My 14 year old daughter has pain near the top of her tibia

Loree - posted on 03/23/2013 ( 13 moms have responded )

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She describes it as "in her bone". It wakes her up at night and she says it hurts more at night and when she does any physical activity. She doesn't remember hurting it. She says it varies in intensity but is always there. What could this be? I don't think it is shin splints because she is a kid who she doesn't complain unless she is really hurt. And she wakes up in the middle of the night bawling because she is in so much pain. She also has a high fever, has lost her appetite and is very tired all the time do you think any of this is related?

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Liz - posted on 03/23/2013

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Though, how long ago was her knee surgery and how high is her fever? Could be that there is an infection that has been gathering pace. In any case, definitely to the family doctor and then onwards.

Liz - posted on 03/23/2013

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I would take her to the general doctor first as they can order tests and refer you onwards to the right place with those tests already done, which saves time once you actually see the specialist. Good luck.

Liz - posted on 03/23/2013

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I would take her to see the doctor. The two symptoms may not be related, but then again they might be. There are so many different things it could be, it's worth getting a considered medical opinion and any relevant diagnostic tests done. I feel for you both: terrible for her to have so much hurt and awful for you to see it happening. I hope that you find out what it is and get some respite for her.

I had similar terrible pains between the ages of 13 and 16, which centered mostly in my knees. I remember having a terrible time with sports and had huge compression bandages on my knees most days. I had all the tests and in the end we were told that it was because I grew 'too quickly'. I was about 5'11.5 by the age of 14 so this is probably not that inaccurate. Anyway, I grew out of the pains but now have discovered as an adult that I had badly tracking knee caps that could have been treated but were not. Basically this means that the leg bones grind against the knee cap in ways that they would not if the joint was working correctly. Physical therapy can correct this by working on strengthening sets of muscles that compensate.

As a result of not getting this treated, I have early onset osteoarthritis in both knees, have already had the meniscal cartilage removed from one knee and am looking at a probable requirement for partial knee prosthesis (knee cap only) in the next 5 years and maybe even total knee replacement in the next ten. I'm 41.

My advice to you is definitely not to panic, but get this fully investigated so that any easy treatment may be started early.

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Amanda - posted on 04/10/2013

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Just read thru the thread...how frightening this must be for you, your daughter, & your family. I'm glad you got her into her doctor and that steps are being taken to figure this out! I pray it's nothing serious! Please keep us updated. Have you heard anything else from the docs?

Karen - posted on 03/27/2013

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she needs to see a physician quickly....have you thought about an infection? the growing lump, increased temp and tiredness can be related to infection. As a mom, I think we automatically go to worse case scenario immediately. Be cautious of googling her symptoms, however, worst case scenario cant be ruled out without the proper bloodwork and xrays. Get her in to see a physician quickly....cause whatever it may be, it needs to be treated. Same with infection, before she ends up septic.

Liz - posted on 03/26/2013

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If they do suspect cancer, they will move swiftly due to her age and the symptoms, which is a small consolation I know. This must indeed be frightening for both of you and I wish I could offer more tangible support than virtual hugs. Do keep us posted.

Loree - posted on 03/25/2013

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I took her to her doctor today and he ordered an X-ray. He said he found something suspicious on the top of her tibia. So he referred us to an orthopedic oncologist. This is very frightening for me. He ordered some blood work and we are still waiting for the results. In the meantime all I can do is pray.

Loree - posted on 03/24/2013

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Thank you for all your support. Unfortunately I can't get her in to the doctor until at least tomorrow. I have been doing some research and everthing that has come up has not been very good. But I am praying for the best and I will let you ladies know how everything goes after we see the doctor.

Michelle - posted on 03/24/2013

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I agree with Liz, get her to the doctor.

A bunch of strangers on the internet aren't qualified at all.

Liz - posted on 03/24/2013

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I'm not qualified to comment on whether or not it might be bone cancer and I also wouldn't want you to worry unnecessarily. That said, there are still a few things it could be and, given the history and symptoms, I would get her seen today _without fail._

Do let us know how things go. I know the moral support of a stranger isn't necessarily worth that much, but I will be thinking of you and hoping that it turns out not to be too serious.

Loree - posted on 03/23/2013

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I forgot to include in my original question that she has lost her appetite and as a result has lost 5 pounds in the last week. She is very tired all the time I don't know if this is from not getting enough sleep because she is waking up due to pain or if it is something else. But, she comes home from school and sleeps until dinner, doesn't eat and then goes back to sleep. I am very concerned about this. I am starting to think it is more serious than I originally did.

Loree - posted on 03/23/2013

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Her surgery was on 12/12/12 and she has hd a fever of 101.4 for the last 4 days and nothing seems to bring it down. And about 3 days ago I noticed a lump forming underneath her skin and it seems too get bigger everyday. One of my friends thinks that it is bone cancer. Could this be even a possibility?

Loree - posted on 03/23/2013

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Thank you for you advice. I will try and get her in to the doctor. Should I bring her to an orthopedist or her pediatrician? She had knee surgery earlier this year and I think this might be where her pain is coming from. She keeps insisting its not in her knee.

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