Mechanical Arthritis, no swelling or joint degration, but told it will just go away

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Regular Member

Date Joined Apr 2006
Total Posts : 84
   Posted 4/21/2010 2:40 PM (GMT -7)   
Hi all,
  Its a while since i've posted here, so here goes...
I've Crohns for about 6 years now
I developed some sort of arthritis a few years ago when I was on Remicade,
I was taken off this due to a reaction, and am now on Humira for about 2 years or so.
The joint pain has continued and I've had joint pain since, quite bad. Am usually in pain every day.
I finally got a diagnosis from my rhumy of Mechanical arthritis, possibly Crohns related
and was told it would just go away on its own, so far it hasn't and it seems to have gotten worse if anything.
I have no swelling or joint degration, which has been verified by x-rays.
I was also checked for fibromalagia, but was confirmed not to have it.
Now I've looked around the web for a while now and have not come across any
description of arthritis which does this. All references I found to mechanical arthritis
was followed by mention of joint degration which I don't seem to have.
I'm out of work as a result of this 'arthritis' and just want to get back to
employment so I can pay the bills. (luckily my crohns is now mostly under control)
Would anyone have any experience of this type of Mechanical Arthritis?
and is it possible that this arthritis will just go away?
Thanks a million,
Diagnosed June 2005 with Crohns (left colon, large bowel)
Diagnosed Osteopenia Feb 2006
Jan07 Arthritis noticed in hands, not too bad yet
Remacide started March 2007, Developed anti-bodies Jan 2008, Remacide stopped Jan 08
Crohns Arthritis Diagnosed January 2008, not getting any better yet
Asthma since childhood
changed my style to silver
changed my clothes to black

Veteran Member

Date Joined May 2006
Total Posts : 1177
   Posted 4/21/2010 5:03 PM (GMT -7)   
Has your rheumatologist checked you for lupus, drug induced lupus and rheumatoid arthritis? The test for lupus is the ANA test; the test for drug induced lupus is the anti-ds-dna test; and the test for rheumatoid arthritis is the anti-ccp test. Please rule those out if they haven't tested you for that yet. Also, have you been tested for inflammation markers (crp, esr/sed, etc)? If your crohn's is under control, and your inflammation markers are high, it stands to reason that it's because of your joints.

I see that you are on Humira. Perhaps you need another med added to the mix to help bring down the joint inflammation. My husband's rheumatologist told me that the arthritis that is sometimes a complication of crohn's disease, while it causes inflammation and is painful, takes a long time to cause joint damage, unlike rheumatoid arthritis. My husband's rheumatologist tells me that methotrexate works great to control arthritis, especially in conjunction with a biologic like Humira.

Please talk to your rheumatologist to rule out other causes of joint pain, and to see about adding another med to the mix. Hopefully you'll get relief soon.

Husband with Crohn's
Diagnosed March 2003 Ulcerative Proctitis
Diagnosed March 2008 Crohn's & C-diff, hospitalized 45 days
Crohn's in Remission since June 2008
C-diff recurrence Sep 2009
Reactive Arthritis Nov 2009
Currently c-diff free
Osteopenia of spine (Mar 2010)
Canasa (1gm), Lialda (4.8 gms), Remicade (8 weeks)
Currently In Remission

Becoming undone
Veteran Member

Date Joined Jul 2007
Total Posts : 927
   Posted 4/22/2010 1:02 PM (GMT -7)   
I am not sure, but sometimes it is listed under "extraintestal manifestation" of crohn's disease...It is a type of inflammatory arthritis, yet does not really cause joint degradation like RA...I was surprised find that a lot of the inflammation is in the tendons as on my fingers and feet...

I am on sulfasalazine, and that seems to work quite well, even though I tend to have 1-4 hours of morning stiffness/tenderness all the's a heck of a lot better than the whole day...
"The earth laughs in flowers"

Regular Member

Date Joined Apr 2010
Total Posts : 232
   Posted 4/22/2010 3:43 PM (GMT -7)   
I have had joint issues with steriods, for which Glucosamine sulfate (Naka brand, is really good) worked amazingly well.

My more chronic joint issues are more to do with my tendons. Given that I've eaten my body a few times and they wind up taking over for muscles, this makes some sense.

But, in the last 3 years I started developing tendonitis, perhaps cipro related, though more likely Crohn's related. It started in my right hand (not a south paw) and went away on it's own, though it took pretty much till this time for me to get most of my range of motion back.

Last summer it hit my right shoulder, way more painful and debilitating than my hand. Every tendon got it, and I ached to my wrist -- not to mention the SHARP pain if I moved wrong or reacted (like checking my balance). Tried a shot in my shoulder because, of course, I tore a tendon. Made things worse. Tried Tramocet without realizing it Codien it it, thanks to that my fistula abscessed.

Went back to the Rheumatologist and she said the only thing she had left to suggest, cuz of the abscess, was something called Low Dose Naltrexone. I researched it, and what do you know? It's being studied in the US as a treatment for Crohn's too.

Since the abscess has triggered my first flare in 9 years (skin and tendons aside), I am now trying this drug for both my shoulder and flaring gut. A two'fer!

What I like about this drug is it modulates rather than suppresses the Immune system. I've not had one immuno-suppressant work for me, so before I give Humira (my last chance of those) a try, I decided to try the LDN.

I remain hopeful about this treatment. After a few days on the lowest (starter) dose, my shoulder hurt much less. As of a month, my range of motion is beginning to increase. The flare is still happening, but my symptoms are reducing. I've only been on what may or may not be my full dose for a week, so... I've not decided fully yet. But so far so good, and the side effects are truly negligible.

The abscess is still a problem though, sigh...

At any rate, I suggest you try the glucosamine sulfate. You'll know in a week if it's helpful to your pain, work up to 2 pills a day. And note, this is fine for our fragile guts.

Best Wishes,
CD 24 years. Multiple surgeries in past 10 yrs. 4 year Illeostomy. Mesh rejection. Too close to death, twice. Large inscisional hernia. Perpetually underweight. Short bowel syndrom. Have used a variety of complementary medical therapies. Highly recommend Bowen Therapy as the best body work. Take me vites. Started Low Dose Naltrexone March 27, 2010. Got married for the only time 2008. Survive because of the love of good friends, and because I can. Happy to be alive. IBD needs more awareness and more voices willing to speak up. BE well.

Veteran Member

Date Joined Oct 2004
Total Posts : 3932
   Posted 4/22/2010 4:53 PM (GMT -7)   
Never heard that particular name before. From the sounds of it, would seem to be Osteo. But its not Its the old IBD arthritis. I am, unfortunately, highly familiar with both!

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