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Juvenile arthritis is usually difficult to diagnose due to the wide range of possible symptoms and severity of symptoms. JA may be suspected when a child presents with joint pain and swelling, fever and unexplained rashes. Juvenile arthritis is often difficult to diagnose and treat. It is one of the most common childhood disorders and affects both boys and girls. JA is not contagious.

If your child shows signs of juvenile arthritis, you likely will be referred to a pediatric rheumatologist. Juvenile arthritis can be sometimes very complicated. There are several types of juvenile rheumatoid arthritis, classified based on the joints affected, symptoms and test results. Juvenile arthritis, also known as juvenile chronic arthritis, childhood arthritis and juvenile idiopathic arthritis, has five different subtypes, or classifications, depending on the symptoms found within the first six months of diagnosis. These classifications are pauciarticular, polyarticular, systemic onset, spondyloarthropathy and psoriatic juvenile arthritis.

Juvenile arthritis is not a single disease, but rather a variety of diseases with persistent symptoms of arthritis. Many children Juvenile Arthritis with do not complain of joint pain, although inflammation causes redness, swelling, warmth, and soreness in the joints. Juvenile arthritis is also known as Juvenile chronic arthritis (JCA) It affects children sixteen years old or under. It can restrict a child’s participation in social activities. This depends on the pattern of arthritis present, its duration and the degree of damage that has occurred.

Parents can arrange for children to participate in activities that the doctor recommends. During symptom-free periods, many doctors suggest playing team sports or doing other activities to help keep the joints strong and flexible and to provide play time with other children and encourage appropriate social development. Parents completed ratings of their families’ and children’s behavior and an illness activity rating scale. Siblings in the JCA and comparison groups did not differ in perceptions of their relationships or in their family structure.

Children with juvenile arthritis (JA) have been shown to have reduced muscle and cardiovascular physiology and functional performance compared to normal children. The effects of a specifically prescribed exercise program, focusing on the musculature supporting the inflamed joint, have not been demonstrated. Children cannot do normal activities easily and must be treated aggressively. NSAIDS are given to these patients and sometimes a second line of treatment includes gold shots, sulfasalazine or methotrexate. Children who are very ill also can miss long periods of school, and joint damage can cause long-term joint problems. In addition, the medications used to treat juvenile arthritis can cause other problems, including stomach ulcers, weakened bones and liver damage.

Children who are untreated, or who are treated late in the course of disease have the worst outcome than those who are treated early. In the hands of a physician, who is expert in the management of children with arthritis, even children with severe forms of the disease can have an excellent outcome. Children with this type of juvenile rheumatoid arthritis are particularly susceptible to an eye inflammation called iridocyclitis. These children need to be evaluated often by an ophthalmologist, perhaps as often as every three months, because there may not be any symptoms and permanent eye damage can occur even if other symptoms of juvenile rheumatoid arthritis are under control. Children with the systemic form of arthritis may also have a pink rash that appears on the thighs and lower body. Systemic juvenile arthritis can also affect the lymph system and internal organs, such as the heart and liver.



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The shoulder blade, otherwise known as the scapula is the bone structure in the upper back part of the body connecting the arm to the thorax (chest wall).  The shoulder blade also forms part of the socket, which connects the upper arm to the socket.  It is surrounded by muscles and tissues which cushion the bone structure allowing the shoulders to move smoothly.  Thus, the shoulder blade is largely involved in the different movements of the human arms.  Like any other parts of the body however, the shoulder blade may suffer swelling and inflammation, which lead to what is commonly referred to as shoulder blade pain.  

However, pain between shoulder blades may be caused by a number of factors.  The pain may be sourced from inflammation of the tissues or tendons surrounding the scapula or the shoulder blade.  Muscles surrounding the shoulder blade may have been torn or strained due to some strenuous activities.  The same case may also apply as regards the tendons and ligaments in the scapula region.  Joint dislocations may also lead to shoulder blade pain as a result of a strong trauma after an accident or during a play of a sport.  Shoulder blade pain may also involve infection or bone tumor in the region of the scapula; but cases of this type are very infrequent.  

