Juvenile idiopathic arthritis (JIA) [किशोर अज्ञातहेतुक गठिया], is the most common form of arthritis in children and adolescents. Juvenile, in this context, refers to an onset before age 16, while idiopathic refers to a condition with no defined cause, and arthritis is the inflammation of the synovium of a joint. JIA affects about one in 1,000 children in Europe and North America. About one in 10,000 having a more severe form. Siddha Spirituality of Swami Hardas Life System appeals to all valuable readers to know in-depth about this disease for well-being.
Juvenile idiopathic arthritis Definition (किशोर अज्ञातहेतुक गठिया की परिभाषा)
Juvenile idiopathic arthritis Symptoms (किशोर अज्ञातहेतुक गठिया के लक्षण)
Symptoms of JIA are often nonspecific initially and include:
- Reduced physical activity
- Poor appetite
The first manifestation, particularly in young children, maybe limping. Children may also become quite ill, presenting with flu-like symptoms that persist. The cardinal clinical feature is a persistent swelling of the affected joint(s), which commonly include the knee, ankle, wrist, and small joints of the hands and feet.
Pain is an important symptom. Morning stiffness that improves later in the day is a common feature. Late effects of arthritis include joint contracture and joint damage.
Symptoms may also differ between sexes, affecting girls and boys differently among different geographic locations. Children may also have swollen joints.
Eye disease: Inflammation in the front of the eye affects about one child in five who has JIA, most commonly girls. This complication is usually asymptomatic and can be detected by an experienced optometrist or ophthalmologist using a slit lamp.
Growth disturbance: Children with JIA may have a reduced overall rate of growth, especially if the disease involves many joints or other body systems. Paradoxically, individually affected large joints such as the knee, may grow faster, due to inflammation-induced increased blood supply to the bone growth plates situated near the joints. This can result in leg length discrepancy, and also deformities such as genu valgum. Asymmetrical growth can also affect other bones e.g. discrepancy in digit length.
Juvenile idiopathic arthritis Complications (किशोर अज्ञातहेतुक गठिया की जटिलता)
Proper follow-up with health professionals can significantly reduce the chance of developing complications.
A form of eye inflammation called uveitis is common with some types of JIA. The inflamed eyes, if left untreated, can result in:
Often, the eye inflammation occurs without symptoms, or while the JIA is otherwise in remission, thus it is important for all children to get regular eye checkups from an eye physician.
Growth retardation is common in children with JIA. Moreover, the medications i.e. Orticosteroids used to treat JIA have potent side effects that can limit growth. Other musculoskeletal issues may include:
- Joint contractures
- Muscle weakness or muscle loss
Children who delay treatment or do not participate in physical therapy, or children with severe disease, can often develop joint deformities of the hand and fingers.
Juvenile idiopathic arthritis Causes (किशोर अज्ञातहेतुक गठिया के कारण)
The cause of JIA remains unknown.
However, the disorder is autoimmune — meaning that the body’s own immune system starts to attack and destroy cells and tissues, particularly, in the joints for no apparent reason. The immune system is thought to be provoked by changes in the environment, in combination with mutations in many associated genes and/or other causes of differential expression of genes.
Experimental studies have shown that certain mutated viruses may be able to trigger JIA. The disease appears to be more common in girls, and the disease is most common in Caucasians.
The cause of JIA, as the word “idiopathic” suggests, is unknown and an area of active research. The current understanding of JIA suggests that it arises in a genetically susceptible individual due to environmental factors.
Juvenile idiopathic arthritis Diagnosis (किशोर अज्ञातहेतुक गठिया का निदान)
The diagnosis of JIA is difficult because joint pain in children can be from many other causes. No single test can confirm the diagnosis.
Most physicians use a combination of blood tests, X-rays, and clinical presentation to make an initial diagnosis of JIA. The blood tests measure antibodies and the rheumatoid factor. Unfortunately, the rheumatoid factor is not present in all children with JIA. Moreover, in some cases, blood work is somewhat normal. X-rays are obtained to ensure that the joint pain is not from a fracture, cancer, infection, or congenital abnormality.
