We just had a meeting with the school to put a 504 plan in place for Maddie. It is a simple plan that allows Maddie to inform them if she is stiff or in pain. Then Maddie can modify the PE activity as needed or sit out if necessary. Maddie has had arthritis for almost 4 years. We have no way of knowing if she'll outgrow this. I thought it would be best to have the 504 in place now so that once she gets to middle school and high school she won't be penalized for any inability to participate fully in PE or other physical activities.