If your husband has been diagnosed with sacroiliitis, then the other joint problems could be part of the disease causing the sacroiliitis. Somewhere between 5 - 20% of people with Crohn's develop spondyloarthropathy and enthesopathy. This type of arthritis acts independently of the CD. Stressors, like a motorcycle accident, can cause the problem to flare.
I was orginally diagnosed with spondyloarthropathy and enthesopathy. My right hip was so inflamed I had to use a walker to get around. My diagnosis was changed to ankylosing spondylitis because I have SI joint involvement and am HLA-B27 positive. One does not have to be HLA-B27 positive to have either disease.
Is your husband having increased problems with his Crohn's since starting the Mobic [meloxicam]? It is a NSAID which some with Crohn's find causes an increase in gastrointenstinal issues. I can't take any NSAIDs without getting lots of diarrhea.
Has anyone discussed using medications like Remicade, Humira, or Simponi to treat his sacroiliitis? This type of drug is used to treat Crohn's and sacroiliitis associated with Crohn's. How many years until your husband can retire? If he has just a couple he might be able to avoid the med board. I fear that the progression/worsening of his joint problems are going to draw the attention of someone.
I forgot to mention that the inflammation that causes sacroiliitis can effect just about
any joint. I have had problems with my shoulders, elbows, hands, fingers, hips, knees, Achilles tendons, plantar fascia and my eyes.
Moderator Crohn's Disease, IBS, and Osteoarthritis Forums
CD, Ankylosing Spondylitis, lupus, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, pulmonary hypertension, degenerative disc disease, asthma, severe allergy and a host of other medical problems.