In treating juvenile rheumatoid arthritis, goals include inflammation control, pain relief, joint damage control and prevention, and joint and body function maximization. ibuprofen dose The treatment for juvenile rheumatoid arthritiscan be through medications, dental care, eye care, and healthy diet. The medical treatments can be combines with meditative breathing, guided imagery and progressive muscle relaxation techniques.
In caring for patient with juvenile rheumatoid arthritis (JRA), the best type of care is the coordinated care. This type of care entails the help of different health-care specialists. They are nurse clinician, physical therapist, psychologist, ophthalmologist, pediatric rheumatologist, neurologist, psychologist, cardiologist, dietitian, gastroenterologist, dentist, nephrologist, pulmonologist, orthopedic surgeon, and physical therapist. Some pediatric rheumatology centers offer this type of care in one location which makes it easier for the patient to consult and work together with the different health-care practitioners.
The medications that can be used as treatment for juvenile rheumatoid arthritis include the non-steroidal anti-inflammatory drugs (NSAIDs). These are the first line of medication utilized in treating JRA. These drugs must be taken for 3 to 4 weeks to see whether they are effective for the patient. NSAIDs can be in pill or liquid form and taken in for 1 to 4 times a day depending on the doctor’s prescription.
The medications given to change the disease progression are the slow-acting anti-inflammatory drugs, or otherwise known as the disease-modifying anti-rheumatic drugs (DMARDs). These drugs are sulfasalazine, hydroxychloroquine, gold compounds, and penicillamine. These are strong rheumatoid arthritis medications, thus, regular laboratory tests are needed to check and monitor for the possible side effects of these drugs to the patient.
Other medications used as treatment for juvenile rheumatoid arthritis are the immune system medications. These include glucocorticoids, methotrexate, cyclophosphamide, cyclosporine, azathioprine, and biologic drugs such as etanercept and infliximab. These are different drugs but they all generally target and have an effect on the immune system. Analgesics are also being used for juvenile rheumatoid arthritis. It only provides pain relief but not the inflammation. Analgesics include acetaminophen and tramadol.
Pharmacologic treatments are not the only way to deal with JRA. In fact non-pharmacologic therapies are very important in treating juvenile rheumatoid arthritis. These non-pharmacologic therapies are exercise such as therapeutic exercise and range-of-motion exercises.
Sports and recreational activities can also help a child with juvenile rheumatoid arthritis strengthen their joints and muscles.
Treatments for juvenile rheumatoid arthritisare not only directed on the body muscles and joints but the eyes, teeth, and diet as well. Some cases of JRA affect the eyes and teeth so it is important to check with an ophthalmologist and dentist respectively. A healthy diet is also needed because JRA often characterizes poor appetites among those affected.