Other treatment for juvenile idiopathic arthritis (JIA) includes physical and
occupational therapy, healthy eating, pain management, and some complementary therapies.
Physical and occupational therapy
Physical therapy will be an important part of
treatment if your child has severe JIA. The
can help set up an exercise program
for your child, either for the child to do alone or to do with help from an
adult. Exercises should be done every day and should be regularly reviewed by the
physical therapist.3 The therapist will make sure that the
exercises are being done correctly. He or she can decide whether any exercises should be
added, dropped, or changed.
Occupational therapy helps a child live as independently as possible.
Any of the following may be used in physical or occupational therapy:
- Physical conditioning. It may include aerobic
exercise, range-of-motion exercises, and strength and stretching
- Stretching and strengthening exercises. They can help a child maintain strength and a normal
range of motion.
- at night. Splinting will help keep the
wrist, hand, knee, and/or ankle joints straight. This may prevent pain,
morning stiffness, and contractures. Working splints can help support a joint
and relieve pain during writing or other hand tasks.
- Serial casting of the knees, ankles, wrists, fingers, and/or elbows. This is a
temporary straightening and casting of the affected joint. The cast is then
removed, and the child goes through some physical therapy. Then a new cast is
applied with the joint stretched a bit more.
- Shoe lifts or inserts. These help to equalize leg lengths for children in whom one
leg grows at a different rate than the other. For some types of inflammation in the feet, you can try using shoe inserts that transfer your weight onto your heel. This takes weight off the sore middle or front part of the foot.
Healthy eating means eating a variety
of foods so that your child gets the nutrients he or she needs for growth and
development. Good nutrition may also help fight the effects of JIA. Your
child can eat all types of food as long as his or her weekly intake is balanced
Talk to your child's doctor about healthy foods for children with JIA. There are a few nutrients that may be helpful. These include:
- Vitamin D and calcium, which can help
control bone loss that is often linked with inactivity and with corticosteroid
- Vitamin C, which is an antioxidant that may help
reduce inflammation in the body. It is found in citrus fruits, tomatoes,
berries, broccoli, cabbage, and brussels sprouts.
- Omega-3 fatty
acids in fish oil, which have been shown to mildly reduce inflammation in adults with
rheumatoid arthritis. They may have the same effect in children who have JIA. The
best sources of omega-3 fatty acids are cold-water fish and flaxseed
Complementary medicine therapies for pain management
- Massage is used to promote relaxation,
relieve pain, and restore normal joint movement.
- Guided imagery may be used to promote relaxation and manage
- Acupuncture is mildly effective in relieving pain in
adults who have rheumatoid arthritis. It may help relieve pain in children who
have JIA, but this has not been proved.