How to treat juvenile arthritis?

That is...: ...A very complex question involving a very complex condition. There are a number of protocols used, but the bottom line is that a specialist is generally required to taylor a medication regimen to your particular child. I don't think i can give a better answer in the 400 characters allowed.

Aggressive is best: Kids require aggressive treatment to prevent growth abnormalities and to put their disease into remission. There is no cure now and it is not self-limited. Kids should be followed by a board certified pediatric rheumatologist and almost all will need weekly low dose Methotrexate and a tnf inhibitor. Larger joints can also be easily injected with a long acting corticosteroid. Nsaids are not enough.

JA-treatments: Treatments include physical therapy to keep the joints moving and prevent stiffness, NSAIDs to treat pain, and medications that lower the immune system in order to eliminate the arthritis, preserve cartilage, and prevent permanent joint damage