What is the first-line treatment for juvenile idiopathic arthritis?

The first-line treatment for juvenile idiopathic arthritis (JIA) involves the use of nonsteroidal anti-inflammatory drugs (NSAIDs) in conjunction with strengthening exercises. NSAIDs help in managing pain and inflammation associated with JIA, which is crucial for improving the child's quality of life and functional status. By reducing inflammation, NSAIDs can also prevent further joint damage.

Physical activity is equally important, as it helps maintain joint function, strengthens the muscles around the joints, and overall supports physical well-being. Strengthening exercises ensure that children maintain mobility and flexibility, which is vital in managing the symptoms of JIA.

While corticosteroids and immunosuppressive medications are necessary in some cases, typically when the disease is more severe or when there has been inadequate response to NSAIDs, they are not considered first-line treatments. Their side effects and the need for careful monitoring often make them less desirable as initial treatment options. Physical therapy alone, while beneficial, does not address the inflammation and pain, which are key symptoms of JIA and thus is not a comprehensive first-line approach.