Diagnosis is primarily based on clinical history and a physical examination. There are no specific tests to diagnose growing pains, but certain criteria are generally used:
Pain is usually bilateral (affecting both legs). Pain occurs late in the day or at night. The child is well between episodes. No signs of inflammation or trauma are present.
If symptoms are atypical or severe, further investigations may be warranted to rule out other conditions such as infections, inflammatory diseases, or orthopedic issues.
