In the pediatric clinic, parents often ask their children: "Doctor, my child often complains about leg pain recently. What's the matter? Is it growing pain?" There is also a mother at
who said: "My child has been taking vitamin D. And calcium tablets, why do you still say that your legs hurt?"
Does a child's leg pain must be growth pain? Will calcium supplementation alleviate it? The
pediatrician said that there are many causes of leg pain, and it needs to be judged comprehensively based on various information. It cannot be comprehensive, so as not to delay the child's condition.
What are the diseases that cause leg pain in children?
Infant idiopathic arthritis
is a rheumatic immune system disease, which often occurs in children under 16 years old. After excluding other diseases, joint swelling, pain, heat, or limited activity of unexplained joints, lasting more than 6 weeks. Z2z
may also be accompanied by skin rashes. The rash increases when fever occurs, and the rash decreases after the fever subsides. It may be accompanied by systemic lymphadenopathy, hepatosplenomegaly, etc. A small number of children are also accompanied by heart, lung, and blood system symptoms.
Allergic purpura
This disease is related to food, drugs, and streptococcal infections. It is manifested as fever, subcutaneous bleeding points, bleeding points are more obvious on the lower limbs, and some faces and ears may also appear, and in severe cases, it is accompanied by limb swelling and pain.
trauma, fractures
trauma children have a history of falls or collisions, local skin bruising, swelling, and pain localized in the trauma; fracture children also have a history of trauma, restricted limb movement, pain, and local swelling.
synovitis
mostly has trauma or excessive exertion, respiratory tract infection inducement, treatment with joint pain or claudication, no tenderness, swelling around the joint, color Doppler ultrasound or MRI visible effusion.
joint hypermobility syndrome
mostly occurs after exercise, knee pain is more common, and children have joint laxity. It often resolves spontaneously with age.
myositis
is often caused by a viral infection, which can cause obvious muscle pain. Among them, the calf pain is the most obvious, more bilateral than unilateral, followed by thigh muscles, occasionally involving the neck, shoulder blades and upper limbs, mostly dull pain.
usually relieves significantly after exercise and rest. Severe cases have difficulty walking or refuse to walk. The calf muscles are tender, but there is no skin sensation, no redness and swelling in appearance. In addition to joint pain symptoms,
early synovial tuberculosis
also has long-term low-grade fever, night sweats, weight loss and other symptoms of tuberculosis poisoning. Joint pain is obvious at night. Tuberculosis related tests were positive. In addition to the local symptoms of pain,
knee joint septic arthritis,
also has systemic symptoms such as fever and fatigue. The blood routine shows a significant increase in white blood cells.
Discoid cartilage rupture of the knee joint
is more common in adolescents. There will be obvious bounce when the knee is moving, tenderness around the knee, obvious soreness, and meniscus injury.
Rheumatic fever
Before the onset of this disease, there was a history of streptococcal infection (scarlet fever, streptococcus in pharyngeal culture, ASO positive), manifested as migratory arthritis, joint pain, carditis, subcutaneous nodules, annular erythema, chorea. How does
judge whether the child is growing pain?
So many diseases will cause pain, so how to judge whether it is growing pain and what are the characteristics of growing pain?
age group
most commonly occurs in children between the ages of four and ten.
time
limb pain may occur in the evening while resting, or it may occur every night for several weeks.
The painful part
can be thigh, calf, joint, arm. The pain was transferred from one part to another, and there was no swelling, redness, pain in a certain part, or unsteady walking. Why does
have growth pain? Most of
growth pain is considered to be the bone growth is too fast and the muscle growth is relatively slow, the growth rate of the two is inconsistent, causing the muscles at the joints to be traction and cause pain.
growth pain is not calcium supplementation?
Because the growth pain is caused by the unsynchronized growth of bones and muscles, there is no medicine to treat it.
If you have to use some medicine, you can use some calcium tablets, because the growth rate is not synchronized, and the long bones are mainly long bones, so calcium can be supplemented appropriately.
In addition, local massage or warm compress can be given when the pain occurs, which can make the child's psychological care and sense of security. There are many reasons for
to cause leg pain in children. Parents and friends should not take it lightly and must have a doctor evaluate it before drawing conclusions.
source: WeChat public account "Red Scarf Assembly Number", please indicate the source for reprinting.
