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Conditions > Juvenile Arthritis > Juvenile Arthritis Treatment > Caitlin Ryan’s Top 10 Pain Fighting Tips
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Caitlin Ryan’s Top 10 Pain Fighting Tips

Years of living with juvenile arthritis has made this 11-year-old girl an expert in pain management.

By Jennifer Davis

Caitlin Ryan

Caitlin Ryan was diagnosed with juvenile rheumatoid arthritis, or JRA, when she was 3 years old. In August 2009, at the age of 11, she underwent a full hip replacement surgery and will likely undergo another one, on her other hip, in 2010. Her case is severe. She has arthritis in every joint and has dealt with chronic, often excruciating pain for years.

“Before my surgery, it hurt so much,” Caitlin says. “You can feel your joints throbbing like you can feel your heart beat after you run. It feels like your joints are going to pop out.

“I’ve dealt with stuff like my joints hurting and everything hurting most of my life,” she continues. “Other people, their pain ends in a few weeks. Once you know that you have it and you can’t stop it, you just sort of have to live with it.”

Through the years, Caitlin has relied on medicine, a pain management team, acupuncture, herbal remedies and massage to deal with it all. But she and her family have also discovered some coping mechanisms of their own. Caitlin hopes sharing these ideas will help other children battling chronic pain. “I think just calming down and relaxing helps a lot,” Caitlin says. “All these ideas, they were just what helped me. Everyone has different ideas that help them, but this is what worked for me.”

Caitlin’s Top 10 Pain Fighting Tips

1) Keeping Moving  – Swimming is a favorite. Being in the pool feels great, because I can get some exercise and it takes the pressure off my joints. Even just floating in the pool feels good. When you are in the water you aren’t touching anything and it feels a lot better.

I also love the Wii Fit. I love to do the yoga and strength training exercises. My therapist says it will improve your range of motion and your balance. It makes exercise fun and I can do it with my friends and family. This has really helped me strengthen my legs after my hip replacement – and you can do it no matter what the weather is like outside.

2) Fun Distractions – I love to hang out with my friends and I love shopping. It keeps my mind off the pain. I like to cuddle up under a blanket with a good book. I love the Harry Potter series and the Twilight series. And watching TV can help me keep my mind off the pain. Mostly I watch funny movies. I love to laugh and it makes you feel better.

3) Music – I love listening to music. I love Nick Jonas so I listen to his new band. And I like to listen to country and R&B and jazz. When I’m listening to Nick Jonas, his music is what I listen to at night. It’s what relaxes me. I’m also going to start guitar lessons. I think it will be cool and it’s probably good therapy for my hands and wrists. The only thing with music is, I just have to be careful that I don’t dance too much and too hard.

4) Going to school – Sometimes my mom really has to force me to go to school when I’m stiff or in pain. In the morning I sometimes feel a lot of pain but my mom says it’s going to happen everyday so you have to tough through it sometimes. But honestly, school helps distract me and then I’m not sitting home thinking about how much it hurts. I start to loosen up after a little while and just sitting in a class doesn’t usually hurt that much. If it really hurt in the morning, I’d just bring a pillow to school and sit on it.

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Gabriela
04 Jan 2012, 16:30
Continues... I forgot to mention
...My son's arthritis was horrible. Both of his ankles, kneew and hips were very swollen and at one point, he could not walk.
...My daughter also does not eat corn as it causes joint pain and/or inflammation for her.

Feel free to reach me at
Gabimbanks@gmail.com

Or read my (brief) blog here http://burdensbecomebridges.blogspot.com/
Gabriela
04 Jan 2012, 16:19
Since I last posted (17-Jun-2010), I praise the Lord that my daughter & son are still in remission from JIA!

Treatments for both kids: gluten and dairy free diets + supplements based on their individual labs from our Holistic MD Pediatrician. My daughter responded well to a digestive enzyme but my son did not. He had a type of bacteria in his stool (discovered from a comprehensive stool test administered by our holistic ped.) that was killed after 10 days on Augmentin, a prescription antibiotic. YES, it was that simple. Since he completed that Rx a year ago, he's been completely symptom free of his arthritis!!! It's gone! Before he took Augmentin, he has elevated inflammation (ESR and CRP) for 9 months!

