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Conditions > Juvenile Arthritis > Juvenile Arthritis Treatment > Using Heat and Cold
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Using Heat and Cold

Simple ways to bring comfort and relief to little achy joints.

By Kerry Ludlam

As the parent of a child with juvenile arthritis, you already know many methods of easing your child’s pain. You probably find yourself reaching into your medicine cabinet to make life easier for your little one, but have you ever considered hitting the kitchen cabinet instead?

Doreen T. Stiskal, PT, PhD, chair of the Department of Physical Therapy at Seton Hall University in South Orange, N.J., says relieving your child’s pain can sometimes be as simple as hot and cold. “Thermal agents have many benefits,” she explains. “They relieve pain, improve circulation and reduce stiffness.”

The heat is on

Heat therapy is most successful when used on children prior to activity to warm up the joints, ease stiffness and increase circulation. When your child’s joints are stiff, apply heat as soon as she gets up in the morning to loosen joints and make daily activities less painful. Wake your child up a few minutes early so that she can take her time and use heat to relax tight muscles and joints, as well as stimulate blood flow and increase range of motion.

While heat has its benefits, Stiskal does not recommend heat for joints that are noticeably hot and swollen because it can worsen discomfort. “Use heat with caution on inflamed joints,” she warns.

One benefit of heat therapy is that it can be applied easily and inexpensively using items in your own kitchen. For example, you can create moist heat, which penetrates more deeply than dry heat, simply by soaking towels in hot water or warming damp towels in a microwave. Moist heat packs that provide longer lasting relief are available for purchase at drug and discount stores. Always test the heat before applying to skin to avoid burns.

Many children enjoy warm baths and find that they are especially effective in easing pain. The bonus? You can relieve pain and and get bath time over with all in one simple step.

Make your own dry heat packs at home by placing dry rice or beans into a sock. Tie off the open end of the sock and place it in the microwave for 30 seconds. Remove the sock from the microwave, shake it to balance the heat then microwave it for 30 seconds. Always place a towel between the heat source and your child’s skin.

Keeping cool

Cold therapy is best used at the onset of your child’s flare to reduce swelling and numb the joints. It's also useful after a period of activity. Cold numbs the sore area and reduces inflammation and swelling by constricting blood vessels. 

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Yx
15 Mar 2011, 16:25
Will J-RA cause any itchy or *[asemia] to any part of the body? Pls kindly reply to this hotmail if possible.
Brittney Urban
22 May 2010, 15:37
I'm 17 and I was diagnosed with Juvenile Rheumatoid Polyarticular Arthritis when I was 2. I love my heating pad especially after dance class!! I hate the cold. My joints act up in the winter because of the cold....why would I put ice on it and make them suffer even more?
Elizabeth
19 Dec 2009, 12:31
I find that the cold therapy works
better because it reduces the flares
I get.
Jessica
01 Dec 2009, 19:31
I am 18 years old, and have the worst pain in both of my knees, right elbow, and left ankle. It is especially painful during the colder months. I am between the ages that are mentioned for any kind of arthritis, so what could it be?
Shay
29 Oct 2009, 21:09
My little 3 year old used to always want to take baths first thing in the morning when she was 2, now I know why. Her pain is horrible and it takes 10 minutes for the NSAIDS to kick in. We are still waiting for an official diagnosis from a specialist, meanwhile both feet, her knees and hands are flaring up. She has fever 99.5 in the evening. I heard ginger can help with inflammation (a bath or a pill).
taneekwa
14 May 2009, 13:17
i really think the heat treatments wurks a lil betta because whn i put it on mii knees afta dey get swollen it helps alot or sumtimes takin a warm bath or shower

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