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Home and Family

Growing Pains
by A.Ross

People vary remarkably in their ability to tolerate pain; one person may find the pain of a small cut or bruise intolerable, while another can bear a major wound with little complaint. Ability to withstand pain also varies according to mood, circumstance, personality and age. In a moment of excitement, a person may not even be aware of the severe bruise he received, but he will certainly feel it later. Older people complain less of pain, either because sensations have been dulled with age, or because they are more stoical.

I remember having severe pain in my legs as a child and my mother told me soothingly that they were growing pains, and would soon go away. They always did. When one or other of my children woke at night with severe pain in their legs, I would comfort them and tell them it was growing pains. It is a fact, though, that these pains have no connection to growth. For generations, children have complained of idiopathic pain, either mild or severe, and for lack of a better term, the pains were called growing pains.

The term 'idiopathic pain', (i.e. the cause is unknown), is used if doctors find no physical or psychological cause. Some mothers shrug off the phenomenon, feeling their children like to exaggerate pain. Others worry unduly and visit the doctor repeatedly. The child is subjected to numerous tests and the mother is told it is growing pains.

Recent extensive research in Australia has shown that more than a third of all children between the ages of three and eight suffer from these inexplicable pains at some time or other. Some children wake up at night writhing in pain; perhaps they have a low pain threshold, but they are certainly in pain. They derive little comfort from the fact that they are told that they will grow out of it. Sufferers are usually perfectly healthy children. The pain is not always in the same place and not always in both legs at the same time. The researchers ruled out psychosomatic pain because it occurs in very small children as well. Little children cannot imagine pain. Actually, they can and do, stop using a limb if they feel pain. They can begin to limp or stop walking altogether if something hurts them. Therefore, although mothers worry terribly if their child limps, it is not always a cause for worry.

Muscle fatigue was also eliminated by researchers because parents reported that the pain frequently occurred after children had spent a quiet day without much exercise. Thus, at the moment, there is still no conclusive evidence as to the cause of these 'growing pains.'

How do we know that the pain is not something serious? Are we not negligent if we ignore it? The pain usually goes away spontaneously, but one has to check if it is something grave by a process of elimination. If there has been an injury, or the child has fever, or there is some swelling, a parent should definitely consult a doctor to rule out other causes. Pain can be a pointer to more serious things, and a doctor will probably want a blood test.

However, as these pains are so common, and as they seem to run in families, we do not have to subject the child to numerous invasive tests if we can rule out the likelihood of a severe illness. We need to calm the child (and ourselves), as tension increases pain. Furthermore, if a child feels a mother is worried, the pain will automatically become more severe. A mild dose of brufen or paracetamol will not do any harm if the pain persists. Rubbing the affected area might help, and so will a cuddle.

The One Who creates cures, will no doubt aid researchers to arrive at the true cause for these mysterious growing pains, which are so widespread, in good time.

 

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