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Pain Research and Management
Volume 17, Issue 6, Pages 391-396
http://dx.doi.org/10.1155/2012/237258
Review

Assessment and Management of Pain in Juvenile Idiopathic Arthritis

Jennifer N Stinson,1,2,3 Nadia JC Luca,2 and Lindsay A Jibb1,3

1Child Health Evaluative Sciences, The Hospital for Sick Children, Canada
2Division of Rheumatology, Department of Pediatrics, University of Toronto and The Hospital for Sick Children, Canada
3Lawrence S Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada

Copyright © 2012 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Juvenile idiopathic arthritis (JIA) is a common chronic childhood illness. Pain is the most common and distressing symptom of JIA. Pain has been found to negatively impact all aspects of functioning, including physical, social, emotional and role functions. Children with arthritis continue to experience clinically significant pain despite adequate doses of disease-modifying antirheumatic drugs and anti-inflammatory agents. The present article reviews the prevalence and nature of pain in JIA, the biopsychosocial factors that contribute to the pain experience, current approaches to assessing pain in this population, and ways of managing both acute and persistent pain using pharmacological, physical and psychological therapies. Finally, new approaches to delivering disease self-management treatment for youth with JIA using the Internet will be outlined.