Joint pain in children 4.73/5 (11)

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Joint pain in children

Joint pain in children is often harmless, but if the pain lasts, joints become hot, swollen or child stops, further investigation must be done


Pain in the joints of children, with or without joint swelling may be indicative of both transient, non-hazardous conditions and serious diseases. Initially, joint pain in children is considered closer:

  • Are the pains new to a healthy child so far?
    • Investigations / investigations are required
  • Is there an already known disease that can be associated with joint pain?
    • Closer examination of both joint and possible underlying disease may be necessary
  • Have the pain lasted for several years without the health of the child otherwise significantly affected?
    • One must consider whether the pain is not due to physical illness and whether other measures are needed

Joint Swelling

Joint pain is common symptom in many different diseases. Objective, visible and palpable swelling often causes increased heat in the skin over the affected joint and suspects arthritis (joint inflammation). Also injuries and Bleeding in joint may cause similar symptoms. All investigations are based on medical history and a thorough medical examination in the first instance.

In the disease history (anamnese) it is of special interest (illness) if:

  • Fever
  • Abdominal pain
  • Triggering reason
  • Rash
  • Weight Loss
  • Eye symptoms

Some conditions that can give joint swelling in children

  • Family Mediterranean Fever (FMF)
    • Ethnic background (Middle East, Mediterranean countries) and cases in the family
    • Affected fever, arthritis, serositis (stomach, lung, heart), high CRP, spontaneous decline after a few days
  • Infection in joint
    • Bacteria in joints must be antibiotic-treated intravenously without delay (after necessary tests have been taken)
    • Inflammation tests (CRP), lowering reaction (SR) are high
    • Borrelia arthritis (Weeks-months after tick bite) occurs most often in the knee joint
      • Proven by joint examination and blood test
    • Fever, usually just one swollen joint
    • Pain, clearly increased heat and often redness above the joint
    • Rarely in multiple joints at the same time
    • Tuberkulosis (Tbc) in paragraph
    • Studies (MRI, ultrasound, CT, X-ray) show signs of joint damage after a short time
  • Juvenile Arthritis (Childhood Arthritis)

Pain in joint (no joints) in children

Remember that "the most common is the most common." Growing pains (please see below) are seen in up to one in three children and are harmless. However, other symptoms should be investigated further.

Adults with joint pain: Please read here

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