Question
A 4-year-old boy has been complaining about leg pain since he was over two years old, particularly during his afternoon nap. When standing, he says the pain is not there, but as soon as he lies down or sits, he starts complaining of pain. The pain is not in his thigh but only from the knee up to his foot (the lower leg). An X-ray has been taken, and no abnormalities were found. He has also been tested for trace elements, and there was no indication of calcium deficiency. Sometimes during his afternoon nap, he tosses and turns, and when asked what’s wrong, he says his legs hurt. He doesn’t like to be massaged. This situation has persisted for about a year and a half. What could be the cause?
Answer
Based on your description, the child may be experiencing growth pains. Growth pains refer to the pain around a child’s knee joint or the front side of the lower leg, which are usually not related to injuries or abnormal exercise and do not show local redness or swelling. The pain typically occurs at night when children are more active during the day and may not notice discomfort because they are focused on other activities. At night when the body relaxes, the pain may become more noticeable, causing discomfort or even intolerance in the child. Treatment for growth pains usually does not require special medication and can be relieved through massage or by diverting attention. Additionally, ensuring that the child has enough exercise and rest, as well as a balanced diet, is also important. If the pain persists or worsens, it is recommended to consult a doctor again.