Growing Pains or Juvenile Arthritis? What Parents Should Know

​As children grow, it's not uncommon for them to complain about aching legs or sore joints—especially at night. For many, these discomforts are simply growing pains, a normal part of childhood development. But for some kids, persistent pain may be a sign of something more: juvenile arthritis.

Understanding Growing Pains

Growing pains typically occur in the evening or nighttime, most often in the thighs, calves, shins or behind the knee. They are most common in children ages 3 to 12 and tend to come and go. Despite the name, these pains aren't directly linked to growth but may be related to increased physical activity. Growing pains don't cause swelling, redness or stiffness and usually improve with gentle massage, stretching or a warm bath. Common analgesics, like acetaminophen or ibuprofen, can also relieve pain, if needed.

What Is Juvenile Arthritis?

Juvenile idiopathic arthritis (JIA) is a group of autoimmune and autoinflammatory conditions that affect nearly 300,000 children in the U.S. Unlike growing pains, JIA can cause persistent joint pain, swelling, stiffness and sometimes warmth around the joints. Symptoms may be worse in the morning or after periods of inactivity. One joint or many can be affected, and symptoms may flare up or decrease for periods of time. Some children with JIA may also experience fatigue, fever, swollen lymph nodes, rash or loss of appetite. Serious complications include growth problems, joint damage and eye inflammation which can lead to vision loss if untreated.

When to See a Doctor

While growing pains are harmless and typically resolve on their own, parents should take note if their child's pain:

• Persists for weeks or worsens over time
• Involves swelling, redness or warmth around the joints
• Causes stiffness in the morning or after rest
• Leads to limping or difficulty using the affected joint
• Is accompanied by fever, rash, swollen lymph nodes or unexplained fatigue
  

Next Steps for Parents

If you suspect your child's pain is more than growing pains, consult your pediatrician. Early diagnosis and treatment of juvenile arthritis can help manage symptoms and protect joint health. With proper care, most children with JIA can lead active, healthy lives.

If you have concerns about your child's joint pain, Boys Town's pediatric specialists are here to help. Schedule an appointment today to learn more about your child's health and well-being.​