Which next steps should be taken for a child diagnosed with growing pains?

In the case of a child diagnosed with growing pains, observation and reassurance, along with over-the-counter (OTC) analgesics, is the appropriate next step. Growing pains are a common condition in children characterized by intermittent leg pain, especially during the evening or night. This condition is usually benign and does not require aggressive medical intervention.

The approach focuses on providing reassurance to both the child and their caregivers about the benign nature of the condition, which is important for alleviating any anxiety. In cases where the child is experiencing discomfort, OTC analgesics such as acetaminophen or ibuprofen can be recommended to manage the pain effectively. Such interventions are sufficient for most children, as growing pains typically resolve without complications.

Immediate referral for physical therapy is not warranted at this stage, as physical therapy is generally not needed for growing pains. Similarly, performing imaging studies is unnecessary, as they would likely reveal no underlying pathology, given that growing pains are not associated with any structural issues. Lastly, initiating a course of corticosteroids is not appropriate, as this treatment is reserved for conditions with an inflammatory component, which growing pains do not present. Thus, the plan of observation, reassurance, and symptomatic treatment aligns well with the management of growing pains.