Could My Child Have Growing Pains?

My 3-year old daughter is always complaining of pains in her legs during the night, could these be growing pains?
Shelly West – Kamiah, Indiana

Growing Pains

Dr. Greene’s Answer:

During childhood, the human body goes through an amazing series of changes. When babies are born their heads, hands, and feet are proportionally much larger in relation to their bodies than at any other time in life. It’s one of the things that make babies distinct and adorable. Throughout the growing up process, the human body changes proportions many, many times. Sometimes long, gangly arms and legs seem to shoot out over night! During these spurts of growth, children often complain of nighttime leg pain, hence the common label growing pains.

Most often, growing pains will feel like a sharp throbbing pain. The pain can occasionally even be strong enough to wake the child up from sleep. About 25 to -40% of children between the ages of 3 to 5 and again between the ages of 8 and 12 experience growing pains (Healthy Children, AAP, June 2010).

When children are plagued by episodes of recurrent, brief leg pain, it is a good idea for them to be checked once by a physician. If the physical examination is normal, with no redness, tenderness, swelling, or limitation of movement, and if the pain is not provoked by moving or associated with any abnormal gait, then this situation is what we often call growing pains. These pains typically occur at night with no resultant daytime disability. The actual source of the pain has never been proven, but long experience has taught us that they are benign and self-limited.

If the physical examination is not normal or the pain is associated with other symptoms, your doctor will be able to discuss in more detail other potential diagnoses such as chronic trauma, infection, restless leg syndrome, and childhood arthritis.

In children with benign growing pains, the muscles or tendons are still a little too tight for the growing long bones. Muscle spasms lasting from 1 to 15 minutes cause the pain. Many of these children are unable to touch their toes with their fingertips without bending their knees.

During a pain episode, stretching the foot and toes upward will often resolve the muscle spasm. Gentle massage and moist heat over the painful spot can also help.

In most cases the pain can be prevented with simple, daily stretching exercises. These exercises must be continued even after the pain subsides in order to keep the muscles and tendons relaxed and able to accommodate the next growth spurt.

Some physicians recommend giving a glass of tonic water before bed. I have never seen any studies evaluating this suggestion, but it might help and wouldn’t hurt. Plenty of fluids should make cramping less likely.

Although these painful occurrences of growing up are nothing to be worried about, like all of life’s growing pains, they can be quite bothersome when in the middle of an episode. It is precisely the reshaping of ourselves that causes physical and emotional growing pains — in both situations, the pain results in our becoming more mature people.

Dr. Alan Greene

Dr. Greene is the founder of DrGreene.com (cited by the AMA as “the pioneer physician Web site”), a practicing pediatrician, father of four, & author of Raising Baby Green & Feeding Baby Green. He appears frequently in the media including such venues as the The New York Times, the TODAY Show, Good Morning America, & the Dr. Oz Show.

  1. Lisa

    Hi
    my 6 year old told me his back hurts sometimes when he “runs hard” and has to sit down, then yesterday he said his legs “feel weird”. Then he said he has to “peepee a little after running hard”… I am beginning to worry. He said its not all the time. I google and of course its all awful stuff. He seems to play normally most of the time. I made apt with pediatrician but im scared its something awful. Can anyone offer some advice or anyone experience this?

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  2. Eliza

    Could be gluten issue like a sensitivity or celiac as it causes joint pain.

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  3. Jessica

    My 3rd year old son has started recently complaining about his leg hurts. He will stop playing and rub his leg complaining it hurt. It mostly happens during the day when he’s playing avidly.

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  4. marianela

    My eleven year old has been complaining about having strong pain under his left knee when he runs , it so strong that he cries , I have tried putting heat and wraping it but it does not seem to help. He is very athletic kid and I hate to see him not being able to run with out a lot of pain to the point where he has to stop all toguether and can’t enjoy while his friends just continue to run and play .

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  5. shiela mae avila

    Why are my knees in pain almost since I was kid until now. I’m 18 already and my knees are getting worse. It hurts even if I’m not walking, or I’m just sitting or lying only. Why does it still hurt? Please answer.

