Tendenitis anyone?

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robwise
Regular Member


Date Joined Dec 2003
Total Posts : 109
   Posted 3/7/2008 9:31 AM (GMT -7)   
I've been having problems w/tendenitis in my elbows for the last few months.  Has anyone else had this problem? My CD is inactive.  I take Humira and wondered if that could be part of it?
Diagnosed w/Crohn's Disease 1988.  One resection at Terminal Illium.
Medications:
4 g - Pentasa
75 mg - Azathioprine
40 mg - Humira
B12 injections monthly
Effexor
Actonel
various supplements


coldestspot
Regular Member


Date Joined Feb 2006
Total Posts : 53
   Posted 3/7/2008 10:25 AM (GMT -7)   
Yeah.....I can relate......I have had nothing but problems in my left arm for a year.....First it was Carpal Tunnel.....so I had a release done....then de Quervain's in my wrist which has to do with the tendon and nerves..so another surgery....then my left elbow started killing me.....so yeah another surgery ...for an osteochondral lesion and synovitis debridement......an MRI disclosed the elbow problem.....so it has been 2 months since the elbow scope and it hurts just as bad if not worse than before.....there have been a few studies linking atleast carpal tunnel to crohn's dx. Maybe someone else can tell us the connection....Good Luck.... :-)
Imuran 125mg, remicade every 6 weeks, folic acid,


73monte
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Date Joined Mar 2007
Total Posts : 1498
   Posted 3/7/2008 1:53 PM (GMT -7)   
I'm a psuedo-expert on tendonitis, but would need some more info. The most common forms relating to the elbow are commonly called golfers elbow and tennis elbow, and refer to the area affected, (inside or outside of the elbow). Since both elbows are bothering you, I'm guessing you didn't have a trauma injury. The most likely is overuse. If this pain you're having just started out of the blue, then it's more likely related to other things, like medications or physical disorders. The problem with any type of tendonitis particularly in the elbow, is that it can be very tenacious, and difficult to get rid of. The least invasive approach would rest, combined with 12-14 minutes of ice, (ice cubes in a wet towel, not bags or cold packs). You might consider some ultrasound at a physio clinic. Most doctors are quick to give anti-inflammatorys, which can be good, but considering your other medical issues and medications, you better check with your GI first. If you are able to use anti-iflammatorys, then keep in mind that they ofter mask the pain, resulting in an overconfidence and reinjury. Hope this helps and good luck with it.
My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


petittarte
Veteran Member


Date Joined Apr 2006
Total Posts : 686
   Posted 3/7/2008 4:52 PM (GMT -7)   
I have surgeries for tendonitis in my elbow (tennis and golfers), my wrist, and my thumb because I don't respond to physical therapy or medication. My tendonitis problems started before I was on any crohns medications.
Jodi

Remicade and 6MP


rootsmith
Veteran Member


Date Joined Jan 2004
Total Posts : 598
   Posted 3/7/2008 5:52 PM (GMT -7)   
Hi 73Monte-

what can you tell me about tendonitis in the feet? For years I had lower leg neuropathy with no known cause and negative EMG. Then in Sept 06 I was having a massage and the therapist touched a spot on the sole of my foot that was very tender. I asked her what that was and she said it is the insertion point of tendons connected to leg muscles. AHA! Well, my feet got worse over time and now there are several areas on my forefeet that are very tender- that same insertion point as well as under the ball of my foot. I have high arches and everyone I see tells me that is the reason. I've been to a podiatrist who gave me ridiculously huge boots to wear at night (night splints) on both legs. I asked him to try injecting one foot. He agreed but said it probably wouldn't help. It didn't. He also said that plantar fasciitis can cause just leg discomfort in some cases.

What really puzzles me with this is that it doesn't hurt to walk- it hurts when I stop. The bottom of my feet feel like they are vibrating or stuck in ice. It actually feels better to get up and walk. I've never had heel pain but the podiatrist said that plantar fasciitis can be present without heel pain.

