'Growing pains' hard to pin
Researchers say there is no clear medical definition of “growing pains”.
The phenomenon of “growing pains” is often used to describe muscle or joint pain in young people, however, researchers have found there is no consistent medical definition of the condition behind a diagnosis.
A broad review of medical literature by University of Sydney researchers found there is no agreement among researchers and clinicians on what growing pains really are, what they mean, how they are defined, and how they should be diagnosed.
The researchers say growing pains may be a medical misnomer. Surprisingly, more than 93 per cent of studies did not refer to growth when defining the condition.
More than 80 per cent of studies made no mention of age in their definition.
The findings have prompted the researchers to recommend the term growing pains not be used by clinicians and other researchers as a stand-alone diagnosis, until a clear definition backed by evidence has been established.
Growing pains are considered to be one of the most common causes of recurring musculoskeletal pain in children and adolescents. Some studies suggest up to a third of children experience the condition at some point in their life.
The term first emerged in 1823 in a book called ‘Maladies de la Croissance’ (‘diseases of growth’).
“Thousands of kids are diagnosed with growing pains by their healthcare professional, but we were curious – what does that diagnosis really mean?” said lead author Dr Mary O’Keeffe.
The researchers extracted information from 147 studies that mentioned growing pains.
“What we found was a little concerning: that there is no consistency in the literature on what ‘growing pains’ means,” said researcher Professor Steven Kamper.
“The definitions were really variable, vague and often contradictory. Some studies suggested growing pains happened in the arms, or in the lower body. Some said it was about muscles while other studies said joints.”
Only seven studies, less than 10 per cent of the studies examined, mentioned growth related to the pain. More than 80 per cent of the studies did not mention a young person’s age at the time ‘growing pains’ occurred.
There was also no widespread agreement or a lack of detail on where the pain was located or when the pain happened.
Fifty percent of studies referenced ‘growing pains’ as being located in the lower limb, while 28 per cent reported specifically in the knees.
Forty-eight percent of studies reported the ‘growing pains’ happen during the evening or night and 42 per cent reported it was recurring.
“What this study uncovered was while ‘growing pains’ is a very popular label used to diagnose musculoskeletal pain, it means very different things to different people,” said senior author Professor Steve Kamper.
“This level of uncertainty means clinicians don’t have a clear guide or criteria to know when the label ‘growing pains might be appropriate for a patient’.”
The study also raised new questions on whether growing pains have any connection to growth itself in bone or muscle.
“There is a lack of evidence or inconsistent information on growing pains as a condition – and how it is associated with growth, or even the cause of the pain,” said Dr O’Keeffe.
“There is a real opportunity to understand this condition – given how widespread the use of the term is, or whether there is even a need to use this term.”
The full study is accessible here.