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Mine is due to hypermobile joints. When I'm tired and do a lot of exercise (even like a gentle long walk) it can spring up and I'll be awake in pain then causing me to be tireder and so on. Bad vicious circle I need to do the exercise to strengthen the muscles to hold everything together...

Amongst the tests and issues was Vitamin D, Joint Hypermobility Syndrome and Ehlers Danlos looked into? All can cause similar symptoms. I had growing pains as a kid and unfortunately still get the same thing but I'm no kid anymore. My kids get it too. Lots of no sleep in our house.