Child running in park transitioning to bedtime, illustrating daytime activity and nighttime growing pains
on September 24, 2026

When Do Growing Pains Start, and What Actually Helps?

Your toddler wakes up crying about leg pain, but by morning they're running around like nothing happened. Growing pains are one of the most commonly searched childhood aches among US parents, mostly because they're confusing, real pain with no clear cause showing up on a scan. Here's what to know, in a straightforward question-and-answer format.

When do growing pains typically start?

Growing pains most commonly appear between ages 3 and 12, with two peak windows, early childhood around ages 3 to 5, and again around ages 8 to 12. Despite the name, they aren't actually caused by growth spurts, the exact cause isn't fully understood, but they're thought to be related to the day's physical activity rather than bones growing.

What do growing pains actually feel like?

They typically show up in the late afternoon or evening, or wake a child up at night, usually in both legs, most often the calves, shins, thighs, or behind the knees. The pain is usually gone by morning, and importantly, it doesn't come with swelling, redness, or limping, which are signs of something else entirely.

How do you tell growing pains apart from something more serious?
  • Growing pains: Both legs, evening or nighttime, gone by morning, no swelling or limping
  • Needs a pediatrician's evaluation: One-sided pain, swelling, redness, fever, limping, or pain that persists into the day

What natural remedies help with growing pains?
  1. Gently massage the affected area with a warm, herb-infused oil, warmth and touch are genuinely soothing for muscle-related discomfort.
  2. Apply a warm compress to the legs before bed on nights when pain tends to flare.
  3. Stretch gently before bedtime, especially calves and hamstrings, if pain tends to follow an active day.
  4. Keep a consistent bedtime routine, since overtiredness can sometimes intensify how pain is perceived.
  5. Reassure your child. Growing pains are real, but they're not a sign of injury or a serious condition, and knowing that alone often helps a worried child settle.

Why does massage with warm oil actually help?

Warm oil massage increases local circulation and provides gentle, comforting pressure, both of which are well-established ways to ease general muscle discomfort, regardless of the underlying cause. It's also a calming bedtime ritual in its own right, which matters since growing pains often show up right at the moment a child is trying to fall asleep.

Pain relievers vs natural massage: what should you try first?
  • Best for occasional, mild discomfort:  Gentle massage with a warm oil, paired with reassurance
  • Best for more intense, disruptive nights: A pediatrician-approved children's pain reliever, used as directed
  • Can be combined: Yes, many parents use both, massage as a nightly habit, medication only on the worst nights
  • Should never replace evaluation for one-sided or persistent pain: Correct, for either approach

What are the most common mistakes parents make with growing pains?
  • Dismissing the pain as "nothing" without offering any comfort, which can make a child more anxious about it.
  • Assuming all leg pain in kids is growing pains without checking for red flags like swelling or limping.
  • Only addressing it at night instead of a calming stretch or massage routine before bed as prevention.
  • Reaching for medication first instead of trying gentle massage and reassurance.
  • Not tracking the pattern. If pain is one-sided, persistent into the day, or worsening over weeks, it needs a pediatrician's input.

Frequently Asked Questions

When do growing pains usually start and stop?
They typically start between ages 3 and 5, sometimes recurring again between 8 and 12, and usually resolve on their own by the teenage years.

Are growing pains actually caused by growing?
Not directly. The exact cause isn't fully understood, but they're thought to be linked to daytime physical activity rather than bone growth itself.

Does massage really help with growing pains?
Yes, gentle massage with a warm oil increases circulation and provides soothing pressure, which helps ease general muscle discomfort and supports a calming bedtime routine.

When should I take my child to the pediatrician for leg pain?
If pain is one-sided, comes with swelling, redness, fever, or limping, or persists into the daytime, check in with your pediatrician rather than assuming it's growing pains.

The Takeaway

Growing pains are common, real, and usually harmless, showing up in both legs at night and gone by morning. A gentle massage routine with a warm oil, paired with reassurance and a consistent bedtime, is a simple, natural way to help your child through them.

*This article is for educational purposes and does not constitute medical advice. Please consult your pediatrician if leg pain is one-sided, persistent, or accompanied by swelling, fever, or limping.*