March 31, 2026 // by BCHPhysicians

Spring sports season has arrived, along with chances for more sprains, fractures, and other related injuries. According to Dr. Neelofar Butt, pediatrician at Gergely Pediatrics, healthy habits are key to helping prevent injuries and setting your child up for success — and your family’s pediatrician is always available to answer any questions if an injury does occur.

Here’s how to ensure a safe and healthy sports season for your family.

Tips for a safe season

It’s important to be mindful of hydration, nutrition, sleep, and what stage of growth your child is in. Encourage your child to drink 5 to 8 ounces of water or an electrolyte drink every 20 minutes during sports. While water is usually enough, electrolytes are a good idea when the activity is longer than one to two hours or if it is a very hot or humid environment. Also be sure they eat about 45 minutes before exercise, and 30 to 60 minutes afterward. Include protein and carbohydrates for fuel. Finally, sleep and rest are essential for muscle growth and recovery. They also have a protective effect against injury and illness.   

In addition, make sure your child wears protective gear and has properly fitted equipment. For sports without gear, there should always be someone watching. If your child is going through puberty (average age 8 to 13 for girls, boys roughly two years later), they may need to take a longer break or be more careful than usual. Their center of gravity and growth plates are shifting rapidly, and some adjustment time is ideal.

What to do about injuries

If your child injures themselves during sports, they should be taken out of the game and given a time out until they can be seen by a doctor. Help them understand that if they don’t feel right, it’s best not to push through. Even if their coach or teammates pressure them, taking care of themselves needs to be the priority and will help prevent further injury. While soreness is normal, pain is a sign to take a break. Time off will allow for a full recovery and then return to activity.

If your child falls or hits their head, watch them closely over the next day or two. If they lose consciousness, always go directly to the ER. Other symptoms may develop over time, such as headaches, vomiting, trouble concentrating, disorientation, vision changes, or acting differently than usual. Call your pediatrician if you see any of these signs in your child. If they have a concussion, it’s best to get medical clearance before returning to sports. “Returning too soon can have devastating consequences,” says Dr. Butt.

When in doubt, bring your child in

Dr. Butt emphasizes that pediatricians are happy to answer questions, so don’t hesitate if you aren’t sure if your child has an injury. Scheduling an appointment is “always the right answer,” says Dr. Butt. That way, you can discuss appropriate next steps and arrange any screenings or follow up with their doctor.

Important warning signs to look out for with sports activity include the following:

  • Any pain, especially if severe or if it wakes them up from sleep
  • Limping
  • Swelling
  • Bumps or lumps
  • Changes in contour of a muscle
  • Numbing or tingling
  • Increased warmth or redness in an area
  • Dark urine after exercise

All of us here at Boston Children’s Health Physicians wish your family well this spring season!

Learn more about Gergely Pediatrics

When to push throughWhen to take a break
Mild muscle sorenessSharp or worsening pain during activity
General fatigue that improves with restJoint swelling or visible injury
Mild stiffness that improves after warming upLimping or favoring one side
Normal post-exercise soreness (next-day soreness)Pain that lasts more than 48-72 hours
Temporary shortness of breath during exertionDizziness, chest pain, or fainting
Minor bumps or bruises without limiting movementLimited range of motion or inability to use a limb
Mild dehydration symptoms that improve with fluidsSigns of heat illness (nausea, headache, vomiting, confusion)

 

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