31-03-2023
Arthritis In Children

Arthritis is of different types. Degenerative arthritis like osteoarthritis of knees usually affects the elderly. But inflammatory arthritis can affect in any age even in children. Juvenile idiopathic arthritis (JIA) is a term used to describe arthritis in children under the age of 16. The onset of JIA can be challenging for children and their families, as it can cause pain, inflammation, and limited mobility of joints. Understanding the causes, symptoms, and treatments of JIA can help ensure that children with this condition receive the care they need to manage their symptoms and maintain a healthy, active lifestyle.

Causes of JIA: The exact cause of JIA is not yet known, but it is thought to be a combination of genetic and environmental factors. Researchers have found that the immune system mistakenly attacks the body's tissues, leading to inflammation and joint damage.

Symptoms of JIA: The symptoms of JIA can vary from child to child, but common symptoms include joint pain and swelling, stiffness, and limited mobility. Other symptoms may include fever, fatigue, weight loss, and anaemia. Children with JIA may also experience eye problems, such as uveitis, which can cause pain, redness, and vision loss.

Diagnosis of JIA: The diagnosis of JIA is made based on a combination of clinical and laboratory tests. A doctor will perform a physical exam to assess joint swelling, tenderness, and mobility, and may order imaging tests, such as X-rays or MRI scans, to look for signs of joint damage. Blood tests may also be used to help diagnose the condition and rule out other potential causes of joint pain and swelling.

Treatments for JIA: The goal of treatment for JIA is to control symptoms, prevent joint damage, and maintain a healthy, active lifestyle. Treatment options may include:

Medications: Anti-inflammatory drugs, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can help reduce joint pain and swelling. Corticosteroids, such as prednisone, can also be used to control inflammation. NSAIDs and corticosteroids are used for short duration only. Disease-modifying antirheumatic drugs (DMARDs) are the main stage of treatment. For cases not responding to DMARDS, biological or targeted DMARDs are used.

Physical therapy: Physical therapy can help improve joint mobility and range of motion. A physical therapist can also teach children and their families exercises and stretching techniques to help manage pain and improve overall function.

Assistive devices: Assistive devices, such as crutches or braces, can help reduce the stress on affected joints and improve mobility.

Surgery: In severe cases, surgery may be necessary to repair joint damage and improve mobility.

Alternative treatments: Alternative treatments, such as massage, acupuncture, and herbal remedies, may also be used to help manage symptoms of JIA.

Living with JIA: Children with JIA face a number of challenges, including pain, limited mobility, and social isolation. It is important for children and their families to receive support and education to help them manage the condition and maintain a healthy, active lifestyle. Joining a support group, working with a physical therapist, and seeking treatment from a rheumatologist can all help children with JIA receive the care they need to manage their symptoms and maintain a healthy, active lifestyle.

In conclusion, JIA is a condition that affects children under the age of 16, causing pain, inflammation, and limited mobility. Understanding the causes, symptoms, and treatments of this condition can help ensure that children receive the care they need to manage their symptoms and maintain a healthy, active lifestyle. With the right care and support, children with JIA can live healthy, happy, and active lives.

Doctor
Dr.Suvrat Arya
Senior Consultant
Department of Rheumatology
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