I highly recommend daily prayer and searching for a holistic MD to help with JIA. Doctors know there is no "drug" cure but there are alternative treatments that worked for my kids.
KERRY DREW
07 Sep 2011, 08:09
My comment is about caitlyn's coping strategies... I liked how she worded her top ten list and my son nick uses many of those as well. As a parent I wanted to also comment about not bringing the arthritis up to avoid the hyper focusing on the stiffness and pain etc... I like that your family is supportive of that. Sometimes people just don't understand how the "distraction technique helps". Watching a funny movie and laughing is excellent medicine! Especially once your wearing a heating pad or have used biofreeze maybe a jacuzzi etc... the point is once you have done the prep work for pain management... moving thoughts to distract the pain focus is crucial.
My son Nick is almost 13 and was diagnosed at 4 with Systemic JRA or now JIA... anyway its been a long road but luckily we never lost our sense of humer. We love to laugh and make others laugh too.
Thank you KAD
Shannon Simon
24 Aug 2011, 19:40
my three year old was just diagnosed with JIA and Uveitis. she has been on 30mgs of prednisone and 12mg aleve a day for ten days with worsening symptoms. She complains of pain in all joints including her jaw. She has swollen inguinal and abdominal lymphnode. She complains of severe worsening lower back pain, armpit pain chest pain and horrible abdominal pain. We have been through a horrible ordeal trying to get her a diagnosis and treatment. I am so scared her complaints are in all systems and effect all bodily functions. Her headaches are daily and horrible she says she has a monster that lives in her head. She has cried herself to sleep for thirteen months wakes up screaming is choking and gaging on nothing and everything at times. She has fingertips that are beet red and look like drumb sticks. My motherly instinc is telling me this is a ver life threataning situation. Can anyone help me? Im lost. please e mail me at thetextureroom@yahoo.com
Mike Agron
06 Jul 2011, 14:37
Caitlin, you're a very brave person with a truly inspiring story,and thanks for sharing it with us.

I too will be riding in the upcoming CCC tour and will make a point to introduce myself to your dad.

