Growing pains
Informed by recognized medical guidance
Overview
Growing pains are a common, harmless condition that causes aches or pains in a child's legs, often at night. They are not a sign of a serious illness.
Key facts
- Growing pains are not a disease, they are a normal part of growing up.
- The pain usually occurs in both legs, often in the calves, thighs, or behind the knees.
- Growing pains typically happen in the evening or at night and are gone by morning.
Yes, growing pains are very common. It is estimated that up to 40% of children experience them at some point.
Growing pains most often affect children between ages 3 and 12. They are equally common in boys and girls.
Symptoms
- Sudden, severe leg pain that does not go away.
- Pain accompanied by a fever, chills, or weight loss.
- Swelling, redness, or warmth in the leg joint.
- Limping or refusal to walk.
- Pain that continues during the day and does not ease with rest.
- ⚠Pain that happens recurrently and interferes with daily activities.
- ⚠Pain that does not respond to simple measures like massage or over-the-counter pain relief.
Common symptoms
- Aching or throbbing in the legs, usually in the calves, thighs, or behind the knees.
- Pain that typically occurs in the late afternoon or evening and often wakes the child from sleep.
- The pain is usually gone by morning.
- Massaging the legs may help the pain go away.
Symptoms in children
- Aching or throbbing in the legs, usually in the calves, thighs, or behind the knees.
- Pain that typically occurs in the late afternoon or evening and often wakes the child from sleep.
- The pain is usually gone by morning.
Causes
Main causes
- The exact cause of growing pains is not known.
- They may be related to muscle overuse from running, jumping, and climbing during the day.
- There is no evidence that growing pains are caused by growing bones or growth spurts.
Risk factors
- Being very active outdoors.
- Having flexible joints (hypermobility).
- Family history of growing pains.
When to see a doctor
See a doctor urgently if:
- Sudden, severe leg pain that does not go away.
- Pain accompanied by fever, chills, or weight loss.
- Swelling, redness, or warmth in the leg joint.
- Limping or refusal to walk.
- Pain that continues during the day and does not ease with rest.
Book a routine appointment if:
- If the pain persists for several weeks or occurs during the day.
- If you are concerned about your child's pain and want reassurance.
Diagnosis
A doctor can usually diagnose growing pains by asking about the symptoms and doing a physical exam. They will check that the pain is not caused by another condition.
Tests that may be done
- No specific tests are required for diagnosis. If another condition is suspected, the doctor may suggest blood tests or X-rays.
What to expect at your appointment
The doctor will ask about your child's symptoms, when they occur, and any other signs. They will examine the legs to check for swelling, redness, or tenderness. The appointment is usually straightforward and reassuring.
Treatment
Growing pains usually resolve on their own. Treatment focuses on comforting the child and relieving the pain.
Self-care at home
- Gently massage the child's legs.
- Apply a warm compress or give a warm bath before bed.
- Gently stretch the leg muscles.
- Provide reassurance and comfort.
Medical treatments
If the pain is bothersome, a doctor may recommend an over-the-counter pain reliever suitable for your child's age and weight. Always check with your doctor or pharmacist before giving any medication.
When is surgery considered?
Surgery is not needed for growing pains.
Living with this condition
Growing pains are a normal part of childhood and do not limit activities. Children can play, run, and go to school as usual.
Lifestyle tips
- Encourage regular physical activity.
- Make sure your child gets enough rest and sleep.
- Create a calm bedtime routine to reduce anxiety about the pain.
Diet and exercise
A balanced diet and regular exercise are important for overall health. Stretching exercises, especially for the legs, may help prevent nighttime pain.
Mental health and emotional wellbeing
Growing pains can be distressing for both children and parents, especially if they wake the child at night. Reassure your child that the pain is normal and will pass. If you feel anxious, talk to your doctor.
Prevention
Growing pains cannot be completely prevented, but keeping your child active and ensuring they have a good bedtime routine may help reduce the frequency.
Complications
If left untreated
- There are no serious complications from untreated growing pains. The condition resolves on its own as the child grows.
Long-term outlook
The vast majority of children outgrow growing pains within a year or two. They cause no long-term harm and do not affect growth or development. It is a temporary, harmless phase.
Find support
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Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.
Related conditions
Sources and guidance
This article is educational and is prepared with reference to recognized health information and clinical guidance sources where available. Specific source links may vary by topic.
Last updated: July 30, 2026
Educational note: This information is for education only and is not a diagnosis.
Use it to support, not replace, advice from a licensed clinician.
If symptoms are severe, worsening, or urgent, call your local emergency number or seek emergency care.