If Still’s disease is suspected, your doctor will usually refer your child promptly to a paediatrician. Hospital admission may be advised so that the necessary investigations can be performed and appropriate treatment started without delay.
The main aim of treatment is to allow your child to lead as normal a life as possible. For this to happen, pain needs to be kept to a minimum and the joints kept functioning to the best of their ability. Muscle strength must be maintained with specific exercises. Bed rest is advised only during periods when the illness flares up. Physiotherapy is essential, and night splints may be fitted to help prevent the joints from becoming frozen in awkward positions. Massage and hydrotherapy can also ease pain and encourage flexibility. Pain relief is vital and may be aided by the use of painkillers or anti-inflammatory medication. The short-term use of steroids is sometimes recommended for severe flare-ups. Use of these drugs should always be under medical supervision. If your child has certain deformities due to the illness, an occupational therapist can assist with specific aids and can suggest helpful modifications in the home.
The general outlook for children with Still’s disease is, on the whole, good. The illness does not usually continue into adulthood, and rarely leaves severe long-term deformities.
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