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He experiences chronic pain during physical activity
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An otherwise unexplained change in the child's performance occurs
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She identifies a change in the type, intensity, severity, or frequency of pain during physical activity
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The child experiences chronic swelling in a joint unrelated to a direct trauma, such as a fall
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A coach or parent notices the child limping or otherwise changing her bearing during physical activity
How to help avoid sports-related injuries:
Dr. Chorney advises parents to know their child's limitations. Children aren't miniature adults - they're still growing, which makes them more fragile. She recommends that:
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Children should focus on learning the skill of a sport rather than endurance training, because they are physically weaker than adults
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Children should use required protective equipment at all times
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Children should be taught respect for the rules of a game, as these rules are enforced to keep players safe. Illegal moves, such as improper tackling techniques in football, have a high potential to result in serious injury.
For more information on sports-related injuries and their treatment in children and adolescents, visit the NYU Hospital for Joint Diseases' Center for Children.