All the best,

Mike
Victor
06 Jul 2011, 11:51
Thanks Caitlin, your article is an inspiration. Hope to read more from you. Thanks again.
liz
06 Jul 2011, 11:24
I love to read stories about JRA/RA, it makes me feel like I'm not alone. I don't know of many support groups that stick around for a long period, in fact, I don't know of any at all in my area. It so help to talk/listen to others whom can relate. I want to thank Caitlin for her story. She sounds like an exceptional person and also must have wonderful supportive parents. Knowledge is the key to a disease like this one. Read, read and read some more...Find out facts and do things that work for you. As we all know everyone is different, what works for one may not work for the other. I also have JRA/RA and OA., and from this have developed other health issues such as Pleurisy among other things. All I can say is you have to stay strong & positive. Choose to be around good surroundings with good friends, stay close to your love ones and live life to the fullest. Thank you to all the research and new medicines coming there is much hope for us. There are people in worse situations, so as I awake every morning pain or no pain, I thank God for my life & the time I have to spend with my love ones. God Bless & Good luck to all.
Adele Bonge
06 Jul 2011, 09:22
Thanks everyone for the wonderful tips, I am printing them out. Thank you Caitlin for your courage (and ability to communicate about your disease in such a practical way). My daughter is ten and has juvenile dermatomyositis.Although she goes to CHLA monthly for Remicade infusions and takes weekly MTX along with homeopathic remedies, I would think acupuncture would really help her but she is afraid. Do you have any tips on how to reassure her? Thanks, Adele
Carol
01 Dec 2010, 08:10
Hi Sammie,
I have RA and have to take Ibuprofen every 6 hours. In between meals I take a powder called l-glutamine (recommended by my Natural path Doctor.It coats the lining of the stomach and intestines. It works for me.I wish you all the best with your son.
Take care,
Carol from NH
Maria
16 Oct 2010, 22:19
Gabriela, your text is encouraging for a mother like me who has a 10 years old son living with reumathoid arthritis since he was two. I find very interesting what you say about a gluten free diet and the holistic doctor. I would like to have information about that but I don't know how can I reach you. My child sometimes changes his mood, hides his pains, or suffers from other symptoms and it is difficult for us to help him. Sometimes he doesn't even want to go to school in spite of the fact of not having any pain at the moment, I think he gets depressed or something. Caitlin article is beautiful, I think it will be good for my kid to read it, to see what he can do that other kid is doing, but I am not sure if it is going to be helpful for him. Sometimes we don't know what is right or wrong anymore.
tracey
04 Oct 2010, 06:08
Hi my name tracey, my heart and soul goes out to all the beautiful children,myself suffers from jiont problems, related to AR ive had it since i was lil, and now i have three children, jst tonite on todaytonight they had a story on their abt this beautiful man wif lots of brains and lots of heart, and cures to our pain we live everyday. Im trying to find that story, in my mind he can help me, its all nature products he uses and me personally sick of taking meds everyday, so i really want to give him a try,and one other thing is i suffer frm thyroid cancer now and that is related to AR, i had to study up on that too.And im also taking meds for that too, never ends, jst maybe the old mate my have something for that, fingers cross. Again to all the people that suffer frm any illness, jst think to urself it can be worse xxxx all i say is be strong dnt let the bug win,like they say exercise and eat healthy and bad, but mostly healthy, may the lord be wif us all.
Maggie
13 Sep 2010, 20:38
I have always thought kids were a tough group and the stories told here tell me that I was right! Keep your chins up and keep fighting. You're a brave group and I wish all of you the very best!
Catherine
09 Sep 2010, 09:34
My daughter was diagnosed with systemic onset JRA when she was 2. She is now 8 and has undergone countless joint injections, 3 port a cath surgeries, cyst removals, and various other procedures due her JRA. You and her are simply inspirational. Although I know she is in pain everyday she still smiles and enjoys life to the fullest. She has been selected to be the Western MA walk ambassador this year, and we couldnt be more proud! You can visit her site at www.westernmaarthritiswalk.org to read about her. Her link is on the left margin (Brianna's story) I would love for you to reach out to her, as she loves to type on the computer. I think she would enjoy talking to someone who is going through what she goes thru everyday. As much as I try to support her and understand, she sometimes states, "mom you just dont know how it feels" and she is right. I wish evryday that I could take the pain from her joints. Everyday is another day to hope.
Krista
07 Sep 2010, 10:48
My name is Krista Roy. I have had chronic systemic JRA since i was 3. I am 38 years old now. I have the RA, OA have had 15 surgeries and am on many many medications. It is truly a balancing game, great support, medical management and sheer determinations. I have been disabled by it since 1997. I graduated from college in 1995 with A BA in psychology. Education is so important. My disease is as active as it was when I was younger. It is so difficult. I had a gastructomy operation when I was 4 so I don't have a complete stomach so I have many dietary restrtictions. Caitlin is on the right track. My pediatric rheumatologist (God bless him) always stressed going to school every day and walking. He is no longer with us. But I hope he would be proud of me.
Kim (Bailey's Mom)
03 Sep 2010, 01:38
I am at a Loss for Words! Bailey (5) has JRA and Uveitis. Caitlin you are awesome!
http://thewarrens-baileysmama.blogspot.com/
http://www.youtube.com/user/BaileysmamaJRA
Sammie
06 Jul 2010, 14:06
Hello, my son who is 5 has just been dx with JRA. After several months of bone/joint pain and high fever, and a ped. doc who could only say that it was growing pains, i took my son to a hospital were i was then referred to a ped. rheum. My son was placed on meds which in the end could cause ulcerations, and being that he is only five and will have to take this meds on a daily bases for the rest of his life, i am truly concerned. I honestly dont know what to expect from this or how to handle it, so if anyone has any suggestions please do tell! thanks in advance!
Raquel
26 Jun 2010, 21:59
I am interested in any diets that can be useful my daughter was just recently dx with JRA and I want to battle this at all coeners. I thank anyone who gives me some input. xraymyway@aol.com
Brittany
19 Jun 2010, 17:40
"Having [JRA] Juvenile Rheumatoid Arthritis has made it difficult in many ways, Being in school with an illness is difficult because its real hard to stay focused on school alone when you're physically fighting something, Especially when you are around students who don't fully understand the seriousness of physically fighting something.
Mentally it's hard to stay on track. I managed to overcome those difficulties by learning how to cope. I learned a number of coping skills that have made it less hard for me to get through school. God knew what he was doing when he chose me to live this life because I have what it takes to fight a condition like mine. Fighting a condition takes faith, optimism, and fight. I had to have faith in myself and in doctors, I have had to be optimistic in times when and where things seemed impossible and I had to fight when I didn't feel I could fight anymore. I feel as though the cards i have been dealt have made me view things differently than most. I never take anything for granted I live everyday like it's my last, and i truly believe that i can beat anything because of all the hardships i have overcome. I believe everything happens for a reason, and we have a choice weather or not to live our lives to its full potential. I believe in something bigger than all this that must connect us all. I believe in a plan, I believe that i was chosen to live this life even if i don't agree with the plan.
I love to explain how i have made it through numerous procedures such as Bilateral Hip Replacements at the age of 15, and a numerous Cortisone injections in my wrist ankles knees and hips, I like to be an example so talking about my illness is not a bad thing for me at all. The negatives of being in school with a chronic illness is having to take medications. Most of the medications i take effect my body Differently and then having to go to school; it makes it hard because not everyone can understand mood swings or hot flashes. People are curious and opinionated and even if they don't know the situation, they will still chose to give you their opinions. But part of coping I focus more on the positives ; I have inspired a lot of people , The ones that have seen me and witness my everyday battle have been with me in this long war. They have a sense of respect for me, It was either going to make me or break me . This situation has made me wise and humble.
Gabriela
17 Jun 2010, 07:50
I have a daughter (15) in remission from Crohn's Disease and JRA and a son (12) who was just diagnosed in April with JIA. My daughter was on lots of drugs for 2 years (Sulindac, MTX, Prednisone, Remicade, etc) when I took her to a Holistic Pediatrician with an MD who did an IgG blood test for food sensitivities among other things. We started her on digestive enzymes, a gluten-free diet (GFD) - GRADUALLY introducing GF foods and GRADUALLY eliminating gluten - and a diet free of other foods that she was highly sensitive to and full of foods that are naturally anti-inflammatory. The diet and enzymes did the trick and she's been in remission for 2 years. My son has also responded well to a similar treatment. He just started a GFD and his painful mouth sores and painful and swollen leg joints have cleared up. I highly recommend finding a Holistic MD to help you with JA. There's tons of research on how diet and enzymes can help. I'd be happy to talk to anyone further.
Diane Magliozzi
15 Jun 2010, 09:19
Hi - I am a 51 year old woman who was dignosed with JRA at age 2. At this point I have an artificial hip, artificial knuckles on my right hand, partial elbows and a fused wrist. In spite of this, I have a wonderful husband, 2 healthy daughters and a full time job as an accountant. It has been a lifetime of learning how to cope, but I feel fortunate for all the good in my life. I would be happy to talk with any parents, caregivers or children. I only pray that all patients can live as full a life as I do.
Lisa
03 May 2010, 20:12
Hi, My daughter Kate was diagnosed Jan of 2010 w JIA. It started in both knees and both ankles. She had the cortizone shots and to date her knees are ok, however her ankles have flared horribly and now has progressed to her left elbow and her right wrist. In March, she was put on a low dose of Methotrexate along with motrin. Four weeks later the methotrexate was increased to 7.5 mg. and Two weeks ago she was taken off the motrin and put on Meloxicam with the methotrexate. Just left the rheumatologist and now he wants to start her on embrel with the methotrexate. I'm am so unsure of what to do. In the meantime her increased the methotrexate again to 10 mg. Not sure if I want her on the embrel but it seems like nothing is working. Has anyone had exp. with embrel for a 4yr old? thanks
rett
31 Mar 2010, 21:25
I have had inflammatory arthritis for 18 years which translates tons of drugs to stop the progression. Yes I eat right, weight 103# exercise daily. After a year on methotrexate which wasn't helping with the pain I found a miracle from God's garden. After 2 months I was totally pain free and after 6 months my rheumatologist gave me permission to go off. Visit my website to see my story and other similar stories. Also see the product I am taking. Feel free to contact me. Blessings
www.rxkeys.com
Colleen Ryan
10 Mar 2010, 12:10
Hi Gary-
In our experience, prednisone has always done the trick as a quick fix for swelling and pain. But sometimes, it can take a short burst of a higher dose to do the job. Our doc always did five days on a high dose, and then 3 weeks completely off.

