Juvenile Arthritis (JA) is a term used to classify different types of arthritis affecting children. The most common type of arthritis affecting children is Juvenile Rheumatoid Arthritis (JRA).
This type of arthritis has several modes of onset. The exact cause is not fully understood but it is classified as an autoimmune disorder, which means that the body’s immune system is attacking some of its own cells causing ongoing inflammation.
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It often presents with a fever and skin rash, sometimes with one joint affected and sometimes with several joints affected, simulating adult rheumatoid arthritis, but blood tests are usually negative for rheumatoid factor (85%).
The most common variety to affect the spine is the particular type of JRA identified as type II. In this type, school aged boys, around 8 years of age, are most commonly affected.
It initially affects the hips, knees and ankles. Later involvement may affect the Pelvic (sacroiliac) joints and the lower and mid back (lumbar and thoracic vertebrae).
The presenting complaint here is usually lower back pain with accompanying hip and thigh pain.
Family history can play a role in the diagnosis and management of Juvenile Rheumatoid Arthritis (JRA)/Still’s Disease. While JRA/Still’s Disease is not necessarily hereditary, having a family history of autoimmune diseases such as rheumatoid arthritis or lupus may increase the risk of developing JRA/Still’s Disease.
Additionally, a family history of Ankylosing Spondylitis may be indicative in diagnosing this condition, but it is not necessary. Ankylosing Spondylitis is a type of arthritis that primarily affects the spine, and can lead to chronic pain and stiffness in the back and neck. It can also affect other joints in the body, such as the hips and knees.
In some cases, JRA/Still’s Disease may be the precursor to Ankylosing Spondylitis, which can present some years later. Therefore, it is important to have a complete medical history and family history evaluated during diagnosis and treatment.
If there is a family history of autoimmune diseases or Ankylosing Spondylitis, it is especially important to seek medical attention if a child is experiencing joint pain or stiffness. Early intervention and treatment can help to prevent joint damage and improve quality of life.
Ultimately, JRA/Still’s Disease and other autoimmune conditions can be complex and may require a multidisciplinary approach to treatment. Chiropractic care can be an important part of a comprehensive treatment plan, particularly in managing pain and promoting mobility. If you have any concerns about your child’s health or family history, don’t hesitate to speak with a healthcare professional.
Treatment of Juvenile Rheumatoid Arthritis (JRA) can be challenging as there is no direct curative treatment for this condition. Fortunately, the majority of patients recover spontaneously with minimal or no disability. However, joint stiffness and mild fusion can occur, leading to reduced mobility, chronic pain, and other complications.
Chiropractic care can often help to ease the pain and discomfort associated with JRA through gentle mobilisation of the affected joints. Chiropractors can also provide advice on exercises and stretches to help maintain flexibility and prevent further joint damage.
While chiropractic treatment cannot cure JRA, it can play an important role in managing symptoms and improving quality of life. It is important to note that chiropractic care should always be used in conjunction with other medical treatments and under the guidance of a qualified healthcare professional.
If you or a loved one is living with JRA, seeking professional help and advice can be beneficial. At our clinics, we provide confidential and individualised care for patients with a variety of musculoskeletal conditions, including JRA. Please do not hesitate to contact us for more information or to schedule a consultation.
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