I've tried all kinds of inserts, including ones that cost $60. I'm not sure if they helped or not. They do feel good. The podiatrist said that all he could recommend are custom orthotics, which might help, cost about $400 and are generally not covered by insurance.

Do you have any thoughts on this problem? I'm taking lyrica which is helping with the leg neuropathy but does nothing for the foot pain. The only thing left is the rheumatologist. I'm not sure what he would do.

Thanks.
10 years, many tests, 3 gi doctors, Pentasa 1000mg 3x day
diovan, simvastatin, sertraline, lyrica  


73monte
Veteran Member


Date Joined Mar 2007
Total Posts : 1498
   Posted 3/8/2008 9:21 AM (GMT -7)   

http://www.drfoot.co.uk/tendonitis%20of%20the%20foot.htm

Hi rootsmith,

First I want to clarify that I'm not a medical professional of any kind, and my advice is based on alot of experience. I've dealt particularly with shoulders and knees. Unfortunately, I've never encountered conective tissue problems with feet. Usually, pain in the feet are a result of small fractures in the metatarsuls, from what I understand. I did find this info. for you though, (link), hopefully it helps, it sounds like what your dealing with. 


My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


rootsmith
Veteran Member


Date Joined Jan 2004
Total Posts : 598
   Posted 3/8/2008 9:46 AM (GMT -7)   
Thanks, I checked out the link and other info on the website. It is helpful, however he seems to be thinking the way the podiatrist I saw thought. Neither mention systemic disease as the cause of the problem, perhaps aggravated by a structural problem. When I told my gi NP my feet hurt she said they only treat the gut, if my feet are painful I need to see a rheumatologist. I'm wondering how they can tell tendonitis of the foot is caused by a structural/ overuse or systemic disease i.e. crohn's or RA etc.
10 years, many tests, 3 gi doctors, Pentasa 1000mg 3x day
diovan, simvastatin, sertraline, lyrica  


bluemeanies
Veteran Member


Date Joined Jun 2004
Total Posts : 1372
   Posted 3/8/2008 11:20 AM (GMT -7)   
I have had crohn's for around 8 years. For the past two years I have been having reoccuring tendinitis. Usually it is in my hands, wrists or feet. I have had it in my elbow also. Currently I am having a bad bone spur on my heel caused by achellies tendinitis. From what I have learned it is a form of spondyloarthritis and is auto immune related. Prednisone will help my elbow but not much else.
 


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 3/8/2008 3:23 PM (GMT -7)   
Rootsmith,
Rhuemys are very good with any kind of inflamation and a good one will recognize structural problems and be able to seperate out if the inflamation is from the structural problem or caused by the autoimmune problems.
I would see one.

Golfster
New Member


Date Joined Jan 2008
Total Posts : 9
   Posted 3/8/2008 3:40 PM (GMT -7)   
Joint pain/arthritis is a problem with crohns.  When I got off the entocort, it started with me.  I am now back on entocort but tapering off as I started taking humira about a montha ago.  My elbows were in severe pain.  Humira is used to treat arthritis as well as crohns so you would hope it should help you for both problems. 

crohn'snz
Regular Member


Date Joined Mar 2006
Total Posts : 74
   Posted 3/9/2008 3:07 PM (GMT -7)   
Hi, I've had crohn's and crohn's arthritis for a while, and almost two years ago I started having achilles tendon problems.  That's still not sorted, but now I also have a sore shoulder.  The pain's deep down, in the front of my shoulder.  My movement doesn't appear to be restricted.  Doesn't feel like the joint pain I get in my hands, back, feet.  Feels more like the ankle pain.  It's interfering with sleep and generally making me grumpy. Ordinary pain killers (well, the kind that won't hurt my stomach) don't seem to be touching it.  What do you think?  Is this a tendon problem?  Shall I wait it out a bit longer?

