growing pains

Question 1

what are the three theories?

Answer 1

anatomical
-orthopaedic factors increase leg muscle work
fatigue
-overuse of leg muscle in active kids
psychological

Question 2

Diagnosis of growing pains?

Answer 2

• nature of pain
• uni or bilateral
• onset of pain
• physical examination
• lab tests

Question 3

DDx for growing pains?

Answer 3

• juvenile arthritis
• bone tumor
• muscle metabolism
• fibromyalgia
• restless legs
• other

Question 4

Management

Answer 4

-muscle stretching only evidence based treatment option