But they can interfere with normal growth and increase susceptibility to infection. Stopping long-term use of corticosteroids suddenly also can be dangerous, so it's important to follow a doctor's instructions on usage. Therapies Your doctor may recommend that your child work with a physical therapist to help keep joints flexible and maintain a range of motion. A physical therapist or occupational therapist may make additional recommendations regarding the best exercise and protective sports equipment for your child. A therapist may also recommend that your child make use of special supports or splints to help protect joints and keep them in a good functional position.
Exercise is important because it promotes strength building and joint flexibility.
Swimming is an excellent choice because it places minimal stress on joints. Stiffness affects many children with JRA, particularly in the morning. Some children respond well to cold packs, but for most, a hot pack or a hot bath or shower offer relief. Some children with arthritis have poor appetites. Others may gain excess weight due to medications or physical inactivity.