By Dr. Kesavan Nambisan, Chief Medical Officer and Co-Founder of UWAY Health
I want to tell you an incident; however, I’m changing the names to protect privacy. When Meera and Rajesh’s 8-year-old son, Aryan, started complaining about joint pain, they thought it was just growing pains. But as weeks passed, Aryan’s pain worsened. His movements became stiff, and he struggled to keep up with his classmates during sports.
Worried, the family consulted multiple doctors and discovered Aryan had Juvenile Rheumatoid Arthritis (JRA), a condition that causes chronic joint inflammation. The doctor prescribed medications to reduce pain and inflammation and suggested physical therapy to improve his joint movement. While these treatments helped initially, the side effects of long-term medication began to concern the family.
That’s when a friend recommended they try Ayurveda for a more holistic approach. Curious but unsure, Meera and Rajesh reached out to us.
Juvenile Rheumatoid Arthritis: A Growing Concern in India
Did you know, Juvenile Rheumatoid Arthritis affects approximately 1 in 1,000 children globally and is more common in girls than boys. In India, the prevalence is steadily rising, with many families facing the dual challenge of managing their child’s chronic condition while balancing work, school, and household responsibilities. Studies show that over 60% of parents of children with chronic illnesses experience mental stress due to the child’s frequent medical needs, unpredictable symptoms, and emotional toll.
Understanding Juvenile Rheumatoid Arthritis
Juvenile Rheumatoid Arthritis (JRA) is a chronic autoimmune condition where the body’s immune system mistakenly attacks its own tissues, causing inflammation in the joints. This inflammation can lead to pain, swelling, stiffness, and, over time, joint damage if left untreated. JRA typically begins before the age of 16 and is more commonly seen in girls than boys.
What Causes JRA?
While the exact cause of JRA is unknown, it is believed to be a combination of genetic predisposition, environmental triggers, and an overactive immune response. Certain infections or stressors may also act as triggers in genetically susceptible children. Ayurveda attributes JRA to an imbalance in the body’s doshas, improper digestion, and the accumulation of toxins (Ama).
Types of JIA
- Oligoarticular JIA: Affects four or fewer joints, often the knees, ankles, or wrists. It is the most common form and usually has a better prognosis.
- Polyarticular JIA: Involves five or more joints, including smaller joints like those in the hands and feet. It may resemble adult rheumatoid arthritis.
- Enthesis-Related JIA: Affects areas where tendons and ligaments attach to bones, such as the heels or knees. It is often associated with back pain.
- Psoriatic JIA: Occurs in children who also have psoriasis, a chronic skin condition. Symptoms may include swollen fingers or toes and changes in nail appearance.
- Systemic JIA: The most severe type, affecting multiple body systems. It causes recurring fevers, rashes, and inflammation of internal organs, along with joint symptoms.
- Undifferentiated JIA: Refers to cases that don’t fit neatly into any specific category but still involve chronic joint inflammation.

Common Symptoms
- Joint Symptoms: Swelling, pain, stiffness, and limited range of motion, often worse in the mornings (known as morning stiffness).
- Fever: Recurrent episodes of high fever that may come and go without obvious infections.
- Rashes: Pink or red skin rashes, typically appearing on the trunk, arms, or legs, and often linked to systemic JIA.
- Appetite Issues: Reduced appetite, leading to weight loss or difficulty maintaining a healthy weight.
- Growth Issues: Delayed growth, shorter stature, or joint deformities in severe or untreated cases. This is often due to both the disease and long-term steroid use.

Impact on Daily Life
JRA can significantly affect a child’s ability to participate in normal activities like playing, attending school, or engaging in sports. The physical discomfort is often accompanied by emotional challenges, including anxiety and frustration about their condition. Early diagnosis and a comprehensive treatment plan are essential for improving long-term outcomes.
Ayurvedic Perspective on JRA
In Ayurveda, JRA aligns with the condition of Aamavata, where undigested food toxins (Ama) accumulate in the body and affect the joints. The treatment focuses on detoxification, strengthening digestion, and reducing inflammation through a combination of internal and external therapies.
Ayurvedic Therapies for JRA
- Shodhana (Detoxification): Removes toxins to restore balance.
- Abhyanga (Oil Massage): Improves joint mobility and reduces stiffness.
- Swedana (Steam Therapy): Relieves pain and enhances flexibility.
Ayurvedic Diet Tips for Kids with JRA
A well-balanced diet is crucial in managing inflammation and boosting immunity. Here are age-appropriate recommendations:
For Younger Children (5–10 years)
- Whole Grains: Millet, quinoa, and brown rice. Avoid refined grains.
- Vegetables: Easily digestible options like carrots and zucchini. Avoid starchy vegetables.
- Proteins: Lentils and green gram (mung beans). Avoid chickpeas and kidney beans.
- Dairy: Small amounts of cow’s ghee and warm milk. Avoid processed cheese.
- Nuts: Soaked almonds and walnuts in moderation.

For Preteens and Teenagers (11–16 years)
- Iron-Rich Foods: Spinach, beetroot, and jaggery.
- Calcium Sources: Sesame seeds, ragi, and fortified plant milk.
- Omega-3s: Chia seeds, flaxseeds, and fatty fish.
- Colorful Fruits: Berries, broccoli, and tomatoes for antioxidants.
Foods to Include
- Fiber-Rich Foods: Sweet potatoes and whole grains.
- Anti-Inflammatory Spices: Turmeric, ginger, and cumin.
- Onega-3 Fatty Acids: A Note on Fish and Walnuts Omega-3s in fish and walnuts reduce inflammation and support joint health. However, fish is considered viruddha ahara(incompatible) in Ayurveda and should be avoided during treatment. Walnuts are a safe, plant-based source of Omega-3s and can be consumed in moderation.
Foods to Avoid
- Sugary snacks and drinks.
- Processed meats like sausages.
- Fried or grilled foods.
- Artificial additives and preservatives.
Lifestyle Tips for Managing JRA
- Encourage Gentle Exercises: Yoga, swimming, and cycling can reduce stiffness.
- Massage with Herbal Oils: Daily warm sesame oil massage relieves pain.
- Adequate Rest: Ensure 8–10 hours of quality sleep.
- Hydration: Warm water with turmeric aids detoxification.
- Consistent Routine: Regular sleep and meal times improve digestion.
Ayurvedic Home Remedies for JRA
- Turmeric Milk: Reduces inflammation.
- Ginger Tea: Relieves joint pain.
- Castor Oil Massage: Eases stiffness.
- Fenugreek Seeds: Soak overnight and consume for their anti-inflammatory benefits.

When to Consult a Doctor
While these tips can help manage symptoms, consult an Ayurvedic doctor if:
- Symptoms persist for more than six weeks.
- Pain or swelling worsens.
- Growth milestones are delayed.
Conclusion
Aryan’s journey with JRA has been transformative, thanks to the holistic approach of Ayurveda. With personalized dietary and lifestyle changes, coupled with Ayurvedic therapies, he is now more active and in less pain. His parents, Meera and Rajesh, feel empowered by the knowledge and support they received from UWAY Health.
Juvenile Rheumatoid Arthritis can be challenging, but a balanced Ayurvedic approach can provide significant relief. If your child is experiencing similar symptoms, reach out to us to learn how Ayurveda can complement modern treatments and improve your child’s quality of life.
Wondering how Ayurveda can help manage JRA for your child? Reach out to us to begin your journey toward holistic health.