The objective of the study was to determine the prevalence, clinical features and factors that influenced recurrent limb pain in school children. A population based study was carried out in two stages with an initial screening questionnaire followed by clinical interview of symptomatic children. The setting was two secondary schools (one boys and another girls) in Khulna, a divisional city of Bangladesh. The subjects were 1200 school children, representing a sample of 20% of all school children with age ranging between 7 and 15 years. The main outcome measures were prevalence of recurrent limb pain, nature of pain, influencing factors and relation with other painful conditions. The results showed the prevalence rate of recurrent limb pain was 13.4%, with male:female ratio of 1:1.4. The nature of pain was mostly dull aching (54%), and 64% had full activity. Lower limb was predominantly (77%) affected involving both muscles and joints (46%). Majority (44%) of children were above average performers and 54% came from dysharmonious families. Tiredness (63%) was the most important triggering factor and rest (65%) was the major relieving factor. Twenty nine percent of the children had other associated painful conditions. In conclusion recurrent limb pain is a common painful condition in children. The diagnosis is completely clinical and based on exclusion of organic diseases.