Acute and Non-acute Lower Extremity Pain in the Pediatric Population

Part III

Allison D. Duey-Holtz, MSN, RN, CPNP; Sara L. Collins, MSN, RN, CPNP; Leah B. Hunt, PA-C, MMSc; Polly F. Cromwell, MSN, RN, CPNP


J Pediatr Health Care. 2012;26(5):380-392. 

In This Article


Providers commonly see children and adolescents with lower extremity pain. Although some causes of the pain can be obvious, often the diagnosis can be challenging. The goal of the three- part practice guidelines is to assist the provider in making the correct diagnosis and implementing the most appropriate treatment in a timely manner. Part one of the series provides an evidence-based guideline for evaluating the patient to elicit a diagnosis. Part II addresses traumatic, benign musculoskeletal, referred, developmental, non-painful, and neurologic diagnoses that present with the symptoms of lower extremity pain. Part III focuses on infectious, immune-mediated, acquired, neoplastic, and metabolic conditions that cause lower extremity pain. The Part II and Part III guidelines include the definition, history, and physical examination findings, recommended diagnostic tests, and treatment recommendations for each diagnosis. The overall intent of these guidelines has been to offer providers a detailed concise resource that can be used easily when these patients are seen in clinical practice.