Saturday, May 19, 2012

Pain management - Dealing With Systemic adolescent Rheumatoid Arthritis

Mass Rehab - Pain management - Dealing With Systemic adolescent Rheumatoid Arthritis
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As if growing pains were not enough, there is such a thing known as systemic-onset juvenile rheumatoid arthritis which afflicts both girls and boys as they advance from childhood to preadolescence. As a juvenile disorder, it affects children younger than 16 years of age, although there are cases wherein it persists beyond the teens.

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What is Systemic Jra?

Think of it as an autoimmune disorder wherein the immune theory which normally responds beneficially to fight any infection automatically reacts to combat its own defenses. Even a minor infection which raises the white blood cell count could trigger the autoimmune theory of to charge its own body tissues.
Poorly understood, systemic Jra is difficult to diagnose and treat without a series of tests to rule out all other diseases. It can be worrisome because some of its symptoms intimately look those of leukemia, bone cancer, and other nervous syndromes.

How does it show?

Depending on its severity, the disease is characterized by many signs and symptoms such as joint pain, swelling, and stiffness for more than six weeks straight. The child experiences continued bouts of high fever and chills which peaks with unexplained measles-like rashes. The perceive can be very disheartening and debilitating, which is why pain management should be given significance in systemic Jra.

It is not contagious, because it is neither bacterial nor viral but rather a disease of the immune system. It can be inherited as a third-generation disease, meaning it skips one generation and manifests itself in the next. There is no clear explanation why some children outgrow it fully while others have long symptom-free periods followed by a sudden show of flare-ups.

How do you carry on it?

During Jra flare-ups, a child is prone to lose weight and muscle mass which results from lost appetite and limited body movement. On the other hand, continued medication and lack of action would lead to inordinate weight gain. Rather than important a sedentary lifestyle, you could encourage your child to engage in non-strenuous play and sports activities which rehearsal the joints, bones, and muscles.

As part of pain management care, a child with systemic Jra is attended to by a pediatric rheumatologist. Aside from pain relievers, the usual medications would consist of Nsaids and low-dose steroid treatment. The outpatient may also need specifically-prescribed rehearsal programs and rehab sessions under the management of a bodily therapist to fully recover.

How do you deal with it?

When lasting joint pain is recurrent, it goes far beyond what we know of as musculoskeletal pain. The pain is plainly indescribable. It could work on the whole body beginning from the ankles to the knees, higher to the hips and the shoulders, and even up to the neck and jaws.

As parents of a child with systemic Jra, we only have to deal with it. However, it is our children afflicted with the disease who have to live with it. They will have to cope with its long-term side-effects such as growth delays, accelerated tooth decays and inner eye inflammations which lead to premature scarring and foresight problems. With continued medication, complications of the heart and liver as well as stomach ulcers are bound to happen.

Aside from our love and patience, we can only lend our children added keep through pain management medications, clinics, and therapies. Retention informed and updated on current developments in outpatient care for systemic Jra would help families deal and live with a disease which goes beyond the pains of growing up. Turn to our Fitness Books for more data on pain management and other condition matters.

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