Two cartoon lizards.

Growing Pains: What They Are and How to Help Your Child

A cartoon giraffe

If your child is waking in the night with leg pain, you’re not alone. It may be what’s commonly referred to as growing pains. In this blog, we’ll explore what growing pains are, what causes them, how to tell if it’s something more serious, and what you can do to help.

At Bootin and Savrick Pediatric Associates in Houston, TX, we have experience treating a wide range of childhood discomforts, including growing pains. If your child is in pain and you’re unsure of the cause, contact us to schedule an appointment.

What Are Growing Pains?

Growing pains are a common source of discomfort in children, especially during the early school years. Despite the name, they aren’t directly caused by the growth of bones or muscles. Instead, growing pains refer to episodes of leg pain or aches in the lower extremities, especially the thighs, calves, or around the knees.

These pains typically occur in the late afternoon or evening and may wake a child from sleep. While they can be distressing, growing pains are usually not a sign of anything serious.

A growing child and their parent measuring his height in Texas.

Are Growing Pains Real?

Yes, growing pains are very real. While not linked to measurable bone growth, they’re recognized by pediatricians as a legitimate condition that affects up to 40% of children at some point. The exact cause is unclear, but they are not “just in a child’s head”. They are genuine sensations of painful, intermittent sore muscles or joint pain.

At Bootin and Savrick Pediatric Associates, we work with families to ensure their children are comfortable, healthy, and supported through every stage of development.

Do Growing Pains Mean My Child Is Growing?

Not necessarily. Though the term suggests a direct tie to growth spurts, research hasn’t confirmed a clear connection between pain and periods of rapid growth. Instead, these pains are more likely related to physical activity, overuse, and how a child’s body responds to daily stressors.

Causes and Symptoms of Growing Pains

Growing pains can occur without any obvious trigger, but there are some common patterns:

  • Pain usually happens in both legs.
  • Affects children between the ages of 3–12.
  • Most common in the evening or night, and better by morning.
  • Pain is located in the calves, thighs, or behind the knees.
  • No swelling, redness, or fever.
  • It may wake a child from sleep.
  • Often described as tender, sore, or achy.
 

Sometimes these symptoms can follow days of exercise or play, leading parents to associate them with a child being especially active.

What Can Be Mistaken for Growing Pains?

It’s essential to rule out other possible causes, as several conditions share similar symptoms:

  • Arthritis, especially juvenile idiopathic arthritis.
  • Orthopedic conditions, such as flat feet or hip problems.
  • Infections that cause fever and swelling.
  • Bone fractures or overuse injuries.
  • Rarely, bone tumors or malignancies.
 

If your child’s pain persists, is severe, or includes symptoms like fever, swelling, redness, loss of appetite, limping, or headaches, consult a doctor promptly.

How Are Growing Pains Diagnosed?

There are no lab tests for growing pains, but your child’s doctor will check for signs that might indicate something else. A diagnosis is made through a combination of medical history, symptom patterns, and physical exams.

We take every case seriously at Bootin and Savrick Pediatric Associates. With years of experience treating pediatric musculoskeletal discomfort, our team works closely with specialists when needed to ensure accurate diagnosis and treatment planning.

Treatment Options for Growing Pains

While growing pains can’t be “cured,” they can be effectively managed at home with simple, supportive care:

  • Warm baths before bedtime to relax muscles.
  • Gentle massage of the affected legs.
  • Stretching exercises to ease sore muscles.
  • Reassurance and cuddles as emotional stress can worsen symptoms.
  • Over-the-counter pain relievers like acetaminophen (if recommended by a doctor).
  • Encourage periods of rest after heavy physical activity.
 

Most importantly, growing pains should not cause a child to miss school, avoid play, or significantly alter their routine. If the symptoms seem worse or don’t improve, it’s time to consult a pediatrician.

At Bootin and Savrick Pediatric Associates, we guide parents through managing these discomforts. Whether through routine visits or coordinating care with pediatric orthopedists, we’re here to help your child thrive.

When to Call the Doctor

Contact your pediatrician if:

  • Pain is one-sided or doesn’t improve by morning.
  • There is visible swelling, redness, or tenderness.
  • Your child has a fever, loss of appetite, or isn’t acting like themselves.
  • The pain persists or seems increasingly severe.
  • Pain is interfering with sleep, school, or daily activities.
 

Getting the right diagnosis ensures peace of mind for you and proper care for your child.

Helping Your Child Through Growing Pains

While growing pains can be frustrating for both children and parents, the good news is they’re typically temporary and manageable. Most children outgrow them over time with supportive care and a healthy lifestyle.

If you’re unsure whether your child’s leg discomfort is just a phase or something more, don’t hesitate to reach out. At Bootin and Savrick Pediatric Associates, we’re here to provide compassionate care and personalized support tailored to your family’s needs.

Get Help Managing Your Child’s Growing Pains

Let us help ease your concerns and your child’s discomfort. Contact Bootin and Savrick Pediatric Associates in Houston, TX, to schedule a visit with our experienced pediatric team. We’re here to support your child through every step of growth and development.

Medically reviewed by Dr. Patti Savrick