Musculoskeletal Pain in Children

Aka: Musculoskeletal Pain in Children, Joint Pain in Children

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II. Symptoms: Joint Pain benign symptoms

  1. Worse with activity and better with rest
  2. Worse at the end of the day
  3. If night pain, relieved with Ibuprofen or Tylenol

III. Signs: Joint Pain benign signs

  1. No Joint Swelling
  2. Joint Hypermobility
  3. No bone tenderness
  4. Normal strength
  5. Normal height and weight Growth Velocity

IV. Labs

  1. See Musculoskeletal Pain in Children Red Flags

V. Imaging

  1. XRay of affected joint

VI. Differential Diagnosis

  1. See Musculoskeletal Pain in Children Red Flags
  2. See Rheumatologic Conditions Presenting with Rash
  3. See Ocular Manifestations of Rheumatologic Disease
  4. See Fever in Rheumatic Disease
  5. See Monoarthritis
  6. See Polyarthritis
  7. Common benign causes of musculoskeletal pain
    1. Growing Pains
    2. Benign Hypermobility Syndrome
  8. Rheumatologic Conditions
    1. Juvenile Rheumatoid Arthritis
    2. Juvenile Ankylosing Spondylitis
    3. Reactive Arthritis
    4. Rheumatic Fever
    5. Henoch-Schonlein Purpura
    6. Systemic Lupus Erythematosus

VII. Evaluation

  1. See Musculoskeletal Pain in Children Red Flags

VIII. References

  1. Junnila (2006) Am Fam Physician 74:115-22 [PubMed]
  2. Malleson (2001) CMAJ 165:183-8 [PubMed]

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