Nonarticular Rheumatism

Any pain and stiffness without true inflammation in the joint and with normal laboratory results in children is termed nonarticular rheumatism, or "growing pains." These usually occur at night, last several hours, and often resolve spontaneously or are helped by massage or analgesics. Pain is sometimes felt behind the knees. No further evaluation is indicated unless pain occurs during the day. Overuse or hypermobile joints are two possible explanations; nonar-ticular rheumatism does not normally cause any reduction in activity.

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