Question

A 2.5-year-old child has a low fever with sore feet, generally in good spirits, and sleeps better at night. The child weighs 30 pounds and has had a fever between 37 to 38 degrees Celsius for three days. What could be the cause of the sore feet and how to address it?

Answer

A child experiencing both a low fever and sore feet may be suffering from ‘growth pain,’ which is often caused by the uneven growth rate of muscles and bones during periods of rapid growth. This condition typically occurs during growth spurts and is not experienced by every child. Growth pain usually affects the limbs rather than joint areas, with more pronounced pain in the lower limbs. It is different from arthritis. Approximately one in six children will experience growth pain during periods of rapid growth. If growth pain is suspected, observe if the child’s pain worsens at night or after exercise, and avoid strenuous activities to reduce discomfort. If the pain persists or intensifies, it is recommended to seek medical attention promptly to rule out other potential causes.