Physical methods to improve fatigue

Physical strategies, such as exercising regularly, conserving your energy and getting enough sleep are very helpful for reducing fatigue. They can help improve your quality of sleep and activity level.

Exercising regularly

Regular daily exercise can help improve your sense of well-being, which may increase your energy level and help you sleep better. This is because when you exercise, your body produces chemicals called endorphins. Endorphins help to reduce pain and anxiety. It is important to select activities that you enjoy and that you can do with your friends and family.

Conserving your energy

This is another way of saying you need to manage and save your energy when you are feeling tired. Listen to your body. Pace yourself by finding a balance between rest and activity. For example, for every 20 minutes of sustained activity, intentionally rest and relax for five minutes. Focus your energy on those activities that are essential in your life. For example, some young people may find it useful to do activities that will lift their spirits, such as going out with a friend. Some other ways to manage and save your energy are to work shorter shifts at your job after school or consider taking fewer classes at school if you are able to.

Getting enough sleep

Getting a good night’s sleep restores your energy, and helps you to cope with pain and fatigue. Most teens need about nine hours of sleep to function at their best. Getting a good night’s sleep restores your energy, and helps you to cope with pain and fatigue. Sleep also gives your joints a good chance to rest, helping to reduce stiffness.

Sleep tips

How much sleep do you get? Here are a few tips that you can learn to help you get the best sleep possible. They can help make it easier for you to fall asleep and stay asleep.

Tip #1 Keep a schedule

Keep a schedule that allows you to wake up and go to bed about the same time everyday. Bedtimes and wake times should not vary more than one to two hours between days. Try to avoid oversleeping on weekends as this can make it harder to keep a regular schedule during the week. Your body likes a regular schedule. In addition, if you are well-rested, you can change your schedule once in a while for special events and you can recover from the occasional late night much faster.

Tip #2 No naps

Try not to take naps during the day. If you are really sleepy or don’t feel well and you need to nap, limit the nap to 30 to 45 minutes in the early afternoon. Set an alarm clock or ask someone to wake you up so that you don’t nap for too long. It is also important to find a balance between too much and too little sleep. For example, too much sleep will not necessarily make you feel more rested. In fact, it may make you more tired.

Tip #3 Positive lifestyle

Maintain good lifestyle habits. Get regular exercise, avoid caffeine (soft drinks, coffee, tea, and chocolate) and eat regular meals. Lots of people feel better when they cut down on caffeine even if they don’t eliminate it altogether. These good habits all help to make you ready for sleep.

Tip #4 Relaxing routine

Create a relaxing bedtime routine that you can follow each night. It should involve 20 to 30 minutes of quiet time. Good wind-down activities are things like reading, looking through a magazine, listening to music or writing in a journal. Avoid having a television, computer, tablet or cell phone in the bedroom. Avoid stimulating activities such as playing videogames, using the computer or exercising before bed.

Tip #5: Sleep environment

Make sure your bedroom is cool and quiet. Your mattress and pillow should give your spine good support. If you have painful hands or knees at night, night rest splints can be helpful. A night rest splint is a device used to keep your joint in one position while you are resting at night.


Welcome to the Taking Charge: Managing JIA Online Program! In this section you will learn what to expect in the program, how to get started and how to set goals to better manage JIA.

JIA stands for juvenile idiopathic arthritis. Find out what causes JIA, the different types of JIA and how it will affect you now and in the future.

Diagnosing JIA may be difficult as joint pain and swelling may be a part of many different illnesses. Diagnosis of JIA typically includes a physical exam, blood tests and imaging studies.

Pain, stiffness, and tiredness or fatigue, are common symptoms of JIA. These symptoms can lead to difficulties with participating in school and sports activities, and enjoying time with your friends. Learn about pain, fatigue, and stiffness, how to manage symptoms and how these symptoms can cause stress.

There are several strategies you can use to help you cope with pain, stress, and sleep problems. These include relaxation, distraction, and managing your thoughts. In this section, learn more about how each of these strategies work.

When you know about your medications, you can talk to your doctor about them and make good choices for yourself. Find out about the different types of JIA medications, how they work, common side effects, and the importance of talking to your doctor about your medication plan.

Did you know that there are many other therapies that you can use to manage JIA symptoms? They can help to prevent complications so that you can do all the things you want to do. In this section, learn more about physical, occupational, and psychological therapies; maintaining healthy nutrition; surgical options for JIA, and more.

Your role in making decisions about your treatment plan is very important. Your health-care team and other members of your support system are available to help you make these decisions. In turn, they can help you to manage your JIA.

Whether you have JIA or not, you need to maintain a healthy lifestyle. Find out how to stay healthy and active, learn about puberty and relationships, healthy body image, and making healthy lifestyle choices.

Sometime between the ages of 18 to 22, you most likely will transition from your pediatric rheumatologist to the adult health care setting. At that time, there are a number of things you, your family, and your health-care team can do to help make this change go smoothly.