Current location - Education and Training Encyclopedia - Graduation thesis - What are the causes of leg pain in children?
What are the causes of leg pain in children?
Question 1: How is the child's leg pain? When children grow up, it is inevitable that they will have leg pain, so what is going on? The leg pain of a long child is called "growth pain". Many parents see that their children have "growing pains" and give them calcium supplements, thinking that if their children have enough calcium, their legs will not hurt. Pediatricians suggest that growth pain is a normal growth phenomenon and has nothing to do with calcium deficiency. In addition, leg pain can be attributed to growth pain, and diseases such as juvenile arthritis and bone cancer are accompanied by leg pain symptoms. Example of growth pain symptoms: Beibei, 6 years old, has been complaining about leg pain in the middle of the night for the past two days, but the pain disappeared during the day and she is still jumping around. Mother examined her leg and found that it was not red and swollen. If she presses her leg, Beibei won't feel any pain. Grandpa said that this is the child "pulling" the body and growing up. Mom is still not at ease, or take Beibei to the hospital for examination. After the doctor examined his body, he told his mother that this was indeed a typical "growing pain". The pain of growing up: the pain is short-lived and has no "mark". Parents take their children to check this "inexplicable" leg pain. Growing pains mostly occur in children aged 5~ 10, who are growing up. If the bone grows faster than the muscle in the growing period, it will pull the muscle and cause pain. This is a normal growth phenomenon, and parents don't have to worry at all. This kind of growth pain is easy to distinguish, usually occurs in the middle of the night, and the knees, ankles and knees are numb or painful, and the degree is light or heavy, and will disappear after a few nights. The next attack will last for several nights and then disappear. There is no redness and swelling in the legs. Pressing the leg muscles will not hurt and will not affect walking. Whether it hurts or not has nothing to do with height Many parents pay special attention to calcium supplementation as soon as they see "growing taller", which is related to the child's height. Does "growing pains" have anything to do with height? Do you need calcium supplements? Don't children who don't have growing pains grow taller? Growth pain is a natural growth phenomenon, because children's bones grow rapidly, while the surrounding nerves, tendons and muscles grow relatively slowly, thus causing traction pain. It has nothing to do with how tall you are. Some people who have never experienced growth pains are also very tall. Similarly, people with growth pains are not necessarily very tall. Is the child suffering from growing pains and calcium deficiency? Children are likely to be short of calcium during their growth period, so you can give your children appropriate calcium supplements. But as far as growth pain is concerned, calcium supplementation has nothing to do with growth pain, and children with sufficient calcium may also have growth pain, and calcium supplementation is not helpful to alleviate growth pain. Can growth pain be relieved by taking painkillers? The pain of growing up is a normal phenomenon and no measures need to be taken. You can also give your child some vitamin B 1 and vitamin B6, which can nourish nerves and relieve nerve traction pain, but it has little effect. There is no need to give the child painkillers. It's a three-point poison. Don't use them casually. Besides, the pain is far from enough to need medicine. When children have growing pains, should they take more rest? Editor's recommendation: too much calcium supplement.

Question 2: What is the cause of children's leg pain ● Growth pain is the most common.

"The most common cause of lower limb pain is growth pain. When sleeping at night, children often shout leg pain or joint pain of lower limbs. When you rub it, the pain will be relieved. After getting up the next morning, the pain disappeared and everything moved freely. This kind of joint pain is a common phenomenon when children grow up. We call it growing pains. " Cheng Fuli said that children, especially children aged 3-8, can grow 7-8 cm tall every year. Because the bone grows faster, the surrounding nerves, tendons and muscles grow relatively slowly, which will cause traction pain.

This kind of pain may be related to excessive growth, fatigue, weather change or lack of trace elements. Characteristics of pain: pain mostly occurs in the upper and lower knees, with pain or tingling, mostly in the evening or before going to bed, and the pain lasts for several minutes, rarely exceeding 1 hour. The pain has no obvious fixed position and is not accompanied by redness, swelling and fever. If it is hot or mild, the pain will disappear quickly.

Calcium supplementation alone can't relieve growth pain. "Children with growing pains generally like to run and jump, but they have a bad diet or are picky eaters, such as rarely eating vegetables. It is undeniable that some children will be short of calcium during this time, but calcium supplementation is not very helpful for relieving growing pain. " Cheng Fuli introduced that the cause of growth pain is not bone, but soft tissue fatigue. Excessive calcium preparations cannot be well absorbed by children.

To treat children's growing pains, the most important thing is to rest in time. Soak your child's feet and calves with hot water before going to bed every night. But when children are not tired, they should encourage more activities and exercise muscle strength. When the pain is severe, you can take local painkillers or vitamin C in moderation. After proper rest, exercise, * * *, drug symptomatic treatment, the child's growth pain will soon heal.

