Growing Pain & puberty

Question 1

Growing Pain

Answer 1

• Growing pain among children is COMMON ,4-12 years

Question 2

• Clinical Features of Growing Pain

Answer 2

Usually manifest as Lower limb pain [ Hip , knee, shin pain ]
- Evening hours
- Pain follows a day of physical activity and relieved by analgesia
- Pain DOES NOT affect the joints
**Physical examination, imaging and Labs NORMAL !

Question 3

Treatment:

Answer 3

Supportive [ Stretching exercise , message to relief pain ,
NSAID or acetaminophen ]. Condition resolve by its own.

Question 4

first sign of puberty

Answer 4

• in Girls → breast buds (Thelarche)9-11 years
• in Boys → The Testicular Enlargement / growth of testicles

*NOTE: growth spurt in boys occur appx. 2 years later than Girls

Question 5

Principles for healthy Sleep in Adolescence

Answer 5

• Eat regular meals , don’t eat a meal within 1 hour before sleep
• Sleep 8 – 10 h/day
• Don’t use Alcohol , smoking or sleeping pills/melatonin
• Try to wake up and go to bed at the same time
• Do regular exercise
• Question: Sleeping difficulty during Adolescent , what 1st step to Do ?
  Try Lifestyle changes First before conducting any medical treatment !!!

Question 6

Restless Leg syndrome

Answer 6

leg pain
don’t go unless moving the legs
-iron deficiency anemia associated