When we think of arthritis, we imagine seniors with chronic pain in their feet and ankles. Not many people associate this inflammatory joint condition with kids, let alone active ones with no preexisting joint problems. So why does what we call “juvenile” arthritis exist? We at Syracuse Podiatry are here to answer that question and hopefully raise awareness of this disease during National Arthritis Month.

What Exactly is Juvenile Arthritis?

While we often associate arthritis with older adults, juvenile arthritis is a chronic autoimmune disease that can impact children and teenagers by frequently targeting the weight-bearing joints of the feet and ankles.

Juvenile arthritis isn’t a single disease but rather an umbrella term for a group of autoimmune and inflammatory conditions that develop in children under the age of 16. In JA, the body’s immune system mistakenly attacks its own healthy cells, which causes inflammation in the joints. While the exact cause of most types of JA is unknown, genetic and environmental factors are believed to play a role.

Why the Feet and Ankles Are Often Affected

The feet and ankles are common targets for JA due to the numerous small joints they contain and the significant stress they endure with every step. Inflammation in these areas can cause pain, stiffness, swelling, and difficulty moving.

Different Types of Juvenile Arthritis

Several subtypes of JA can affect the feet and ankles, including:

• Oligoarthritis: This is the most common type, often affecting just a few joints, frequently including those in the knees, ankles, and feet. Inflammation may be present in one or several joints in the lower extremities.
• Polyarthritis: This type affects five or more joints and can involve both small and large joints throughout the body, including the wrists, hands, ankles, and feet.
• Systemic JA: This form is characterized by inflammation in multiple joints along with systemic symptoms like fever and rash. The feet and ankles can be significantly affected.

Recognizing the Signs of Juvenile Arthritis

Early signs of juvenile arthritis in the feet and ankles can be subtle and manifest as persistent pain, soreness, or redness. Your child might also notice swelling in one or more joints, which is frequently apparent around the ankles or in the toes.

Stiffness is another common early indicator, particularly in the morning or after periods of rest. Your child may also begin to limp or exhibit changes in their usual walking pattern, especially if they have difficulty placing weight on their feet (this will present during sports).

For advice related to any podiatric concerns you’re facing, the expert team at Syracuse Podiatry is here to help guide you. Contact us today so Dr. Ryan L. D’Amico, Dr. Donal M. Erickson, Dr. Keith Sherman, and Dr. Nicholas Cronin can elevate your foot health and help your feet feel their best.