There are many reasons for joint pain.

Not all joint pains are growing pains. Cheng Fuli reminded parents that when a child has joint pain, parents can ask the child first, what are the joint pains? Have you ever been traumatized? Eliminate the pain caused by trauma first, and then make a judgment according to the signs. In addition, parents can also take a look at whether the skin at the painful joints is red, hot and swollen, and also see whether the joints can move and whether the pain is aggravated after the activity. In addition, parents should take their children's temperature, because most acute arthritis is fever.

Cheng Fuli listed the common diseases that cause joint pain for parents' reference and identification.

Transient synovitis of hip joint: the cause is unknown, and there may be a history of minor injuries and upper respiratory tract infection. Most of them are 3 ~ 10 years old, about 5 years old. Most of them are unilateral, acute hip pain or radiation to the inner thigh and knee joint, more men than women. The child refuses to walk on the ground or walks with a limp. No joint swelling, but local tenderness. Magnetic resonance imaging showed a small amount of joint effusion. The pain can go away in a few hours or days.

Synovial incarceration: mostly caused by minor trauma, such as limping, limb pain, obvious limitation of joint activity, etc.

Aseptic necrosis of femoral head: claudication and squat difficulty with unknown reasons; Pain in the medial knee, but no local tenderness; Suffering from tenderness in the hip center, hip internal and external rotation can induce pain, or the activity is partially limited; In the late stage, the pain is relieved or asymptomatic, the affected limb muscle atrophy or lower limb shortening, and the hip joint activity is slightly limited or normal.

Osteochondritis of tibial tubercle: It is common in 8~ 15 years old, with more males than females, mostly unilateral. After exercise, the tibial tubercle is painful and swollen locally, and there may be tenderness or percussion pain. Pain can be induced when squatting or going up and down stairs. After a few days' rest, the pain will ease or disappear.

Rheumatic fever: it is easy to cause joint pain such as ankle, knee, hip, wrist, elbow and shoulder, that is, rheumatoid arthritis, which may be accompanied by joint swelling and tenderness in different degrees. The pain is short-lived, and some of it will be relieved after only 1~2 days. If not controlled, it will lead to rheumatic heart disease.

Henoch-Schonlein purpura arthritis: One or more joints are swollen and painful, and skin purpura occurs at the same time, and a few do not. If not treated in time, it will lead to kidney damage.

Rheumatoid arthritis: 4~ 10 years old, with fever, joint pain and other symptoms.

Acute hematogenous osteomyelitis: local persistent pain, refusing to touch.

Acute suppurative arthritis: 1~3 years old children are more common, with acute onset, obvious joint pain, refusal to touch and press, and slight joint movement, which will cause severe pain.

Traumatic fracture and dislocation: severe pain, aggravated by touching local or tapping distal end.

Question 3: What causes the child's leg pain? Did you go to the hospital? Suggest going to the hospital. There are doctors in the hospital. There is no such thing. The problem with children is that they can't afford to delay.

Question 4: 7.8-year-old children always have leg pains. I don't know why, please ask the great gods. Yesterday, some parents asked me if my child was undernourished at the age of three and often had leg pains. Or are there other questions? Is the child's leg pain caused by lack of nutrition or something? I will analyze the child's physiology. Children, leg pain usually occurs at night, which is caused by growth and development, which is what everyone calls growth pain. Then what is the pain of growing up? Growth pain, that is, the stage of children's growth and development, is a kind of unbalanced nutrition, which may be caused by unbalanced development of bones, muscles, tendons and ligaments and unbalanced or insufficient supply of various nutrients. Most of these children are infants aged 3-5 years, and the pain is located in the knee and its local muscles, and a few are located in the thighs and ankles. The duration of pain is several minutes for some children and several hours for others. And it all happened at night, and it will be fine after * * *. The pain of growing up often lasts for several years, and then it will relieve itself. If, during this period, the growth rate of bones exceeds the growth rate of peripheral nerves and tendons, it will lead to uncoordinated repeated traction of peripheral muscles and nerves, and also lead to growth pain. Because children are naturally active, the metabolism of tissues and cells in the original body is vigorous, and excessive activity can easily lead to lactic acid accumulation between tissues and cells and nerve endings, which can also lead to pain. This is why we suddenly feel sore after strenuous exercise. Parents should pay attention to observation. If the child doesn't hurt during the day and hurts at night, it is mostly the pain of growing up. If the child has growing pains, we don't need to restrict the child's activities or seek medical treatment. If the child has severe pain, we can let the child rest more. At the same time, you can also use hot water to let your child soak his feet or hot compress the painful place. However, this method can only alleviate the pain of children. Encourage children to exercise outdoors when they are not tired at ordinary times. The pain of growing up generally disappears near adolescence. Diet should pay attention to diet. We should pay attention to giving children rich food and making their nutrition balanced. Yes, some children are particularly picky about food, which will make their nutrient intake unbalanced or insufficient because of their rapid growth and development. Dietary guide for preschool children: 1. Eat a variety of foods, mainly cereals; 2. Eat more fresh vegetables and fruits; 3. Eat proper amount of fish, poultry, eggs and lean meat; 4. Drink milk every day and often eat soybeans and their products; 5. Eat light and little salt, choose snacks correctly and drink less sugary drinks; 6. Balance food intake and physical activity to ensure normal weight gain; 7. Don't be picky about food, don't be partial to food, and cultivate good eating habits. 8. Eat clean, hygienic and undamaged food. Parents should pay attention to the condition of their children's legs. In addition to pain, they also have a fever, difficulty in moving and red joints. At this time, you must take your child to the hospital for corresponding examination and actively cooperate with the doctor.