Juvenile idiopathic arthritis Types (किशोर अज्ञातहेतुक गठिया के प्रकार)
The three major types of JIA are oligoarticular, polyarticular, and systemic:
Oligoarticular Juvenile idiopathic arthritis (ओलिगोआर्टिकुलर किशोर अज्ञातहेतुक गठिया)
Oligoarticular JIA affects four or fewer joints in the first six months of illness. The prefixes “oligo-” and “pauci-” mean “few”. Patients with oligoarticular JIA are more often ANA positive when compared to other types of JIA.
This form accounts for about 50% of JIA cases and usually involves large joints such as the knees, ankles, and elbows, but smaller joints such as the fingers and toes may also be affected. It is usually not symmetrical, meaning the affected joints are on one side of the body rather than on both sides simultaneously.
Early childhood-onset patients are at risk for developing chronic iridocyclitis or anterior uveitis, which is inflammation of the eye. This condition often goes unnoticed.
Polyarticular Juvenile idiopathic arthritis (बहुपक्षीय किशोर अज्ञातहेतुक गठिया)
Polyarticular JIA affects five or more joints in the first 6 months of disease. This subtype can include the neck and jaw, as well as the small joints usually affected. This type of JIA is more common in girls than in boys. It accounts for about 40% of JIA cases.
Usually, the smaller joints are affected in polyarticular JIA, such as the fingers and hands, although weight-bearing joints such as the knees, hips, and ankles may also be affected. The joints affected are usually symmetrical, meaning that it affects both joints on both sides of the body such as both the wrists.
Children with polyarticular JIA are also at risk for developing chronic iridocyclitis or uveitis and should also be monitored by an optometrist or ophthalmologist. Rheumatoid factor may be positive i.e. seropositive, in children with polyarticular JIA occurring between 9 and 16 years of age and is associated with HLA DR4 and HLA DW4.
Systemic Juvenile idiopathic arthritis (प्रणालीगत किशोर अज्ञातहेतुक गठिया)
Systemic JIA is characterized by arthritis, fever, which typically is higher than the low-grade fever associated with polyarticular, and a salmon-pink rash. It accounts for 10-20% of JIA and affects males and females equally, unlike the other two subtypes of JIA, and affects adolescents. It generally involves both large and small joints.
Systemic JIA can be challenging to diagnose because the fever and rash come and go. Fever can occur at the same time every day or twice a day (often in late afternoon or evening) with a spontaneous rapid return to baseline. The rash is discrete, salmon-pink macules of different sizes. It migrates to different locations on the skin, rarely persisting in one location for more than one hour.
Juvenile idiopathic arthritis Treatment (किशोर अज्ञातहेतुक गठिया का उपचार)
JIA is best treated by a multidisciplinary team, including doctors specialized in:
- Pediatrics, or ophthalmology
- Occupational therapist (OT)
- Physical therapist (PT)
- Social worker
Physical and social activities (शारीरिक और सामाजिक गतिविधियाँ)
The major emphasis of treatment for JIA is to help the child regain a normal level of physical and social activities. This is accomplished with the use of physical therapy, pain management strategies, and social support. Another emphasis of treatment is to control inflammation and extra-articular symptoms quickly. Doing so should help to reduce joint damage and other symptoms, which will help reduce levels of permanent damage leading to disability.
Drug treatment (दवा से इलाज)
Most children are treated with nonsteroidal anti-inflammatory drugs, e.g. celecoxib has been found effective in one study, and intra-articular corticosteroid injections.
Methotrexate, a disease-modifying antirheumatic drug (DMARD) is a powerful drug that helps suppress joint inflammation in the majority of JIA patients with polyarthritis. Newer drugs have been developed recently, such as TNF alpha-blockers, such as etanercept. No controlled evidence supports the use of alternative remedies such as specific dietary exclusions, homeopathic treatment, or acupuncture.
However, increased consumption of omega-3 fatty acids proved to be beneficial in two small studies.
