Children can complain about various pains in their bodies. They play around, twist and turn their bodies, exert themselves, and even hurt themselves easily. So, it is ok if a child complains of leg pain or pain in the arm after playing rough. Is it OK if your child complains about joint pains?
Adults experience a lot of pain in their joints, especially if they are older or are overweight and this is common. Joint pain in children is not. If a child complains about joint pain, a parent can take it lightly and just give it time to subside. Children’s bodies recover fast. However, if the joint pain is persistent or recurring, it can be very concerning.
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Joint pains could be due to a number of reasons. Children do not know what posture can hurt them, how to hold a bat or a racquet the right way, etc. They are oblivious to such pains or discomforts as their bodies are not only flexible but recover quickly too.
Some of the most common reasons for joint pain in children could be:
Growing pains are common among children. Though worrying, the pain in their thigh calves, or behind the knees are mostly growth pains that will subside on their own. Some children suffer from such pain for a long period of time too.
The growing pains are commonly seen among school-going children (between the ages of 3 and 9). It can last up to their pre-teen years and will subside on its own when they become teenagers. While some children experience mild discomfort because of these growing pains, some children can have it severe enough to interrupt their sleep too.
When the child performs a motion repeatedly, it can cause injury in that joint or cause pain. Such injuries and pains are common among children in sports. When a child is learning a sport where they have to repeat a set of motions constantly, it can hurt the involved joints. For example, children learning or playing a racquet sport can have pain in their elbows or shoulders; children training to become runners can have constant pain in their hip joints or knees.
In some cases, more common than we are aware of, the recurring joint pain could be due to an autoimmune disorder. An autoimmune disease is where the body’s immune system starts attacking healthy cells instead of fighting foreign invaders and protecting the body.
Some of the common autoimmune disorders that can cause joint pain in children are:
JIA is a group of chronic disorders that cause inflammation in the joints. It affects children below the age of 16. JIA can be due to genetics, environmental factors, or other infections which can lead to inflammation of the joints. There are 5 different types of JIA that can affect children:
Systemic Lupus Erythematosus(SLE) affects children in the preteens or teenage. The hormonal change is a high suspect for this. Apart from joint pain, this disease can affect the organs too. SLE can be very severe in children as not only is their immunity low, but the damage to the organs starts at a very young age.
This type of autoimmune disease can cause skin rashes, swelling as well as weaken the muscles. However, this is a very rare condition. It affects children between the ages of 2 and 15, usually more among the girls than the boys.
How can you know if your child is suffering from juvenile arthritis and it is not just the common growing pains? Juvenile Arthritis is known as Idiopathic Juvenile Arthritis because the cause is not known. Some of the common symptoms of juvenile arthritis to watch out for are:
These signs are common and can be confused with general growing or exertion pains. The symptoms can vary from child to child. The intensity can differ for different age groups. If your child complains of these symptoms on a regular basis or experiences a few of these constantly, then it is time to get it checked. It could indicate juvenile arthritis.
In very young children who cannot communicate their pain or discomfort, you might see a change in their activities and physical progress.
Though these are regular child behaviours, parents will be able to see the difference. If the changes persist or affect their milestones, it could be a red flag that there is a bigger problem that needs medical attention.
Be it the initial days before a confirmed diagnosis or after your child has been diagnosed with juvenile arthritis, it can be difficult to watch them suffer in pain. As a parent, you may want to do anything possible to help them. “Stopping” the joint pain without medications or professional treatments may not be possible if your child is diagnosed with arthritis.
You can do the following to ease or reduce the joint pain in your child:
Gently massage the joints or the affected areas. Do not put too much pressure or massage aggressively. You can even ask your physician and learn a few massage techniques to help your child. You can give them a gentle massage after they wake up to help reduce the morning pains and stiffness.
Gently stretch your child’s calf muscles and thighs during the day. You can do this before they go to bed too.
Sometimes a child suffering from a lot of pain just needs to be held and cuddled. It can help calm them down and reassure them that you are there for them. Emotional comfort goes a long way.
