This article is a translation of the following Japanese article:
Original: 成長痛チェックリスト【簡単版】|病院に行く前に確認したいポイントと見分け方
When you wonder, “Is this growing pain?”
When a child complains of “my feet hurt” or “my knee hurts,” parents become very worried.
- Is it growing pains?
- Or is it a disease
- Should I go to the hospital immediately
The Growing Pains Checklist is useful in such cases.
Author
“It doesn’t mean you have to fit everything. Please use it as a guideline🌱”
Growing Pains Checklist [Basic Edition]
First, let’s check the characteristics commonly seen in growing pains.
✔ Check 1: The pain mostly occurs in the evening or at night
- Says “it hurts” after evening
- Complains of pain before going to bed or during the night
- In the morning, it’s a mess
👉 This is a common feature of growing pains.
Author
“It only hurts at night is a big hint that you may have growing pains.”
✔ Check ② I can move normally in the morning and during the day
- I feel fine when I wake up in the morning
- You can go to school and play normally
- Able to run and walk
👉 In the case of growing pains, often they do not significantly interfere with daily life.
✔ Check ③ The location of pain changes depending on the day
- Right foot today
- Next day left foot
- Location changes such as knees, calves, thighs, etc.
👉 Another characteristic of growing pains is that the location of the pain is not fixed.
Author
“Not being in the same place every time is often a source of peace of mind.”
✔ Check ④ No swelling or fever
- No visible swelling
- Not hot to the touch
- Not turning red
👉 With growing pains, there are few signs of inflammation.
✔ Check ⑤ There is no strong pain when pressed
- It is safe to touch lightly
- It doesn’t hurt unless you press hard
👉 If you experience strong pain just by pressing, consider the possibility of something other than growing pains.
✔ Check ⑥ I don’t have a fever or feel unwell
- No fever
- Have an appetite
- Feeling energetic
👉 Generally speaking, growing pains are not accompanied by any systemic symptoms.
Indication that growing pains are likely
✔ 3 to 5 or more of the above items apply
✔ The pain is temporary
✔ It often improves the next day
In this case, there is a high possibility of growing pains.
Author
“It’s more important to look at the overall flow than how many apply.”
Caution checklist [Guideline for hospital consultation]
Next, this is a sign that you should consider the possibility that it is not growing pains.
⚠ Caution ① The pain continues
- Pain in the same spot for days to weeks
- It hurts even during the day
👉 Growing pains are less long-lasting pain.
⚠ Caution ② Swelling, redness, and a feeling of heat
- Looks swollen
- Hot to the touch
- It’s red
👉 There is a possibility of inflammation, injury, or another disease.
⚠ Caution ③ Walking strangely/dragging your feet
- Walk with only one leg covered
- Apparently difficult to move
👉 This is not often seen in growing pains.
⚠ Caution ④ Fever or feeling unwell
- Continuing low-grade fever
- Lack of appetite
- Feeling exhausted
👉 If you have systemic symptoms, we recommend that you seek medical attention early.
⚠ Caution ⑤ Strong pain at night and day
- It hurts regardless of the time of day
- It hurts even if I don’t touch it
👉 Growing pains break down the characteristic of being “only at night.”
Points to keep in mind when going to the hospital
When you visit the doctor, please note the following points to make the examination go smoothly.
- When the pain started
- Pain time
- Where it hurts
- Intensity of pain
- Daytime situation
Author
“Small notes can often help in diagnosis.”
What to do at home when growing pains are suspected
If the checklist indicates that growing pains are likely, try the following care.
✔ Gentle massage
✔ Warm up in the bath
✔ Give yourself a good rest
✔ Avoid excessive exercise
Tips on how to use the Growing Pains Checklist
- Don’t worry about checking too much every time
- With a feeling like “How are you doing today?”
- If you notice any changes you are concerned about, consult us as soon as possible
Author
“’Not worrying too much, but not neglecting it’ is the perfect balance.”
Summary|Let’s make decisions calmly with the Growing Pains Checklist
✔ Growing pains are temporary pains that are common in children
✔ The child often has pain at night and is fine in the morning
✔ If there is no swelling, fever, or gait abnormality, there is no need to worry
✔ Use the checklist as a “hint for making decisions”
✔ If you feel even the slightest discomfort, consult a medical institution
Author
“Just by knowing, your anxiety will be much less. Let’s keep calm and keep an eye on the checklist.”
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