How long will the growing pains last? Growth pain is a physical pain symptom that every child will inevitably appear in the growth stage. As a parent, it is particularly uncomfortable to watch children suffer from this kind of pain, but in fact, the symptoms of growing pains are good for children and represent their growth. So how long will the pain of growing up last?
How long will the pain of growing up last? 1 How long does the growing pains last?
The onset time of growth pain usually lasts for several minutes to several hours. When a child reaches puberty, the pain of growth will naturally disappear, ranging from a few months to a year or two. "Growth pain" is a normal phenomenon, the degree of pain is mostly tolerable, and there is basically no need to take painkillers or take other measures.
How to alleviate the symptoms of children's growing pains?
1, children's growth troubles usually appear at midnight 10. After the child fell asleep, he suddenly felt pain in his leg and couldn't sleep. At this time, we should try our best to help children divert their attention. Don't rush to put them to sleep. We can tell children stories and listen to children's songs, so that children can temporarily ignore the pain and encourage them. Parents' gentle efforts are the greatest motivation for children.
2. Hot compress is also a good way to relieve children's growing pains. Applying a hot towel to the baby's painful part can better promote local blood circulation and relieve the child's discomfort. After hot compress, you can help your child massage and knead properly. The movement is gentle and gentle, helping the child fall asleep again.
3. Growth pain generally does not appear during children's exercise, but research shows that growth pain at night has a certain relationship with strenuous exercise during the day. Therefore, during the period of growth pain, it is necessary to minimize children's strenuous activities, take more rest, relax leg muscles, and minimize the number of growth pains.
In the face of children's growing troubles, parents don't need to be so worried and scared, and there is no need to give their children drugs indiscriminately. You should know that drugs can't alleviate the pain of growing up, but only affect the growth and development of children. It is necessary to instill in children a correct understanding of the pain of growing up and teach them to face the pain of growing up with a correct vision and mentality.
How long will the pain of growing up last? Growth pain refers to the recurrent intermittent lower limb pain in healthy children aged 2- 12, especially around the knee joint and in the front of the calf. Pain usually occurs in the afternoon or evening. There is no history of any trauma in the painful part, normal activity and no redness and tenderness in the local tissue.
Medical department
Child health department, child rehabilitation department
clinical symptoms
The main symptoms of growth pain are lower limb pain, intermittent, especially around the knee joint and the front of the calf, usually in the afternoon or evening. The pain recurs and can be relieved by itself without treatment. Everything was normal during the intermission, which lasted for several months to several years.
epidemiology
The incidence of lower limb growth pain in children at home and abroad is very different, and there are relatively great differences in different regions and different age groups. The reported incidence of growth pain in preschool children in China is 3.8 1%.
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Important reminder
We must pay attention to the severity of growth pain and its influence on children's life and study, and avoid the omission of diseases and the neglect and misdiagnosis of other diseases, which will affect children's healthy growth.
The cause of disease
The cause of growth pain is still unclear. It is generally believed that the reasons are mainly related to bone metabolic function, psychological factors, anatomy and limb activities.
1. Effects of bone metabolism and bone mineral density: The onset of lower limb growth pain is closely related to calcium deficiency. The reason for this phenomenon may be that children are in the stage of bone growth and development, and the neuromuscular tension is high, resulting in traction pain. Moreover, calcium can also inhibit nerve excitability, and calcium deficiency can enhance nerve excitability, leading to muscle pain, spasm and other symptoms.
2. Psychological factors: Studies have shown that the occurrence and degree of growing pains are influenced by mental factors. Some scholars believe that the attitude of family members towards pain treatment will affect children.
3. Anatomical reasons: The occurrence of growth pain in children's lower limbs is closely related to poor foot posture. In the process of children's rapid growth and development, due to gait instability, the stress on the joint surfaces of lower limbs is uneven, which leads to joint instability and induces growth pain of lower limbs.
4, physical activity: large amount of activity during the day, long-term will inevitably lead to the accumulation of acidic metabolites, but also cause muscle fatigue and soreness.
characteristic symptoms
1, the main symptom of growth pain is pain in both lower limbs, but the location and degree of growth pain are different for everyone, and it is intermittent.
