AKA benign nocturnal limb pain

• often used inappropriately diffuse aches and pains in legs of children

• features

  • 3-7yo

  • psitive family history

  • pain wakes child

    • usually distressed

  • poorly localised

  • may affect arms

  • lasts 20-30 mins

    • regardless of treatment

  • recur during night

  • normal exam

  • no ass. symptoms

  • no apin or diability next morning

  • very active days -> bad night

• management

  • probelm resolves spont.

  • reassurance

  • consider analgeisa

  • check ESR if in doubt