheumatic disorders, infections and malignancies.

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Section: Discussionunclassified

“…Büyüme ağrılarının sıklığı değişkendir (%2,6-%49,4) [17]. Son çalışmalarda 4-6 yaş arasındaki çocuklarda prevalans %38,3 olarak tespit edilmiştir [10,18].…”

Section: Discussionunclassified

Çocuk hastalarda alt ekstremite ağrısı etiyolojisine yönelik retrospektif değerlendirme

Küçük¹,

Korkmaz²,

Erdoğan³

et al. 2012

CMJ

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“…Generally speaking, the pains are of mild intensity and short duration, lasting from minutes to hour. The pains generally subside gradually within 30-minutes [28,29]. The episode usually is nocturnal or occurs late in the day or evening.…”

Section: Clinical Presentationmentioning

confidence: 99%

“…The disastrous pain might occur daily for more than six months [7]. Despite the benign prognosis, frequent episodes exert significant impact on the child including chronic medications, absences from school, reduced levels of daytime activities, anxiety and emotional or family disturbances [4,25,28]. The clinical considerations of "growing pains" are thus much more than the pain alone.…”

Section: Clinical Presentationmentioning

confidence: 99%

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The treatability of “growing pains” in children - a mini review

Yip¹,

Shu-Yan²

2016

Pediatr Dimensions

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Aim: Growing pains in children is not an uncommon condition. Relative local overuse, reduction of bone strength, reduction of pain threshold, hypovitaminosis D and abnormal foot postures have all been found to be associated with the condition. Yet the etiology of the condition has not been completely determined. At present, there is no standard treatment protocol of the condition. As the growing pains in children tend to disappear with age, many health care practitioners opt not to treat the condition or dismiss the patient on the ground that he or she would get better with time. The present mini-review aims at reviewing the current treatment approaches and recommendation. Methods and materials:A manual search in the PubMed has been made, using the keywords growing pains in children, treatment, orthoses and vitamin D, for treatments of growing pains in children.Results: A search of literature reveals a well-implemented muscle stretching program as the first line treatment. In spite of the rather equivocal findings from the numerous studies regarding the efficacy of foot orthoses, their success in reducing pain and symptoms related to growing pains cannot be denied. The prescription of foot orthotics is clinically advocated. Also, supplementation of vitamin D3 is suggested for children with hypovitaminosis D, as it has been found that the majority of children with growing pains have a low serum 25-hydroxyvitamin D level. Conclusions:Children with growing pains should be assessed for their serum vitamin D level and their foot postures. Supplementation of vitamin D3 and foot orthoses may improve the signs and symptoms of patients, when indicated.

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Growing pains: Twin family study evidence for genetic susceptibility and a genetic relationship with restless legs syndrome

Champion

Pathirana

Flynn

et al. 2012

European Journal of Pain

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“Growing pains” in young children: A study of the profile, experiences and quality of life issues of four to six year old children with recurrent leg pain

Cited by 30 publications

References 15 publications

Çocuk hastalarda alt ekstremite ağrısı etiyolojisine yönelik retrospektif değerlendirme

Çocuk hastalarda alt ekstremite ağrısı etiyolojisine yönelik retrospektif değerlendirme

The treatability of “growing pains” in children - a mini review

Growing pains: Twin family study evidence for genetic susceptibility and a genetic relationship with restless legs syndrome

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