From the Research
Growing pains can be effectively managed with a combination of gentle massage, heat application, and over-the-counter pain relievers, as evidenced by the most recent and highest quality study 1. To manage growing pains, I recommend the following:
- Gentle massage of the affected muscles for 5-10 minutes
- Application of a warm compress for 15-20 minutes before bedtime to help relieve discomfort
- Over-the-counter pain relievers, such as acetaminophen (10-15 mg/kg every 4-6 hours) or ibuprofen (5-10 mg/kg every 6-8 hours), at age-appropriate doses
- Stretching exercises during the day to prevent nighttime pain
- Reassurance to children and parents about the benign and self-limited nature of growing pains, as they are not actually related to growth and do not cause long-term problems 1. It is essential to note that growing pains typically affect children ages 3-12, occur in the muscles rather than joints, and usually resolve by morning 1. If the pain is severe, persistent, associated with swelling, redness, limping, or fever, or interferes with normal activities, it is crucial to consult a healthcare provider to rule out other conditions 1. Key characteristics of growing pains include:
- Bilateral lower extremity pain, usually experienced in the early evening or at night
- Pain not caused by activity and not resulting in a limp
- Normal physical examination and no need for laboratory or radiographic evaluation when the history is classic for growing pains 1.