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Growing Pains
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Treatment
Reassure the child and caregiver about the benign nature of the condition.
For acute pain consider massage, paracetamol, ibuprofen, and heat. In children where increased physical activity tends to bring about a cluster of painful nights they can consider prophylactic ibuprofen at bedtime following a day of increased activity. This can also be considered to break the cycle of a cluster of nighttime wakening. In some cases ibuprofen may be too short acting and naproxen can be used which has a longer half life.
Children with low vitamin D levels should take vitamin D and calcium supplements.