Physical and occupational therapy (भौतिक और व्यावसायिक चिकित्सा)
Other aspects of managing JIA include physical and occupational therapy. Therapists can recommend the best exercise and also make protective equipment. Moreover, the child may require the use of special supports, ambulatory devices, or splints to help them ambulate and function normally.
Surgery is only used to treat the most severe cases of JIA.
Home remedies (घरेलू उपचार)
Home remedies that may help JIA include getting regular exercises to increase muscle strength and joint flexibility. Swimming is perhaps the best activity for all children with JIA. However, a Cochrane review found that physical therapy may not provide any short-term benefits in improving function, quality of life or pain. Stiffness and swelling can also be reduced with the application of cold packs, but a warm bath or shower can also improve joint mobility.
In the future, genetic testing may be available allowing earlier detection of JIA. Early detection will help determine the severity of the disease in each child and help identify which therapies will be the most effective and beneficial treatment options.
The role of the OT/PT is to help children participate as fully and independently as possible in their daily activities or “occupations”, by preventing psychological and physical dependency. The aim is to maximize the quality of life and minimize disruption to the child’s and family’s life. OTs work with children, their families and schools, to come up with an individualized plan which is based on the child’s condition, limitations, strengths, and goals. The plan may include the use of a variety of assistive devices, such as splints, that help a person perform tasks.
The plan may also involve changes to the home, encouraging the use of uninvolved joints, as well as providing the child and their family with support and education about the disease and strategies for managing it. OT interventions will be changed depending on the progression and remission of JIA, in order to promote age-appropriate self-sufficiency. Early OT involvement is essential. Interventions taught by an OT can help a child adapt and adjust to the challenges of JIA throughout the rest of their life.
Juvenile idiopathic arthritis Self-care (किशोर अज्ञातहेतुक गठिया स्वयं की देखभाल)
OT can provide many strategies to assist children in their dressing routine. Clothes with easy openings and Velcro, as well as devices, such as buttonhooks and zipper pulls can be used. For children with pain in their hands and wrists, utensils and devices that are lightweight with large handles, as well as other devices such as angled knives, strap-on utensils, jar and bottle openers, turning handles, doorknob extensions, etc., can be provided to make the task easier, less painful and more enjoyable.
One of the best ways occupational or physical therapists (OTs or PTs) can help children with JIA participate in activities with their friends is by helping them make their home exercise programs into play. OTs can provide children with age-appropriate games and activities to allow the children to practice their exercises while playing and socializing with friends. Examples are crafts, swimming, and non-competitive sports.
Furthermore, OTs can help children learn to communicate their pain to others. Benefits of OT treatment includes:
- Improved social interaction
- Improved self-confidence
- Positive self-image
For children who find that cool or damp weather makes it hard to play with friends outside, OTs can give ideas for clothing that keep the child warm and dry without limiting movement. An example of this is biking gloves, which allow children to move their fingers while still keeping their hands warm, as opposed to large winter gloves which limit hand function. Warm pajamas and electric blankets can reduce pain and improve sleep.
Children with JIA often require school activity modifications due to disease symptoms. OTs can work with families and schools to improve attendance at school. Therapists help children to succeed by providing ways for full participation at school by working with staff, taking part in activity planning and assessing the need for accommodations and adaptations.
Juvenile idiopathic arthritis Prognosis (किशोर अज्ञातहेतुक गठिया का निदान)
As of 1999: With early and aggressive therapy, some children do improve with time and lead normal lives. However, severe cases of JIA which are not treated promptly can lead to poor growth and worsening of joint function.
In order to improve the prognosis of JIA, patients should schedule a routine echocardiographic screening to assess heart function. New research shows that identifying what type of JIA a child has can help target treatment and lead to more positive outcomes. Identifying the specific biomarkers related to each type of JIA can help form more personalized treatment plans and decrease remission rates.
Children with JIA are more susceptible to:
Standardized treatment protocols are in place specific to each subtype of JIA.
