Treatment plans often use both short-term and long-term methods.
Short-term relief for pain and inflammation may include pain relievers such as acetaminophen, ibuprofen, or other nonsteroidal anti-inflammatory medicines. Talk with your child's healthcare provider before giving any of these medicines to your child.
Heat and cold. Pain may be eased by using moist heat warm bath or shower or dry heat heating pad on the joint. Pain and swelling may be eased with cold ice pack wrapped in a clean, thin towel on the joint. Joint immobilization. Using a splint or brace can help a joint rest and protect it from further injury.
Outcome measures in inflammatory rheumatic diseases
Lightly massaging painful muscles may increase blood flow and bring warmth to the muscle. These medicines may slow down the disease and treat any immune system problems linked to the disease. Examples of these medicines include methotrexate, hydroxychloroquine and sulfasalazine. These medicines, such as prednisone, reduce inflammation and swelling. They can be taken by mouth or IV intravenously , or as a shot. These are medicines to help stop the inflammation process in the body. These include etanercept, golimumab, and infliximab. Weight loss. Extra weight puts more stress on joints such as the hips and knees.
Certain exercises may help ease joint pain and stiffness.
These include swimming, walking, low-impact aerobic exercise, and range-of-motion exercises. Stretching may also help keep the joints flexible. Use of assistive devices. Canes, crutches, and walkers can help to keep stress off certain joints and to improve balance.
Rheumatology Articles (Diagnosis, Staging, Treatment, Prognosis, Follow-up) - Medscape Reference
In severe cases of disease, a child may need surgery to fix or replace a joint. There are 2 main types of surgery: repair and replacement.
Surgery to repair a damaged joint may include removing debris in the joint, fusing bones, or correcting a bone deformity. If a joint is too damaged for repair, it may need to be replaced with an artificial joint. If only a few joints are affected, arthritis may cause little or no joint damage. Some children may have long-term chronic pain and disability. Other complications include slowed growth, anemia, and problems with the eyes or heart.
Help your child manage his or her symptoms by sticking to the treatment plan. Encourage exercise and physical therapy. Find ways to make it fun. Work with other caregivers to help your child take part as much possible in school, social, and physical activities. Your child may also qualify for special help under Section of the Rehabilitation Act of You can also help your child find a support group to be around with other children with similar health conditions. Arthritis is one type of rheumatic disease. Arthritis affects joints, muscles, tendons, ligaments, and bones.
Rheumatic diseases can affect other body parts. These include organs such as the heart and eyes. Treatment options include medicines, heat and cold, massage, exercise, physical therapy, and surgery. At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests.
Also write down any new instructions your provider gives you for your child. Know why a new medicine or treatment is prescribed and how it will help your child. Also know what the side effects are. Know what to expect if your child does not take the medicine or have the test or procedure. If your child has a follow-up appointment, write down the date, time, and purpose for that visit.
Prognosis in the Rheumatic Diseases
This is important if your child becomes ill and you have questions or need advice. Search Encyclopedia. Juvenile Arthritis and Other Rheumatic Diseases What are juvenile arthritis and other rheumatic diseases? What causes juvenile arthritis and other rheumatic diseases? Certain factors that may play a part in one or more types of these diseases include: The immune system Genes and family history Injury Infection Nervous system problems Metabolic problems Excessive wear and tear and stress on the body Environmental triggers The effect of some hormones on the body Who is at risk for juvenile arthritis and other rheumatic diseases?
But some types are more common in some children, such as: Juvenile rheumatoid arthritis JRA.
What are Pediatric Rheumatic Diseases?
What are the symptoms of juvenile arthritis and other rheumatic diseases? But the most common symptoms in all the diseases include: Joint pain Swelling in 1 or more joints Joint stiffness that lasts for at least 1 hour in the early morning Chronic pain or tenderness in the joints Warmth and redness in the joint area Limited movement in the affected joints Extreme tiredness fatigue Fevers that don't go away, or that come back These symptoms may seem like other health conditions.
How are juvenile arthritis and other rheumatic diseases diagnosed?
- Evaluating outcome.
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These include blood tests such as: Antinuclear antibody ANA test. This checks for kidney disease. Sedimentation rate. This can detect inflammation. This test measure the number of red blood cells. Uric acid. This can help diagnosis gout. Other tests may be done, such as: Joint aspiration arthrocentesis. How are juvenile arthritis and other rheumatic diseases treated? Short-term treatments include: Medicines. Email alerts. Article Text. Article menu.
Rheumatoid arthritis. Effect of disease duration and prior disease-modifying antirheumatic drug use on treatment outcomes in patients with rheumatoid arthritis. Abstract Objectives To determine if disease duration and number of prior disease-modifying antirheumatic drugs DMARDs affect response to therapy in patients with established rheumatoid arthritis RA. Statistics from Altmetric.