My 6-year-old son complains of shin pain in left foot. Why does he get such pain?

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Lower limb pains in growing children are usually benign. Normal blood tests and normal X-ray reports also point towards the benign nature of pain. Most probably your child is having growing pains.

Can you please recall anything that is common before the pain starts like excessive physical activity or specific footwear? Please share the X-ray image and blood test reports.

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I have seen the X-ray and blood investigation reports (attachment removed to protect patient identity). But the test reports were not in English. I could understand only a few reports. I need to see the following reports.

1. Serum calcium levels.

2. Serum phosphate levels.

3. Alkaline phosphatase levels.

4. Serum vitamin D levels.

If these tests are already done then no need to repeat the tests. Just translate the report in English.

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The investigation reports are normal. Do not worry. Most probably your child has growing pains. As long as your child is developmentally and physically normal, is gaining weight and the pain is not interfering with his daily routine no active intervention needs to do done. Just massage the legs daily before bedtime.

You did not answer my question regarding any common thing that you observed before pain like whether the pain starts after wearing specific footwear or the pain occurs on the days of excessive physical activity.

Hi,

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Running and jumping around is absolutely normal. No need to worry. Just start giving him some calcium supplements (like Osteocalium or Calcium Sandoz) and continue leg massage before bed time.