Juvenile Rheumatoid Arthritis (cont.)
What Are Juvenile Idiopathic Arthritis Treatments?
The main goal of treatment in children with juvenile idiopathic arthritis is help them live as normal a life as possible. To be successful, this treatment must address all aspects of the disease, including medical problems and complications, physical functioning, school performance, and social and emotional adjustment.
- Care requires the coordinated efforts of a team of professionals.
- This care may be overseen by the child's primary care professional, with consultation from a specialist in rheumatic diseases such as arthritis and similar conditions (a rheumatologist), preferably one who specializes in rheumatic diseases of children, as well as specialists in eye problems (ophthalmologist), skin problems (dermatologist), heart problems (cardiologist), digestive problems (gastroenterologist), kidney problems (nephrologist), lung problems (pulmonologist), and/or orthopedic surgery, when necessary.
- Medical treatment is only one aspect of the management. The team also may include physical and occupational therapists and a psychologist or counselor. A social worker can help the family cope with the social, financial, and emotional aspects of the disease.
- Although medication is the cornerstone of treatment of JIA, medication alone is unlikely to be optimally successful if the child is not also receiving appropriate physical therapy, emotional counseling, and school assistance.
What Are Home Remedies for Juvenile Idiopathic Arthritis?
Self-treatment is not encouraged in JIA. Without appropriate inflammation-stopping medical treatment, the inflammation in JIA progresses and becomes worse, increasing the risk of permanent damage to joints, eyes, and other body systems. You can take steps at home, however, to improve your child's comfort and decrease his or her chance of becoming disabled with JIA.
- Encourage your child to be as active as possible. Bed rest is not part of the treatment of JIA except for children with severe systemic disease. Indeed, the more active the child, the better the long-term outlook. Swimming and water aerobics are ideal activities because they place no stress on the joints. Children may experience pain during routine physical activities and thus must be allowed to limit their own activities, particularly during physical education classes. A consistent physical therapy program, with attention to stretching exercises, pain avoidance, joint protection, and home exercises, can help ensure that a child with JIA is as active as possible.
- Make sure your child is eating enough to maintain a healthy weight. Some children with JRA have little appetite. They need to be encouraged to eat enough calories to maintain a healthy weight and a proper energy level. A balanced diet that provides all required vitamins and minerals is essential, including magnesium and vitamin D. It is important to have an adequate number of servings of calcium-rich foods each day. While there is no evidence that this actually improves JRA, it does help keep bones strong and flexible. Ask your child's health care professional for information about diet and nutrition for your child. He or she can refer you to a dietitian if necessary.
- Help your child learn techniques for dealing with the discomfort and pain of JRA. Often, combining pain-relieving medication (analgesics) with other techniques gives the best balance of pain relief with fewest unwanted side effects. Techniques such as biofeedback, progressive muscle relaxation, meditation, deep breathing, and guided imagery can help children overcome pain. Hot baths or showers, a warm bed, range-of-motion exercises, and hot packs can relieve morning stiffness. Some children respond better to cold packs than to warmth. A plastic bag of frozen vegetables makes a great ice pack.
Medically Reviewed by a Doctor on 5/11/2016
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