Children can experience a variety of aches
and pains that may be dismissed as a part of the growing up process.
However, musculoskeletal pains can signal
several serious conditions, says Sangeeta Sule, M.D., pediatric rheumatologist
at Johns Hopkins Children's Center, including juvenile rheumatoid arthritis
(JRA), the most common form of arthritis in children and teens. JRA and other
rheumatologic conditions affect an estimated 294,000 American children,
according to the Centers for Disease Control and Prevention.
As National Arthritis Month approaches in
May, Sule and other experts at Hopkins Children's invite coverage of the
challenges in detecting and treating JRA, an autoimmune disease, in which the
body mistakenly attacks its own tissues and organs, and related joint and
muscle disorders in children.
"Children get arthritis, but since it's
rarely the first condition that comes to mind when a child complains of pains,
substantial damage to the joints can occur before the correct diagnosis is made
and treatment begins," Sule notes.
Distinguishing harmless aches and pains
from arthritis isn't always easy. Often, JRA is a diagnosis of exclusion, and
no specific test can confirm or rule it out. Several blood tests and imaging
tests, such as X-rays, can help a doctor distinguish JRA from garden-variety
For parents, Sule offers the following
telltale signs, which should prompt a visit to the pediatrician:
- Stiffness, swelling and redness of the joints
- Fatigue and malaise
In contrast, growing pains usually occur
between the ages of 4 and 12 and cause:
- Deep aching and cramping pain in the thigh, shin or calf.
- Pain that occurs at night, often waking up the child. Growing
pains are never present in the morning, which distinguishes them from
rheumatic conditions, where the pain is more severe in the morning or
constant throughout the day.
- Aches triggered by exercise the previous day.