_Congenital joint abnormalities
_Infections that cause postinfectious arthritis
_Metabolic defects such as hemochromatosis, and Wilson disease)
_Resting of joints e.g. using crutches when required.
_Physiotherapy and rehabilitation (to be started early)
_Proper balance between exercise and rest
_Tabs Paracetamol 1gm QID
_Tabs Ibuprofen 400mg TID
(Other NSAIDs, including COX-2 can be used).
In case of more serious pain;
_Tabs Tramadol 50-100mg every 6 hrs (max. 400mg daily) – For those over 14 yrs.
_Methyl prednisolone acetate intra-articular depo:
*large joint (knee, ankle, shoulder): 20-80mg;
*medium joint (elbow, wrist), 10-40mg;
*small joint (metacarpophalangeal, interphalangeal, sternoclavicular, acromioclavicular), 4-10mg.
*smaller joints ; 2.5-5mg
*larger joints 5-15mg