Here are a few things you must refrain from doing if you want to help your child suffering from joint pain:
Juvenile arthritis is not easy to diagnose. With children, it can be very tricky to determine if they just hurt themselves or have some problem health-wise. The doctor will have to rule out other health issues like growing pains, injuries, infections, etc., before they can diagnose it as juvenile arthritis.
Once the doctor becomes suspicious of juvenile arthritis, they will ask for:
Unfortunately, there is no permanent cure for juvenile arthritis. There is no single cure that can relieve all the pain your child is suffering from. Treatments will help reduce inflammation and reduce pain to a certain extent. Without treatment, most of these children end up developing joint deformities. However, if treated appropriately, they lead a healthy life and are capable of performing all the activities.
If detected early, treatments can be given to slow down the progress of the disease and its impacts on various body parts. This will include medications, physical therapy, changes in lifestyle, and diet.
Once diagnosed with juvenile arthritis, the doctor will prescribe the following for your child:
Medicines to reduce inflammations and control the spread of the disease. The most commonly prescribed medications for juvenile arthritis are:
Physical Therapy to reduce inflammations, increase mobility, and restore movement to the affected joints. Exercise to be regularly done to ensure joints are well lubricated, do not swell or become stiff. These exercises have to be done as advised, else your child might suffer a relapse after all the progress.
Psychological therapy to help with the depression and difficulties a growing child might face when they are unable to perform physical activities or play like their peers.
Also Regular checkups to assess the progress of both the treatment and disease; damages to other parts of the body.
The treatment for your child’s juvenile arthritis will vary depending on the following factors:
The age of your child when affected and diagnosed matters. The treatments and medications for a 7-year-old will be different from that of a 15-year-old. When juvenile arthritis is diagnosed at the early stages, the treatments need not be aggressive and the impact of the disease can be controlled better than in a late diagnosis.
Different types of juvenile arthritis affect different parts of the body in different ways. So the medications and therapy given will vary depending on the type of arthritis. The treatment will also depend on what parts of the body the arthritis is bound to affect. For example – if the blood test shows positive for rheumatoid factor, there is a higher potential for joint damage. So, the treatment will be more aggressive to prevent this and control arthritis. Similarly, oligoarthritis can affect the eyes as the disease progresses; the treatment will aim to prevent this.
If the impact of the disease is severe in the child, the treatment will be aggressive. If the disease has been diagnosed early and has not affected the child much, the treatment will be mild. Also, as the swellings and pain come under control due to aggressive or strong treatments, the treatment will be toned down.
Juvenile idiopathic arthritis (JIA) is an autoimmune condition and would be treated by a Pediatric Rheumatologist.
When your child complains of pains, first consult your general physician or paediatrician. They will be able to guide you about which doctor to consult first. In case it is a bone problem (eg: fracture of the bone), you will be guided to an orthopedician. However, in the case of arthritis (swollen joints), this would be on most occasions, treated by a Pediatric Rheumatologist.
A rheumatologist will study the cause, impact and give treatments for the autoimmune disorders that affect the joints. This doctor will prescribe medicines and ask for multiple tests to confirm a juvenile arthritis diagnosis. They will not give any surgical treatments. This doctor will give physical therapy and medicines for your child’s arthritis.
Orthopedists are surgeons. So, if your child’s bones or joints have been severely affected and damaged due to juvenile arthritis; the Pediatric Rheumatologist may ask you to meet the orthopedician and the orthopedist will repair the bones and joints that have been affected by performing surgery. This is rarely required these days, as there are very effective treatments for juvenile arthritis. So, if your child has autoimmune arthritis, you will need to consult a rheumatologist first, get a proper diagnosis and initiate therapy. It is essential to remember that the treatment may be continued for many years and patience on the part of the family plays a pivotal role in getting the child better.
When your child complains of constant pain in their joints, it can be very alarming for a parent. To learn it is an autoimmune disease like juvenile arthritis can be very difficult to cope with. Consulting the right doctor and getting the right diagnosis in time is very crucial.
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