Which specialists should be included in team-based approach to treatment of juvenile idiopathic arthritis (JIA)?

Updated: Jul 25, 2019
  • Author: David D Sherry, MD; Chief Editor: Lawrence K Jung, MD  more...
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Answer

A team-based approach can be helpful. Management may include one or all of the following areas:

  • Pharmacologic management consisting of nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), biologic agents, [30] and intra-articular and oral steroids

  • Psychosocial factors, including counseling for patients and parents

  • School performance, such as academic counseling, school-life adjustments, and physical education adjustments

  • Nutrition, particularly to address anemia and generalized osteoporosis; often microcytic, anemia is refractive to treatment with iron

  • Physical therapy to relieve pain and to address range of motion, muscle strengthening, activities of daily living, and conditioning exercises

  • Occupational therapy, including joint protection, a program to relieve pain, range of motion, and attention to activities of daily living


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