Question 5: How about the child's leg pain? Many parents go to the orthopedic clinic of Children's Hospital to report their children's leg pain or discomfort at night or at night. Occasionally, children can be woken up from their sleep, and the family can't rest because of crying and tossing. But in the morning, the pain disappeared without a trace, which did not affect the children's activities during the day. Strangely, the child is in good health and has no other diseases. Careful parents will also tell doctors that the pain is intermittent, and some will be delayed for several years. What would have happened if the child had not been naughty on purpose? After detailed inquiry, careful physical examination and related auxiliary examination, the doctor told the parents that the child's leg pain is "growth pain" and a problem in the process of growth and development. The real reason is still unclear, and it may be a specific unknown syndrome. The most common pain is in front of the knee, calf and thigh, occasionally in the groin area, and the pain is generally outside the joint. Typically, both sides hurt and one side hurts. The nature and duration of pain are concerned by doctors, because it is necessary to distinguish spasmodic pain caused by muscle fatigue from unbearable deep pain caused by bone tumor; Whether you feel pain every day, whether it is a few minutes or a few hours, can reflect the seriousness of the problem. In addition, doctors also attach great importance to the pain area, whether it is confined to a certain area of the limb or wandering pain, whether it is accompanied by swelling, whether it affects walking, and whether the pain can be relieved by drugs. Can help doctors make a correct diagnosis. What tests should children with "growing pains" do? Doctors usually observe children before examination. Children play and walk naturally and run to their parents happily, which shows that they are in good condition on the whole. If you walk unsteadily, your legs or ankles are limited, and you cry loudly, you may have an infection, sprain or nervous system disease. The doctor's examination starts from the asymptomatic parts and leaves the parts that may be painful for the final examination. Measuring the length of limbs is an important part of the examination, because different leg lengths can remind doctors whether there is hip infection or pelvic inclination caused by gluteal muscle contracture. The doctor will ask the child to do the corresponding laboratory or image-assisted examination to find out the cause of the pain. The diagnosis of "growing pains" is not difficult. It is important to rule out all possible diseases before making a diagnosis. There are many diseases that can cause leg pain in childhood, such as inflammatory pain, including Brodis abscess, juvenile single-joint rheumatoid arthritis and other forms of arthritis. We should also be alert to tumors of limbs, including local or distant tumors, such as osteoid osteoma of the upper femur, which may be difficult to diagnose without auxiliary examination. Spinal cord tumor's early manifestations are also symptoms of leg pain. Traumatic factors should also be considered. Obvious fractures are easy to be diagnosed, while small stress fractures are easy to be missed. Special joint diseases should not be taken lightly, such as synovitis, Perthes disease, femoral head epiphysis slippage, etc., all of which are manifested as pain or lameness in the inner thigh. In short, there are many diseases whose early manifestations are similar to "growing pains". The key point is that all leg pains cannot be simply understood as a problem of growth and development. Parents should take time to take their children to the hospital to see a doctor so that their children can get effective treatment. Children with problems should return to the hospital for follow-up visits regularly to ensure repeated physical examinations and further collect medical history. The most common mistake parents make is to think that they are "growing pains" and ignore the serious potential situation. You can take your child to the hospital for examination, including anti-erythrocyte sedimentation rate, mucin, rheumatoid factor and serum uric acid, and exclude wind-related diseases, wind-like diseases and gouty arthritis.

Question 6: Why does the child have leg pain? Could be calcium deficiency. Calcium can be supplemented. Generally, children's bone collaterals are also growing in the process of growth, and occasionally they feel pain. This is called the pain of growing up, but it is the most likely. If the pain doesn't last long, there should be no problem.