REASSURANCE, LEG MASSAGE, AND LOCAL HEAT
Not applicable (childhood condition) - Not applicable
Provide reassurance to parents; massage legs gently, apply local warm compress or bath, and perform hamstring/quadriceps stretches before bedtime
No labelled dose - a procedure, not a medicine
Growing pains are benign and self-limiting; reassurance, gentle calf/thigh massage, stretching exercises, and warm baths provide effective relief without regular medication
- MUST rule out red flags: unilateral pain, daytime pain, limping, joint swelling/erythema, localized bone tenderness, fever, or weight loss.
- Physical exam must be completely normal; symptoms should resolve by morning leaving child fully active during the day.