Juvenile Rheumatoid Arthritis Treatment
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- Overview
- What It Is
- Causes
- Risk Factors
- Diagnosis
- Symptoms
- Prognosis
- Living With
- Complications
- User Questions
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- Screening
- Medications
- Prevention
- Treatment
- Alternative Treatment
- Care Guide
- Questions for Your Doctor
- When to Contact a Doctor
- Find a Doctor
- Resource Guide
How to Treat Juvenile Rheumatoid Arthritis
Talk with your doctor about the best plan for your child. The goal is to preserve a high level of physical and social function and keep a good quality of life. The plan will work to control inflammation, relieve pain, prevent or control joint damage, and maximize joint function. Options include the following:
Medication
Several types of medication are available to treat JRA:
- Nonsteroidal anti-inflammatory drugs (NSAIDs)-such as ibuprofen , naproxen , diclofenac , or tolmetin
- Disease-modifying antirheumatic drugs (DMARDs)-such as methotrexate to slow the progression of the disease
- Corticosteroids-through IV (directly into the vein) or by mouth; for inflammation and swelling
- Immune response modulators-such as TNF inhibitors, for cases that do not respond as well
Physical Therapy
Exercises are performed to keep muscle strength. It also help to preserve and recover the range of motion of the joints. Normal daily activity, such as non-contact sports and recreational activities, are encouraged. Physical therapy may be needed to keep muscles strong and joints mobile. Children are also able to develop confidence in their physical abilities through such physical pursuits.
Maintenance Devices
Splints and other devices are worn to maintain normal bone and joint growth. They can also help prevent flexion contractures (permanently bent joints).