Chiropractors care for children of all ages, from many backgrounds and with varied interests. Children are encouraged from an early age to participate in competitive activities to enhance cognitive and physical development. Many of these children may exhibit over-competitive behaviors which may become detrimental to their health. Over-competitiveness is found in children participating not only at the elite level in sports, but in drama, music, and academics, and has become intertwined and possibly interferes with their social development. This paper discusses where it might begin and the yellow flags that chiropractors may note in the pediatric history or regular office visit. Options chiropractors may consider for monitoring and/or co-management are discussed, and approaches to gathering information from the child and parent(s) are offered.
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