Hi there, it is Kitt. Sorry you are hurting.
Peripheral arthritis is most common in people with ulcerative colitis or Crohn's disease of the colon. Typically, the course of the arthritis follows that of the IBD, with flare-ups and remissions coinciding. There is no one test that can diagnose peripheral arthritis, but instead several tests including blood tests, joint fluid analysis, and x-rays are used to exclude other conditions.
Symptoms of peripheral arthritis are pain, swelling, and stiffness in one or more joints of the arms and legs (wrists, knees, and ankles) that may migrate between joints. When pain in peripheral arthritis is untreated it can last from several days to weeks. Fortunately, this type of arthritis does not generally cause any permanent damage.
Avascular Necrosis and Corticosteroids. It isn't clear how these anti-inflammatory medications, such as prednisone, cause avascular necrosis. People who take high doses of corticosteroids for long periods of time — for instance, people with chronic illnesses such as rheumatoid arthritis and lupus — are more likely to experience avascular necrosis. Avascular necrosis is rare in people who take lower doses of corticosteroids for a short time.
To determine what's causing your pain, your doctor will ask about your medical history and your current signs and symptoms. He or she will likely want to know what actions increase your pain and what relieves it.
In order to diagnose avascular necrosis, your doctor may request images be taken to get a closer look at your bones. Common tests for avascular necrosis include:
X-rays. X-rays usually appear normal in people who have early-stage avascular necrosis. Later stages may be more evident on an X-ray.
Magnetic resonance imaging (MRI). MRI scans can show early changes in the bone that may indicate avascular necrosis.
Depending on your signs and symptoms, your doctor may use other tests to diagnose avascular necrosis. In rare cases, your doctor may surgically remove a small piece of bone (biopsy) for laboratory examination.
Prednisone is the oral tablet form of steroid most often used. Less than 7.5 mg per day is generally considered a low dose; up to 40 mg daily is a moderate dose; and more than 40-mg daily is a high dose.
I would ask for your MRI or get a second opinion. Hope this helps but please remember I am not a professional.
Hugs to you
Kitt, Moderator: Anxiety, Panic & Depression http://www.healingwell.com/donate *~* Not a mental health professional of any kindIt is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~