Joints

When in a flare do we get excessive joint inflammation? I tried to return to my work out routine. I’ve done the ligaments in my elbow and torn muscle in my knee. I also have swelling on my foot. It just seems excessive swelling for the injury

63 year old male. Diagnosed w/ severe UC in March. Due to pancreatitis in the past, doc started me on a biologic. Since then…

Left wrist swollen tendon. Swelling under same wrist. I’ve worn a wrist brace, on and off, for 5 mos. Gets better, gets worse, gets better.

Right index knuckle has a lump and painful for 6 weeks.

I don’t know if this is due to a lowered immune system due to the medicine or if they’re due to the UC. I never had these types of issues until this year. I think they’re connected to one or the other. My UC symptoms, per se’, are much better since I got on the medicine. The rest of my body, falling apart lol.

IBD is a body-wise systematic disease with a prevalence for presenting in the bowels. RA is a body-wise systematic disease with a prevalence for presenting in the joints. Psorasis is a body-wise systematic disease with a prevalence for presenting in the skin, etc. The point is that all autoimmune conditions are body-wise conditions and if anyone tries to tell you otherwise that is just wrong. Each condition will have a propensity to give the majority of symptoms at a certain location but extra manifestations could and will be found elsewhere in the body. For instance the population dies in general of heart conditions with probability 30-35% but for those with RA that probability is close to 45% which shows how the extra burden of the disease affects the body in general.

If you are having joint issues these need tests to see if they are a direct manifestation of your IBD (your IBD does not need to be clinical active in the bowel for a manifestation elsewhere). They could also imply some other underlying autoimmunity as those with one condition are 4 times more likely to present with another than the general population. IBD joint issues tend to be flitting, assymetric, no morning stiffness and little swelling. IBD arthritis is a form of Spondloarthropty and is classed as such. Though in many cases the presentation is not arthritic but a form of arthralgia or a form of enthesis.

D

Post Edited (damo123) : 10/22/2021 8:57:16 AM (GMT-6)

What are your current meds? And what were your flare symptoms before the joint issues kicked in?

Current meds 4x 1.2g mezavant and a 1g Pentasa enema daily. For the last 4. Still in a significant flare and have been for 4 months at its worst. The swelling came after exercise but I knew it was excessive and spreading to other areas. The pain was next level . First time on steroids today. Swelling has reduced a lot.