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Physicians to focus on early and accurate
diagnosis followed by prescribing physical therapies like hydrotherapy,
exercises, massaging etc. for better control of lower limb problems in JIA.
According to a recent review published in the Journal of Pediatrics and Child Health, timely assessment and treatment of the common and potentially disabling lower limb pathologies are crucial to achieving standard gold care for children with JIA.
JIA is a lifelong, autoimmune inflammatory arthritis
in children and adolescents. The present review discussed the prevalence and
treatment options of lower limb pathologies in juvenile idiopathic arthritis.
Common lower limb pathologies include synovitis inducing swelling, tenderness,
and pain; persistent inflammation pointing to flexion contractures; muscle
atrophy; limb length discrepancies; enthesopathies such as plantar fasciitis
and Achilles tendonitis; and tenosynovitis. Allied health professionals may
utilize a range of non-invasive therapies, involving hydrotherapy, massaging,
taping and foot orthoses, strengthening and stretching exercises to manage
lower limb pathologies in JIA.
J Paediatr Child Health. 2017 Aug 2
Prevalence, presentation and treatment of lower limb pathologies in juvenile idiopathic arthritis: A narrative review
Antoni F. et al.
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