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TREATMENT FOR JUVENILE RHEUMATOID ARTHRITISJuvenile rheumatoid arthritis is arthritis that causes joint inflammation and stiffness for more than 6 weeks in a child of 16 years of age or less. Doctors classify JRA into three types by the number of joints involved, the symptoms, and the presence or absence of certain antibodies found by a blood test. They are-Pauciarticular- Pauciarticular means that four or fewer joints are affected. It is the most common form of JRA. It typically affects large joints, such as the knees. Girls under age 8 are most likely to develop this type of JRA. Polyarticular- About 30 percent of all children with JRA have polyarticular disease. In this five or more joints are affected. The small joints, such as those in the hands and feet, are most commonly involved, but the disease may also affect large joints. Polyarticular JRA often is symmetrical; that is, it affects the same joint on both sides of the body. Some children with polyarticular disease have an antibody in their blood called IgM rheumatoid factor (RF). These children often have a more severe form of the disease, which doctors consider to be similar in many ways to adult rheumatoid arthritis. Systemic- The systemic form of JRA is characterized by fever and a light skin rash, and may also affect internal organs such as the heart, liver, spleen, and lymph nodes. Doctors sometimes call it Still's disease. Treatment for juvenile rheumatoid arthritis The special expertise of rheumatologists in caring for patients with JRA is extremely valuable. Pediatric rheumatologists, physical therapists and occupational therapists are also very important people in the treatment of JRA. The main goals of treatment are to preserve a high level of physical and social functioning and maintain a good quality of life. To achieve these goals, doctors recommend treatments to reduce swelling; maintain full movement in the affected joints; relieve pain; and identify, treat, and prevent complications. Most children with JRA need medication and physical therapy to reach these goals. Several types of medication and courses of treatment are available to treat JRA: NSAID…..(Non steroidal anti-inflammatory drugs) DMARD….. (Disease-modifying anti-rheumatic drugs) Corticosteroids Biologic agents Physical therapy and occupational therapy Alternative therapy/medicine- alternative therapies and supplements can often be quite effective in dealing with juvenile rheumatoid arthritis. Glucosamine and chondroitin sulfate are commonly used supplements. However before you take any medication, or resort to any course of treatment, it is essential that you consult a qualified health care professional, including a doctor. |
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