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  6. maria

    My daughter is 11 years old, and she started complaining about pain on one of her feet. She is very active, so I took her to her doctor to make sure everything was ok. The doctor told me it was growing pains, and recommended to ice the feet every time she could, rest and take some ibuprofen. I have done that, but the pain is still there, especially after she plays a game.

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  7. Kim

    My 2 Year old boy has been waking in the night crying out back hurt!!! Back hurt!!! he has also complained that his back hurts in the car while in his carseat. He loves his carseat ( he is the youngest of 4 ) i know most kids don’t like their carseats but this one loves his. begs me to bring it in the house so he can nap in it sometimes. Last night he woke up 4 times crying his back hurt wouldn’t let me hold him or console him. just arched and then go into childs pose over and over till he finally went back to sleep. Please advise. Thank you

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  8. mom

    My daughter is 12 years old and she is complaing of sharp aching feet pain. It hurts her when she runs, walks, stumps and she is in a sport. Should I be worried of her feet hurting during a game? I dont know what to do. Some one please help me.

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    • Liily-may wood

      Many children have this it is common so don’t worry try and relax them and make sure they are ok you may want to give the tablets

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  9. Sorayamatin@mobilee.vodafone.com

    My son is almost 9years old. He sometimes complains about pain in his chest. Sometimes it’s sharp, but lasts only a second. I’ve ask the doctor and she told me its part of growing up, but it still worries me. Can you give me advise about what I should do? Thank you.

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    • jessica

      I am 25 years old and I can remember having sharp pains in my chest and last for a few seconds or so since I was really young. After years of having it periodically, it got worse when I started moving around more and one night it didn’t last a few second it lasted a good while. I was scared so I went to the ER. They diagnosed me with Pluresy. They prescribed me Naproxen an anti inflammation medication. And it helped so much! When I knew I would be active I would take one and my chest would not hurt. If I would forget to take it. My chest would hurt. Maybe that’s something you should look into

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    • Megan

      My little girl is having pains in her chest if a family member has an inhaler let the have 1 go no more my little girl said it takes the pain away

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  10. mo

    my daughter is 5yrs old and she constantly complains of leg pains. her doctor told me it was because she’s growing but all she did was listen to me and didn’t check her. she still complains of this leg pain. it’s her right leg, behind the knee area. I feel bad because she literally complains almost everyday. anyone have any other suggestions??

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    • Nettie

      I am definitely not a doctor, just a mom with kids that have had leg pain. I know you posted this in January, but if she isn’t better I would definitely get a second opinion. Maybe a referral to a doctor at a Children’s Hospital – not that they are any better, but they see such a variety of problems and with children. I personally think a doctor should always do a physical check. I was told by my pediatrician that children do not have growing pains during the day – of course, every doctor has a different opinion. My son had lots of leg pains growing up and they have turned into a pain/anxiety problem ~ not that that is what your daughter has at all, but that is how things have ended up for us. Maybe look up some fun stretches for her. That is what my sons PT has him do – stretches to strengthen those muscles.

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      • Nettie

        Along with a second opinion, another important thing to do if you can is to keep them moving and doing most of their normal activities if you can :) I hope your daughter is running around and having fun :) I know it is heart breaking to see your child in pain and not know what to do about it and then if you feel doctors are dismissing it as normal and it doesn’t feel normal to you or your daughter it is really hard. You can find different things like belly breathing that might help. There is a great book called Be the Boss of your Pain, by Timothy Culbert, that is written for kids (it says age 8, but I am sure you could go over it with her at her age) – it has different methods in it children can use to get through pain (that you can help them get through their pain). Some things you may like to use and some not, but you can choose what would work well for your daughter!