Juvenile idiopathic arthritis & Free Siddha energy remedies (किशोर अज्ञातहेतुक गठिया और नि:शुल्क सिद्ध ऊर्जा उपचार)
1. Siddha preventive measures (सिद्ध निवारक उपाय)
Everybody must practice Siddha preventive measures, whether a person is affected with juvenile idiopathic arthritis or not, but preventive measures are the primary steps for switching on to any other Siddha energy remedies, and hence they are important. It helps in one’s capability, effectiveness, and productivity, decision making power, intellectuality and removing minor health problems. There are three types of preventive measures:
- Earthing – performed for earthing the negativity of our body
- Field Cleaning – cleans energy field (Aura) of our body
- Siddha Brain Exercise/Energizing – energizes our brain for proper functionality
Everybody’s tendency is to get attracted to the word ‘free‘, however, don’t neglect even these Siddha preventive measures are free. Avail the benefits by practicing them sincerely, and regularly. For the ease of understanding what Siddha preventive measures are, please watch a video for a live demonstration.
2. Siddha Shaktidata Yog (सिद्ध शक्तीदाता योग)
This unique Siddha Shaktidata Yog of Siddha Spirituality can solve the problems related to juvenile idiopathic arthritis with free Siddha energy remedies. There is no compulsion of training of ‘Swami Hardas Life System’ methods. This not only gives benefits to self but also it can be used for other affected persons, whether a person is in the same house, distantly available in the same city, same nation or might be in any corner of the world, however, both the procedures have been explained here.
3. Siddha Kalyan Sadhana (सिद्ध कल्याण साधना)
Recite this Sadhana with a Sankalp “My problems of juvenile idiopathic arthritis are solved as early as possible and I should gain health”, which should be repeated in mind 3 – 3 times every after each stanza. Any person irrespective of caste, creed, religion, faith, sex, and age can recite this Sadhana for free, which should be repeated at least twice in a day. To know more, please click on this link.
4. CCPE products (CCPE उत्पाद)
These products work on the concepts of ‘Conceptual Creative Positive Energy’ (CCPE) within the provisions of the ‘CCPE Life System’ and the theory of Quantum Technology to a certain extent. However, the products get activated only whenever touched by a human and then they become capable of solving the problem and achieving health. However, please use these products for juvenile idiopathic arthritis as mentioned below:
CCPE Extractor: The CCPE Extractor should be gently moved over the Agya Chakra in a circular motion at least for 30 to 60 seconds, thereafter, follow the same process on the head, heart, naval, and affected part for another 30 to 60 seconds, which finishes within almost 2 – 4 minutes.
CCPE Booster: Keep one Booster over the Agya Chakra and another one each over the head, heart, naval, and affected part for 3 – 6 minutes. You may need to have 5 Boosters, which establishes positivity.
5. A daily routine (एक दैनिक दिनचर्या)
In general, a daily routine may look like this:
- Increase physical activities e.g. exercise, walking, swimming, and consume Sattvik diet, etc
- Apply free Siddha energy remedies minimum 3 times a day, as explained above
- In case, if someone wishes to learn advanced methods of Swami Hardas Life System, undergo unique training
- Perform Swayamsiddha Agnihotra daily, if feasible
Ensure to sprinkle in some fun during the day: Don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.
Along with all the above activities, apply above explained free Siddha energy remedies minimum 3 times a day, the more is good. Just try the methods of Siddha Spirituality of Swami Hardas Life System. I am confident that you will surely find improvements within 3 days.
Training of Swami Hardas Life System (स्वामी हरदास लाइफ सिस्टम का प्रशिक्षण)
Any problem with regard to health, peace, and progress can be solved independently without money and medicines by undergoing training of Swami Hardas Life System. Any person irrespective of religion, caste, creed, faith, sex, and age can undergo this unique training.
In view of the above, I am confident that you have learned about juvenile idiopathic arthritis, definition, symptoms, complications, types, causes, diagnosis, prognosis, and treatments. You also learned free Siddha energy remedies. Now, you have become self-sufficient, hence its right time to use your acquired knowledge for solving problems as per the provision available in Siddha Spirituality of Swami Hardas Life System.
After reading this article, how would you rate it? Would you please let me know your precious thoughts?