Although pain between shoulder blades may signal that there is something wrong with the tissues, joints, ligaments or muscles around and within the shoulder region, it is not however always the case.  Not all types of pain between shoulder blades are indicative of infection, inflammation, or problems within the scapula region.  Pain between the shoulder blades may be an indicator of a disease other than that which is directly related to infection in the scapula; such pain may be a signal warning from one of the organs of the body.  This type of pain is considered as “referred pain”.  

Shoulder blade pain may signal any pain from another part of the body the severity of which may range from mild to severe.  Thus, the pain may be a referred pain from the lower part of the neck, or from the lower part of the back.  This may be caused by too much stress or too much time spent in front of the computer.  This may also indicate a posture problem.  If the person has a bad posture, the spine may be affected and therefore it refers the stress and pressure to the shoulder blade area.  

On the other hand, pain between shoulder blades may indicate severe medical problems or conditions in the other organs of the body.  It may mean an impending heart attack; it has been documented that prior to a heart attack, most are experiencing pain between their shoulder blades.  Gallbladder disease may also manifest in the form of pain between shoulder blades.  This may oftentimes be accompanied by vomiting.  It may also be caused by liver cancer and esophageal cancer or cancer in the esophagus due to an abnormal growth of cells and tumors in a person’s esophagus.



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A type of pain that is almost debilitating is neck and shoulder pain. In fact, it can incapacitate someone from doing work, or simple activities of daily living. From so many myths on the causes of this pain, it is almost impossible to point out which one is (medically) true. So who are the real culprits?

Definitely, stress can be the first culprit to be blamed. Over thinking and excessive worrying can take their toll on one’s healthy by manifesting as a persistent pain in the neck and shoulder. Another obvious cause of neck and shoulder pain is staying in one position on a prolonged time, such as countless hours in front of computer, or a whole day sitting behind your office desk. By holding a single position for quite a long time, the muscles in the neck and shoulder area are stiffened, and its fibers tightened. These may later cause the pain. Additionally, sleeping in an uncomfortable position may also cause neck and shoulder pain. Include also to the culprits of pain are the obvious injury and trauma to the neck area.

Neck and shoulder pain can also arise from more serious conditions. These conditions include injury to the muscles, ligaments and organs in the neck area. A fractured collarbone is one of these. Bursitis, or the inflammation of the sac that covers the muscles and the joints, can also cause pain in the neck and shoulder. A whiplash injury can also lead to severe excruciating pain. This is due to a sudden accelerating force in the neck and shoulder that left an injury or a tear in that area.

Tendonitis is also another underlying condition that may cause sore feeling in the neck and shoulder. Tendonitis is the inflammation, or a strain, in the tendons, which functionally connect muscles to the bones. Moreover, excessive sports activities that require lots of throwing and shoulder movements can lead to Rotator cuff Injuries. This kind of injury presents itself as a pain in the neck and the shoulder region.

Arthritis of the neck can also bring about some tenderness in the shoulder-neck area. Also called Cervical Spondylosis, neck arthritis is more common to older people. It happens when aging bones put pressure on the spinal cord. This can eventually lead to numb and weak feeling, and later on, pain.

Another more serious cause of this type of pain is a bulging vertebra that traps a nerve. And while it continuously impinges the nerve, after few months, the pain increases in intensity. There is also muscular rheumatism, or more popularly knows as Facet Syndrome. It is described as a crick in the neck. And unlike the entrapped nerve, muscular rheumatism is more acute and sudden.

Although it seems quite hard to achieve relief from neck and shoulder pain, one should always take the first step to get to a successful pain relief goal. And that first step is to know what causes the problem. It may be as simple as uncomfortable sleeping position or as threatening as nerve damage. No matter what it is, take the initiative to discover what causes the troubling pain. And from there, a pain-free neck and shoulder may no longer seem that too hard to achieve.



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