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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cause Of Tibia Pain In Evening Despite Taking Tylenol?

5 year old female with c/o tibia pain. occurs usually in evenings or nights. will wake from sound sleep crying with sharp tibia pain. occurs between knee and ankle. if occurs earlier in evening have her take warm bath which does not always help. sometimes give her one chewable tylenol which does not seem to help much. have rubbed the leg or put warm cloth on leg without relief. Will lay with her and give her comfort and after a while will go back to sleep. Is an active child. Hx...healthy, no illnesses, no fever, takes no medication, had all immunizations, flu shot up to date,
Mon, 6 Apr 2015
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Pediatrician,  's  Response
most probably it is growing pains which affects 10-20% of children, with a peak age incidence between 4 and 8 yr. it is most common cause of recurrent musculo-skeletal pain in children.it is intermittent and bilateral, predominantly affecting the anterior thigh and calf but not joints. it is mostly cramping or aching type of pain that occurs in the late afternoon or evening. Pain often wakes the child from sleep but resolves quickly with massage or analgesics; pain is never present the following morning. Physical findings are normal, and gait is not impaired. Growing pains are generally considered a benign.
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Cause Of Tibia Pain In Evening Despite Taking Tylenol?

most probably it is growing pains which affects 10-20% of children, with a peak age incidence between 4 and 8 yr. it is most common cause of recurrent musculo-skeletal pain in children.it is intermittent and bilateral, predominantly affecting the anterior thigh and calf but not joints. it is mostly cramping or aching type of pain that occurs in the late afternoon or evening. Pain often wakes the child from sleep but resolves quickly with massage or analgesics; pain is never present the following morning. Physical findings are normal, and gait is not impaired. Growing pains are generally considered a benign.