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What is the reason for severe muscle pain in children?

Q: I have a daughter who is 10 years old. She has pain in her knee, feet, elbow and hands. She also complains of stomach pain. This had happened when she was about 5 years old, but went away in about a week. My daughter is unable to do normal activities as is always in pain. I took her to CHOC in Orange County, but they sent her home with some pain killers. I am trying to find the best known doctor in the Los Angeles, Orange County California area, could you help?

A:If the child is unable to carry out her normal activities it means that she has significant functional impairment. This needs evaluation and clinical assessment to find the reason for her pains. Arthritis and muscle inflammation are important medical reasons for these complaints , but your history that movement and pressure aggravate the pain is rather unusual. You can contact a paediatric rheumatologist at the UCLA medical facility for detailed evaluation.

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