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    • Nettie

      I know I keep commenting ~ but the reason I mentioned to keep her going through it as best you can, is that sometimes kids want to sit out or the pain is so bad they feel like “they can’t” and that can grow into something where they don’t feel they can do anything through the pain. My son at 10 ended up missing months of school and not walking at all, we were carrying him through the house and he used a wheelchair and he was in pain all day long ~ although it came down to pain/anxiety issues, I still wonder to this day if there was something doctors missed – but the most important thing I learned from that was to keep him going as best we could and teach him that he could do things during pain (that was the hardest part for all of us and really we didn’t do it very well ~ some days we felt we just couldn’t). At that time I never would have thought he could myself, but after going through PT at Childrens along with a pain psychologist his leg pain went away.

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  11. tiffany rouse

    My daughter is 4 and I am very concerned. She has been telling me for the past 3 months that her body hurts. She will be sitting down at any time of the day. She will start stretching and moving around – stretching her arms out straight, popping her knuckles, just saying her whole body hurts. She needs to go to the doctor again because she says it hurts all the time and that she wants a new body. She doesn’t cry about this constant pain she’s having. Please give me some advise on what you think this might be. Each month that goes by I’m scared because I thought it would eventually go away, but there’s not one day that goes by that she doesn’t say something about her body hurting. Her doctor hasn’t tried to run any tests or think it’s serious, but the longer that goes by makes the more nervous I become.

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  12. Mckenzie

    my daughter has experienced what we thought were just growing pains since she was 3 or 4. now she is 16 and has horrible aching pains in either both legs or one about twice a month. she was told she was done growing & these aches keep her up pacing & moving for hours at night. please help us out with a reccomendation. thanks.

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    • Gabrielle

      I used to have the same problem when I was a kid. It all started around the age of 5 or 6 my leg and feet would hurt so bad I felt like my bones were soo stiff and cold… the only thing that calmed me was having then rubbed with warm or hot olive oil then wrapped. I had these problems off and on til about the age of 14 or 15 then they dissappeared. I’m 26 now and haven’t had one since so I guess it just takes time to go away but crazy cause the pain is ridiculous.

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  13. Megan

    My daughter has been complaining of knee pain for a few days now. No consistency in the time. She has been ill with a cold. Wondering if the pain is growing pain or from the cold or should I have her checked.

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    • Robyn Rosales

      I’m sitting here as I type this one handed and my other hand rubbing my 8 yr old sons calves….same exact thing…he’s sick with a cold….woke me up saying they hurt and he can’t walk….so a trip to the E.R is almost 100 miles away and I’m looking on the Web for help or info

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  14. Karen

    My granddaughter has had “growing pains” for a while now. She is 12 now. We have found that making sure she is well hydrated has limited the times and duration of these pains. Water is a great fixer upper for many ailments and around our house, it’s the bomb. It “cures” hiccups, headaches, stomach aches, indigestion, growing pains and so many more illnesses. Thanks for the blog.

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  15. Domnic Dsouza

    My Son is complaining all the time “my hands are hurting”. He always cracks his knuckles. He is 9 years old. He is a Goalkeeper in his school team. What should I do? Please suggest.

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  16. Kaami Sen

    My 5 year old has this problem for more than year now.Wakes up at night of sharp pain
    and cries for hours.Now she says her arms and legs both hurt.

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  17. cchav

    My 5 year old son has chronic pains that last for hours. The pedriaticians cannot diagnose what is the cause. The doctor said he is okay; his blood test for chronic arthitis was negative, uric acid negative, no cancer cells were detected, x-ray was okay. He has no fractures.The worries are that he still continues with the chronic pains, he limps, and first it was only on the right leg now it is in both. We seeked a second opinion and all the test were retested and everything seems okay. He has been having this symptoms for 3 weeks .I really would like to know or have atleast an idea what is the cause, since the doctors cannot diagnose. He is only treated with pain relief medication, ibruprofen. Please, provide an urgent reccomendation. Thank You.

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    • loveline

      My son has same Problem and the doctors examined and said all is well with him, we should Keep a Close watch on the Situation. Maybe he is growing up.

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    • Steph

      If all the medical tests have come back negative, find a pediatric chiropractor in your area. Good luck!

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