Since Kaylee was just diagnosed in December, your doc might be waiting to start a biologic to see if the MTX will be enough with the naprosyn. It can take up to three months for MTX to be really effective....

As for schooling - there is so much to say. I'd recommend contacting your local Arthritis Foundation chapter and requesting a couple of copies of "When Your Student Has Arthritis". They are great for educating the school teachers, nurse, administrators etc. You might also want to consider a 504 plan for your daughter....

Please feel free to e-mail me directly:
bookissmom "at" yahoo.com...
Best hopes to you-
Colleen - Caitlin's mom, systemic JIA

Gary
08 Mar 2010, 16:19

Gary, About Kylee

My daughter Kylee was diagnosed with Polyarticular Juvenile Idiopathic Arthritis in December 2009. She is currently on 25 mgs of Methotrexate by injection once a week. Also, 740 mgs of Naproxen (slow release) and 2000 MGs of Tylenol(rappid release) and 2 mgs of Folic Acid each day. She is experiencing a lot of joint pain, and cannot sleep at night. Her Rhuematoligist has just prescribed 20 mgs. of Prednisone daily to help with the pain, but so far we see little or no relief. This is very discouraging. Does anyone out there have any suggestions, and does anyone else have any experience personally or working with family members with JRA??? Any other information would be helpful and useful for use and with her schooling. Thanks

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