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Growing pains: practitioners' dilemma
1Clinic Nua Sakala, Keonjhar, Odisha. Correspondence to: Dr Mahesh Prasad Mohanta, Practicing Pediatrician, Clinic Nua Sakala, Goudanibeda, PO Dhurpada, Dist Keonjhar, Odisha 758 013, India. mpmohanta@gmail.com.
Insights
Growing pains are common in children but often overlooked. Following diagnostic criteria aids accurate clinical diagnosis, avoiding unnecessary tests and treatments for this common pediatric condition.
Area of Science:
- Pediatric Rheumatology
- Pediatric Pain Management
Background:
- Growing pains are frequently encountered in pediatric practice.
- There is a notable lack of attention given to growing pains in standard medical literature.
- Practitioners face diagnostic and management challenges due to this oversight.
Purpose of the Study:
- To address the confusion among pediatric practitioners regarding the diagnosis and management of growing pains.
- To provide a clear approach for identifying and treating growing pains in children.
Main Methods:
- Comprehensive literature search conducted on PubMed and Google Scholar using specific keywords related to growing pains in children.
- Inclusion of various study types: Review articles, Systemic Reviews, Randomized Controlled Trials, Practice guidelines, and Observational studies.
- Screening of reference lists from selected studies to identify additional relevant research.
Main Results:
- Clinical diagnosis of growing pains is achievable with high accuracy by adhering to established diagnostic criteria.
- A structured diagnostic approach, considering both inclusion and exclusion criteria, is crucial.
- This systematic method helps prevent unnecessary investigations and potentially harmful medications.
Conclusions:
- Accurate clinical diagnosis of growing pains is feasible using widely accepted criteria.
- A systematic approach minimizes unnecessary investigations and treatments.
- Reassurance is the primary and most effective management strategy for growing pains.
Need And Purpose Of Review:
Though cases of 'growing pains' are quite common in pediatric practice, very little attention has been given to it, even in the standard text books. The resultant confusion among practitioners regarding diagnosis and management of this condition needs to be addressed.
Methods Used For Locating, Selecting, Extracting And Synthesizing Data:
PubMed search was performed using "growing pains "[All Fields] AND (("child"[MeSH Terms] OR "child"[All Fields] OR "children"[All Fields]) AND ("pediatrics"[MeSH Terms] OR "pediatrics"[All Fields] OR "pediatric"[All Fields])). Types of articles included are Review articles, Systemic Reviews, Randomized Controlled Trials, Practice guidelines and Observational studies. Google Scholar was also searched using the term "Growing pains in children". Relevant articles not included in the PubMed results were selected. Reference lists of selected studies were also screened to identify additional studies.
Main Conclusions:
A fairly accurate diagnosis of growing pains can be made clinically, if the widely accepted diagnostic criteria are followed . A systematic approach, with due consideration of both inclusion as well as exclusion criteria, can avoid unnecessary (sometimes potentially harmful) investigations and medications. Reassurance remains the main stay in the management of 'growing pains'.
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