Joint pain is one of the more common illnesses, and most people have experienced joint pain at one time or another throughout their lives. Some of these pains are caused during the developmental process and can heal themselves in a short time, while others are caused by diseases. In our society, parents are paying more and more attention to their children’s health problems, but most parents still lack knowledge about children’s joint pain and do not know how to deal with this problem. When joint pain occurs in children, the first step is to analyze and determine the location of the joint pain, the duration of the pain, the presence of other accompanying symptoms, and the general condition of the child. This requires the doctor (parents) to carefully and patiently examine the source of the pain, usually by light pressure and movement of the joint in all directions, combined with the child’s expression and pain response, to clarify the condition. For example, in leukemia, leukemia cells may infiltrate the periosteum and bone cortex, causing pain in the joint. Step 2: After determining the origin of the pain in the joint, the duration of the joint pain should be clarified. For example, during the normal development of children, joint pain caused by growth often occurs in the first half of the night, and then gradually relieves; joint pain caused by diseases also varies, such as reactive arthritis, the symptoms of which are repeated episodes of joint pain, and the pain lasts from a few hours to a day, and can eventually be relieved by itself; however, the joint pain caused by bone tumor patients is more intense, and the pain is continuous and unrelieved. However, the joint pain caused by bone tumor patients is more intense, and the pain lasts without relief, and ordinary painkillers have no effect; rheumatoid arthritis tends to last longer and is accompanied by joint stiffness after rest and sleep. Second, when a child has joint pain, careful observation of the local symptoms of the joint is also important in determining the condition. For example
If a single joint is red, swollen, or feverish, septic arthritis is the first thing to consider; if multiple joints in both hands or feet are symmetrically painful, and the joints are swollen and deformed, polyarticular juvenile idiopathic arthritis is the first thing to consider; if the joints are rapidly swollen within a short period of time and are red and feverish, bleeding in the joint cavity due to hemophilia is the first thing to consider. In addition to this, the general condition of the child’s body and other organs should also be considered when joint pain occurs. For example, if the painful joints are accompanied by a chills fever lasting two weeks or more and enlarged lymph nodes in the liver and spleen, it is more likely to be a generalized juvenile idiopathic arthritis; if the pain is accompanied by low afternoon fever, night sweats, erythema nodosum and chronic cough, tuberculous arthritis should be ruled out first.
Consider joint pain caused by inflammatory bowel disease. As we can see, the causes of joint pain in children are complex, and in addition to pathology, physiology can also cause pain. If a child has joint pain, he or she should be seen by a specialist in a timely manner to avoid delays in treatment.