Specialties and Procedures

Queens Juvenile Arthritis Doctors

Learn more about ankle replacement procedures and whether they’re right for you

What is juvenile arthritis?

Juvenile arthritis, also known as childhood arthritis, is typically diagnosed in children and teens under the age of 17. It involves inflammation of the synovial membrane, causing swelling in the joints and potential damage to surrounding cartilage and bone.

The most common form of juvenile arthritis is juvenile idiopathic arthritis (JIA), of which there are several different types, including:

Systemic JIA, which affects the entire body

Oligoarthritis, which affects up to four joints

Polyarticular arthritis, which affects five or more joints if it’s rheumatoid factor negative or resembles adult arthritis if it’s rheumatoid factor positive

Psoriatic arthritis, which involves the presence of both psoriasis and arthritis

Enthesitis-related arthritis, which typically affects the lower body and spine

Other forms of juvenile arthritis include conditions similar to adult arthritic diseases such as ankylosing spondylitis, lupus, and fibromyalgia, as well as:

Vasculitis, which causes blood vessel inflammation and often appears as Kawasaki disease or Henoch-Schonlein purpurra (HCP) in children and teens

Juvenile myositis, which causes muscle weakness and typically appears as juvenile polymyositis or juvenile dermatomyositis, a condition that causes rashes on the eyelids and knuckles

Juvenile scleroderma, which causes the skin to harden and tighten

What are the symptoms of juvenile arthritis?

Generally, juvenile arthritis causes symptoms such as joint pain, fever, stiffness, rashes, fatigue, loss of appetite, eye inflammation, and difficulty with many routine physical activities. It can also lead to problems with internal organs such as diarrhea, bloating, shortness of breath, and heart problems. Each individual type of juvenile arthritis causes symptoms similar to those present in the adult forms of these conditions.

How is juvenile arthritis treated?

Juvenile arthritis is typically treated with medication, non-drug therapy, or in some cases, surgery. The goal of juvenile arthritis treatment is to achieve permanent remission by treating symptoms, as there are no cures for these conditions.

The drugs used most often to treat juvenile arthritis include anti-inflammatory medications such as corticosteroids, nonsteroidal anti-inflammatory drugs, and analgesics, as well as DMARDs to suppress the immune system and prevent it from attacking the joints.

Physical therapy and occupational therapy are also utilized in many cases to help a child learn the best ways to stay active for managing their ongoing joint pain. Walking, swimming, biking, yoga, and other low-impact activities are generally best, but if symptoms are under control, a child can participate in almost any physical activity.

In cases of severe joint pain or damage, your child’s doctor may recommend surgery to replace the affected joints.

Orthopedic Trauma and Joint Replacement

Sanjit R. Konda

Dr. Sanjit R. Konda, MD is the Director of Joint Replacement Surgery for Orthopedic Specialists of New York.

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Orthopedic Trauma and Joint Replacement

Abhishek Ganta

Dr. Abhishek Ganta, MD is the Director of Foot and Ankle Surgery at Orthopedic Specialists of New York. He specializes in treating poly-trauma patients and in fracture care, nonunion, malunion/deformity correction, pelvic and acetabular surgery, and general orthopedics.

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Hand and Wrist Specialist

Ali Azad

Dr. Ali Azad, MD is an expert hand surgeon who specializes in the management of conditions involving the hand, wrist, elbow, and shoulder, including arthritis, tendonitis, fractures, and peripheral nerve disorders. He has a special expertise in reconstructive microsurgery for the treatment of severe and complex trauma of the upper extremity.

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Sports Medicine

Joseph A. Bosco lll

Dr. Joseph A. Bosco III, MD is a sports medicine and joint replacement specialist who served as team physician for the New York Mets professional baseball team. He has also been the team physician for the Durham Bulls and Brooklyn Cyclones minor league baseball teams.

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Sports Medicine

Spencer Stein

Dr. Spencer Stein, MD is Associate Director of the Division of Sports Medicine for Orthopedic Specialists of New York. As a sports medicine doctor, he specializes in helping patients return to sports and activities after injuries to the shoulder, elbow, hip, and knee.

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Sports Medicine

Michael J. Alaia

Dr. Michael J. Alaia, MD is a fellowship-trained sports medicine orthopedic surgeon with additional specialties in tendon and ligament, knee, shoulder, and elbow injuries. With over 100 peer-reviewed publications and over 100 presentations at national meetings to his name, Dr. Alaia is considered a national and international expert in knee and shoulder reconstruction, particularly complex knee injuries and ligament reconstructions.

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