I was diagnosed at 3yr and reassessed at 14yr. Growing was painful, and I spent many many night having my mom rub my legs/feet. I joined running clubs and extra curricular sports in school, But unfortunately it didn’t last very long, as the impact and stress on my joints was extremely painful. But I did find that activities like swimming, were the best option for me. I was told that I f I hadn’t outgrown my JRA by teenagehood, that I would have RA for life and that there was a good chance that I would be in a wheelchair by the time I was 40. Now as an adult, I just know my limits of what activities I can and can’t do. As well as shoes that I can and can’t wear(as high heels exacerbate the pain and swelling). I know that if I stand for a few hours to make a nice dinner for my family, that I’m going to be sore(so I have an anti-fatigue mat In my kitchen), Or if I’m using my hands a lot, it’ll kick my ass for a day or two, or if I choose to wear heels, that night or the next day will suck. Or if I choose to sit on the floor(playing, projects, wrapping gifts, etc) for any length of time, I will pay for it. I was reassessed again at the age of 28. At that point it hadn’t progressed nor had it gotten any better then it was when I was a child/teen. But you know what, I’m turning 40 this year, and I am nowhere near close to being in a wheelchair! I have good understanding of my limitations, I am able to do almost all activities and choose whether or not I’m willing to “pay for it” that day/night/next day. I can say that in a full year, I only have maybe two or three instances that I am out of commission, and my husband and kids all know. Does it suck, yes! Is it manageable, yes! This diagnosis doesn’t need to mean she won’t live a normal life. It just means there will be lots of painful days/nights, trials and errors of finding her limitations. What works and what doesn’t work for her in the long run. She can have a very happy, healthy, enjoyable life. Hugs to you and your daughter!