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The Rheumatology Physio · Jun 18, 2026

When Joints Hurt: Understanding Juvenile Idiopathic Arthritis

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Jack March · The Rheumatology Physio

Welcome Back Rheumatology Fans,

In this episode of The Healthy Child Pod, hosts Jonny and Emma are joined by guest expert Jack March for an insightful discussion on Juvenile Idiopathic Arthritis (JIA).

Listen on the podcast player and subscribe to the Healthy Child Pod wherever you listen to your podcasts or watch our faces on YouTube and subscribe to my YouTube channel :)

How does someone become “The Rheumatology Physio”? In this episode of The Healthy Child Pod, Jack March shares his journey into rheumatology and discusses one of the most commonly misunderstood conditions seen in children: juvenile inflammatory arthritis.

Jack explains that, like many physiotherapists, his career began with ambitions of working in sport before discovering a passion for rheumatology during his NHS career. What followed was more than a decade of specialising in inflammatory conditions, developing expertise in helping both clinicians and patients better understand these complex diseases.

The conversation explores juvenile inflammatory arthritis, why early recognition matters, and the challenges clinicians face when distinguishing inflammatory joint disease from the many other causes of pain commonly seen in children. A key theme throughout is that children are not simply “small adults.” Their symptoms, communication styles, and presentations can differ significantly, making diagnosis and management more challenging.

The discussion also highlights the role of physiotherapists within multidisciplinary rheumatology teams, the importance of movement and exercise, and how education can help families better understand what is happening when a child develops inflammatory arthritis.

Whether you’re a healthcare professional, parent, or simply interested in paediatric health, this episode provides an accessible introduction to juvenile inflammatory arthritis and the world of paediatric rheumatology.

  • Children are not small adults
    Assessment and management of rheumatological conditions in children require different approaches.

  • Early recognition of inflammatory arthritis matters
    Delays in diagnosis can lead to unnecessary symptoms and reduced quality of life.

  • Physiotherapists play an important role in rheumatology care
    They help with assessment, education, exercise, and long-term self-management.

  • Education is a powerful intervention
    Helping families understand inflammatory arthritis can improve confidence, engagement, and outcomes.

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March 28, 2024

Hello Rheumatology fans,

Read the original on rheumatologyphysio.substack.com

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