2, painful parts: mostly in the joints of lower limbs, especially the front side of the calf. There is no change in the joint cavity, and there are no symptoms such as redness, swelling, heat, pain and limited movement.
3, the onset time of pain: generally pain occurs at night, many children wake up at night, and even cry.
4. Duration of pain: Growing pain will recur for several months to several years. Most children will get rid of the trouble of growing up in a few years.
complication
Some children with growing pains are more sensitive to pain, prone to headache, abdominal pain and sleep disorders.
Diagnostic strategy
The typical symptoms of growth pain in children are obvious, and the diagnosis should be ruled out in combination with clinical manifestations. Clinically, it is necessary to make clear medical history inquiry, detailed physical examination and necessary laboratory examination, and pay attention to differentiate it from osteochondritis of femoral head, tuberculosis of hip joint, rheumatism and other diseases in order to make a final diagnosis.
Related inspection
The related examination of growth pain mainly excludes other diseases:
1, X-ray examination: This examination is performed when there is severe pain in a specific part, even when you wake up at night, to determine whether it is a bone infection or a tumor.
2, blood test: pain attack. At the same time, unexplained fever and no flu-like symptoms to determine whether there is infection.
3. Joint examination: joint pain, joint swelling and difficulty in moving. This test is needed to determine whether there are joint diseases.
distinguish
The following diseases can easily be considered as growth pain and need to be identified:
1, osteochondritis of femoral head: it is more common in children aged 4-8 years, especially boys, who will have muscle atrophy and shortened lower limbs in the later stage.
2, tuberculous hip arthritis: more common in preschool children, the onset is slow, more common in one side, and the pain continues to increase with the progress of the disease.
3, rheumatism: before the onset of many pharyngitis, tonsillitis, scarlet fever and other medical history. The main symptoms are joint wandering pain, local swelling and heat pain, and systemic symptoms include fever, fatigue and loss of appetite.
4. Rheumatoid: Lesions often invade large, medium and small joints of the whole body, mainly swelling and pain of small joints of fingers and toes.
5. Congenital dislocation of hip joint: unilateral dislocation is limping gait, and bilateral dislocation is duck gait.
6. Acute temporary synovitis of hip joint: The common symptoms are pain and limping, and the symptoms disappear quickly after rest.
7. Fracture: Children around 3 years old are still unable to express their feelings, so fractures are most likely to be misdiagnosed and can be identified by imaging examination.
Treatment policy
Clinically, most scholars use physical therapy, calcium supplement and analgesic drugs, insole intervention, behavioral cognitive therapy and other methods to relieve symptoms.
nutrition therapy
Children can be given vitamin B 1 and vitamin B6, which can nourish nerves and relieve nerve traction pain.
medicine
1, calcium preparations and vitamins can be given to improve bone mineral density.
2. If the pain is severe, you can use painkillers, such as ibuprofen and acetaminophen. Parents should not buy medicines for their children to avoid adverse consequences.
physiatrics
Some children take local warm water hot compress and local microwave therapy to relieve pain. Physical therapy can obviously improve the blood perfusion and nerve function of children and reduce the nerve excitability of diseased tissues. The sense of warmth generated during the implementation of physical therapy can alleviate the discomfort caused by pain and reduce children's fear of pain.
psychotherapy
Cognitive behavioral therapy is used to reduce children's anxiety and fear of growing pains, and emotional counseling therapy is used to encourage children to express their emotional experiences and reduce their sensitivity to pain.
Other treatments
You can choose Chinese medicine treatment, that is, local massage, acupuncture, Chinese medicine fumigation and washing, and Chinese medicine external application.
Possibility of cure
Growth pain can be cured without affecting the normal growth and development of children.
Dietary advice
1, children should be given more nutrients that can promote the growth of cartilage tissue, such as milk, bones, walnuts and eggs.
2, vitamin C is conducive to collagen synthesis, which can make children eat more vegetables and fruits rich in vitamin C, such as vegetables, leeks, spinach, citrus, grapefruit and so on.
prevent
Most children's growth pains appear after excessive exercise, so avoiding excessive exercise can prevent growth pains. But there is no need to restrict children's activities, but if the pain is severe, children should pay attention to rest more, relax their muscles and avoid strenuous activities.