Ashyla03
Regular Member


Date Joined Oct 2009
Total Posts : 41
   Posted 10/26/2009 5:45 PM (GMT -7)   
I hate to say this, but I'm so glad that I'm not alone. I have achilles tendonitis & FHL tendonits. I have been either in a leg boot cast or an air cast for the last 4 1/2 mnths. I can't take this any more. I'm a very active person and my husband realized that when I was taking my pentasa my tendenitis got worse. My foot would almost be healed and then I would start back on the drug and it would get worse the drs say there is no conection, but why not there are several drugs that cause tendenitis why not this one. It causes hair loss and arthritis , why not tendenitis. I hope someone has found an answer. I'm so sick of the drs not listening to what I have to say. I'm only 29 & have two small children and crohn's and the tendenitis are making my life really hard right now. My husband has no idea. I dont want to be in pain any more!!!!!!!!!!!!!!!!!!!!!!!!!!

medchrt1
Veteran Member


Date Joined Sep 2005
Total Posts : 517
   Posted 10/26/2009 6:22 PM (GMT -7)   
i have no doubt that crohns has the tendency to be associated with accumulation of fluid within these joints so that would result in swelling. Inflammation also but perhaps afterwards or even before. In the case of swelling i would very reluctantly say use an antihistamine. However, the opposite is that the joints are dry and mabe result of the fat malabsorption, theory being that some lubricant should exist. On another note, high dose of cipro can cause achilles problem.

Keeper
Veteran Member


Date Joined Jun 2008
Total Posts : 1058
   Posted 10/26/2009 10:32 PM (GMT -7)   
There seems to be two or three types of joint pain that are associated with Crohn's. There is a Crohn's related arthropathy which is not actually in the joint, but in the ligaments and tendons around the joint. That variety often migrates from joint to joint and is accompanied by swelling. Then there is actual arthritis - a joint destroying classical arthritis with joint deformation and constant pain. Tendinitis is the one that I complained about well before I was ever diagnosed. Elbows and shoulders for me and it has persisted for over 15 years - the shoulders have calmed down somewhat in the last year. I am fairly sure that CD has some role in causing it, but there is little information about it. I have seen some information about TNF (tumor necrosis factor - the stuff that remicade and the like target) impairing the repair mechanism for tendon cells, so that may be it. Can someone who has gone on Remicade or Humira report about any possible relief for tendinitis?

contrymom
Regular Member


Date Joined Oct 2009
Total Posts : 39
   Posted 10/27/2009 7:44 AM (GMT -7)   
I' was diagnosed wit severe Crohns in  August of 2009, but i've had 3 remicade treatments. The first 2 i had no side effects, well except for being extremly fatiqued. The 3rd treament Sept 30th. Attacked my arthritis, making it 10X's wore then it was. It actually felt like there were a gazillon little people in my body, stabbing me at the same time.
 
It was weird because the morning I had that 3rd treament I was ok with my arthritis, but by 9 PM  that night, I woke up in more then extreme pain every where on my body, From my toes to the top of my head.  Along with a 104 temp, no one could even touch my skin.   I'm 51 yrs old, and very acusrtomed to extreme pain,  But this was far worse then the pain I had with  Crohns, Natural child birth, endless surgeries on my knees etc. etc. A Quick call to the Hospital, and they sent an ambulance to get me to the ER.  
 
I won't  be having Remicade again. At the end of November My GI Dr. is going to try Humira. But then I read the side effects and the rare side effects, and they're bad if not even worse then Remicade. So I will wait and see. My Dr told me that we have to figure out which is the lesser of the 2 evils.
 
hope this helps
 
Sally
Sally from Milton NH.   
Prevcid  DR   (1)  30mg  tablet every morning 
Potassium CL ER  (1) 20mg in the morning 
Ascecol EC  (4) 40mg tablets 3 X a day 
Pomrthazine  (1) 12.5 mg  when needed for a quesy stomach which is basically 3 times a day. 
Dicyclomine (1) 20 mg tablet 3X a day 
Oxycodone  (1) 30mg tablet every 4-6 hours.  
Vicodone  APAP (2-3) 7.5-750 At  bed time  
Steroids do not work for my Crohns at all
 
 
 
 

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