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Frequently Asked Questions

What is Juvenile Idiopathic Arthritis (JIA)?

  • JIA is a chronic disorder that develops in children who are 16 years of age and younger, and is characterized by swollen joints and joint pain 

  • There are 6 main types of JIA, including Systemic Arthritis, Polyarticular Arthritis, Oglioarthritis, Psoriatic Arthritis, Enthesitis-Related Arthritis, and Undifferentiated Arthritis  

How Common is JIA and Who Gets it?

  • It is very common and 1 in 1000 children have JIA

  • The most common age of onset is between 2-4 years old

  • It is more prevalent in females

What Causes JIA?

  • The cause of JIA is unknown

  • There is thought to be genetic predisposition to JIA that is triggered by factors in the environment, such as infection during childhood

What are the Main Signs and Symptoms?

  • Joint stiffness, swelling, and pain

  • Fever and rash

  • Uveitis (eye swelling)

How is JIA Diagnosed?

  • JIA is diagnosed by the child's doctor, based on a physical exam and tests, that rule out other similar disabilities

  • The Pediatric Gait Arms Legs Spine examination has been used to assess joint ability in children 

How is JIA Managed or Treated?

  • JIA can be managed through a number of different medications, as well as occupational therapy, physiotherapy, a proper diet, eye care, and physical activity

  • The goals of management are to alleviate pain and swelling, prevent permanent joint damage or disfiguration, and to enter remission

Can My Child Still Do Physical Activities?

  • YES!

  • Children with JIA should engage in regular physical activity, even if they are experiencing strong symptoms. If your child is experiencing strong symptoms, consult your doctor before exercise

  • Activities such as swimming, yoga, resistance-band exercises, and body-weight exercises have many beneficial effects

What are Some New Ways that JIA is Being Managed?

  • There is a lot more known about JIA now than in the past, making it more manageable

  • New approaches include an emphasis on physical exercise, rather than rest and full reliance on medications, which was often prescribed in the past [1]

  • The importance of a multi-disciplinary team is being recognized

  • Recently, there is an emphasis on empowering children with JIA and providing pain coping strategies, through new and relevant ways, such as through the use of technology [1]

References

1. Jennifer Weiss, Nadia Luca, Alexis Boneparth, and Jennifer Stinson, "Assessment and Management of Pain in Juvenile Idiopathic Arthritis," Pediatric Drugs 16, no. 6 (2014): 473-481.

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