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Diagnosis & Treatment


Diagnosing pediatric arthritis and other rheumatic diseases can be challenging because symptoms are similar among the different diseases. In addition to conducting a comprehensive medical history and careful physical examination for each young patient, we provide access to state-of-the-art laboratory testing and diagnostic imaging resources. The imaging techniques may be used to provide a clearer picture of what is happening to your child’s joints.


The treatment of pediatric rheumatic disease primarily involves medical management, which can include joint injections with sedation and intravenous (IV) therapies, and careful, long-term monitoring. Medications are chosen based on the most effective therapy with the fewest side effects. We also incorporate other therapeutic options, tailored to each child’s unique needs, to aid in the healing process. These may include:

  • Physical therapy to improve and maintain muscle and joint function
  • Occupational therapy to improve the ability to perform activities of daily living
  • Integrative medicine that offers the most proven-effective, alternative therapeutic resources which can be tailored to the unique needs of each young patient and take into account the whole person – body, mind and spirit
  • Psychosocial support

The Barbara Bush Children's Hospital is a department of Maine Medical Center