The Journal of the American Medical Association (Pediatrics) recently published a review that found that up to 18% of school aged children will experience back pain, but only 7% will seek care. The review found that the incidence increases with age and that the most common causes were injury or overuse. It’s been our experience that overuse can not only be the result of over-training, but it can also be related to postural stress. The authors of the review recommend that young athletes seek care for recurring pain and that they engage in pre-season training to prepare their bodies for higher intensity activity. Neuromuscular training in particular can be valuable in developing co-ordination and balance. A simple rule that will help ensure your athlete isn’t over-training is to remember that the number of hours training per week should not exceed your child’s age. If your child is experiencing recurring back pain, consider contacting your chiropractor or physiotherapist. A summary of the report can be found at https://www.sciencedaily.com/releases/2017/01/170130111014.htm.