Treatment of Growing Pains
The treatment of Growing Pains is generally simple, focusing on comfort measures and supportive care rather than medication or invasive therapies. Because the condition is benign and self-limiting, the treatment of Growing Pains aims to reduce pain during episodes, improve sleep, and reassure both children and caregivers that the discomfort is not caused by a serious medical issue.
Growing Pains are among the most common types of limb pain in childhood, typically resolving on their own over time. Nevertheless, episodes can be intense enough to disrupt sleep and cause significant distress. Effective management involves a combination of physical interventions, emotional reassurance, and lifestyle modifications tailored to the child’s needs.
1. Reassurance and Education
Reassurance is the most important first step in treatment. When a healthcare provider confirms that a child has Growing Pains:
Parents are reassured that the pain is not caused by disease or injury
Children feel supported and less anxious about their symptoms
Unnecessary investigations and referrals are avoided
Explaining that the pain is a normal part of childhood for many helps normalise the experience and alleviates fear.
2. Massage and Physical Comfort
One of the most effective home-based treatments is gentle leg massage, especially during or just before an episode. This may include:
Rubbing the calves, thighs, or knees in circular motions
Using warm oils or unscented lotions to soothe tired muscles
Applying warm compresses or heat packs to the affected area
Massage promotes relaxation, improves circulation, and has a comforting effect that often shortens the duration of the pain.
3. Stretching Exercises
Daily gentle stretching can help reduce the frequency and intensity of Growing Pains, particularly in children with tight hamstrings or calves.
Suggested stretches:
Hamstring stretch: Sit with legs extended, reach for toes
Calf stretch: Stand facing a wall, bend one knee while keeping the other leg extended behind
Quad stretch: Stand on one leg, pull the opposite ankle towards the buttock
These stretches are best performed:
In the morning, to reduce tightness from the previous night
Before bedtime, to prepare the muscles for rest
After sports or high activity days, to prevent muscle fatigue
Parents can turn stretching into a bonding activity, encouraging consistency without pressure.
4. Warm Baths
A warm bath before bed can help relax muscles, calm the nervous system, and support restful sleep. Consider adding:
Epsom salts (magnesium sulphate), believed to relieve muscle tension
Lavender oil, for its calming properties (only if the child is not sensitive to scents)
This ritual can form part of a calming bedtime routine and may reduce night-time awakenings due to pain.
5. Over-the-Counter Pain Relief (If Needed)
If massage and stretching are insufficient, short-term use of paracetamol (acetaminophen) or ibuprofen may be recommended. Guidelines include:
Use only during active episodes
Avoid giving pain medication every night as a preventative
Ensure correct dosing by weight
Always consult a healthcare provider before prolonged use
These medicines can reduce inflammation and discomfort but should not replace physical comfort measures.
6. Footwear and Orthotics
Children with poor foot posture, such as flat feet, may benefit from:
Supportive, well-fitting shoes
Cushioned insoles
Custom orthotics (if advised by a podiatrist)
These measures help correct gait issues and reduce the strain on leg muscles, particularly in active children.
7. Sleep Hygiene and Emotional Support
Improving sleep hygiene can help children fall back asleep more easily if awakened by pain:
Maintain a consistent bedtime routine
Avoid screens or stimulating activities before bed
Provide a reassuring environment, such as a night light or favourite toy
In anxious children, relaxation techniques such as deep breathing, story time, or gentle music may help them feel more secure and less distressed by the pain.
8. Physiotherapy (Occasionally)
For children with frequent or intense episodes, a physiotherapy assessment may be helpful. A trained physiotherapist can:
Identify muscle imbalances or tightness
Develop a stretching and strengthening programme
Offer guidance on posture and movement
However, physiotherapy is rarely needed unless symptoms persist or significantly impact function.
9. Psychological Support (If Indicated)
In some cases, especially when stress or anxiety appears to play a role in pain expression, psychological support may be beneficial. A child psychologist or counsellor can:
Help the child manage pain-related anxiety
Teach coping strategies
Address any emotional stressors that may exacerbate symptoms
This approach supports both physical and emotional wellbeing.
What to Avoid
Avoid:
Excessive use of painkillers
Unnecessary imaging or blood tests unless red flags are present
Dismissing the pain as “not real” — even if harmless, the child’s discomfort is genuine
Supportive care is the best approach, combined with watchful observation.
Conclusion | Treatment of Growing Pains
The treatment of Growing Pains focuses on comfort, reassurance, and simple physical therapies such as massage, stretching, and warmth. While not dangerous, these pains can disrupt sleep and cause distress—making compassionate care essential. Most children respond well to this supportive approach, and the treatment of Growing Pains rarely requires medication or medical intervention beyond education and physical comfort.
