Much physical violence against children in the home is inflicted with the object of punishing. Overlapping definitions of physical abuse and physical punishment of children highlight a subtle or non-existent distinction between abuse and punishment, but most physical abuse is physical punishment "in intent, form, and effect". As of 2006, for instance, Paulo Sergio Pinheiro wrote in the UN Secretary-Generals Study on Violence Against Children:

Corporal punishment involves hitting (smacking, slapping, spanking) children, with the hand or with an implement – whip, stick, belt, shoe, wooden spoon, etc. But it can also involve, for example, kicking, shaking or throwing children, scratching, pinching, biting, pulling hair or boxing ears, forcing children to stay in uncomfortable positions, burning, scalding, or forced ingestion (for example, washing childrens mouths out with soap or forcing them to swallow hot spices). Most nations with child abuse laws deem the deliberate infliction of serious injuries, or actions that place the child at obvious risk of serious injury or death, to be illegal. Bruises, scratches, burns, broken bones, lacerations — as well as repeated "mishaps," and rough treatment that could cause physical injuries — can be physical abuse. Multiple injuries or fractures at different stages of healing can raise suspicion of abuse. The psychologist Alice Miller, noted for her books on child abuse, took the view that humiliations, spankings, and beatings, slaps in the face, etc.
This impingement can cause pain in both upper and lower limbs and a numbness or tingling sensations in the hands and feet because the nerves are supplying sensation to their dermatomes.Osteophytes on the fingers or toes are known as Heberdens nodes (if on the distal interphalangeal joint) or Bouchards nodes (if on the proximal interphalangeal joints). Treatments
Normally, asymptomatic cases are not treated. Non-steroidal anti inflammatory drugs and surgery are two typical options for cases requiring treatment. References
External links

Mayo Clinic website concise information on bone spurs