sorry to hear about your daughter.
though i was 35 when mine started, my wrists were the first place to be hit hard. so hard i thought for sure i might lose my job over them.
PT, a cortisone shot, helped get them over the hump.
Gel ink pens instead of ballpoint were life savers.
everything for a long time, had to think ergonomically.
yeh, brushing teeth was one of the hardest things i had to do at the time. brushing hair as well; got hair cut short during that time to help out. clipping nails impossible.
one of the real turning points for my wrists was going on zanaflex. always imagined that maybe the enthesitis caused the muscles to spasm. but then the spasming muscles would "tug" at the tendon, making the enthesitis worse. in any case, the zanaflex allowed the dq tendonitis in both wrists quiet down.
about a month or so after the left wrist kicked in, so did the left "shoulder/upper back" (for me it seemed to be largely in the rhomboid area first, then spreading to the rotator cuff complex). then 1.5-2 months later the right wrist kicked in. that was it for about 2 years. then everything else joined in.
wonder if she'll be dx'ed with juvenile arthritis; sounds like it. http://www.medicinenet.com/juvenile_arthritis/article.htm
good luck to you and her!
sorry enbrel did that to you!
sounds like what donette went through.
vits C, D. probiotics. fish oil. CoQ, Mg, Ca
pred taper for flares
occasional naproxen / Aleve
no dairy (casein sensitivity), limited eggs
future: humira, soon I hope