muscle pain and aches

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Regular Member

Date Joined Jul 2006
Total Posts : 144
   Posted 10/25/2007 6:45 PM (GMT -7)   
alright, i asked this a little while ago but never really got a clear anwser.  With crohn's everyone is always talking about joint pain.  Now, for instance, today I have had alot of knee pain and back pain, but almost 90% of the time any pain i get is in my actual muscles.  It feels like the body aches when you get the flu.  It leaves me sore, achy and weak in the muscles, especially my legs and arms.  Is this what everyone means by joint pain or is this something else???
26 years old
dx with crohn's at 23
Fistula seton surgery 2006
Advancment Rectal Flap surgery 2007
Fisula seton surgery 2007

Regular Member

Date Joined Oct 2007
Total Posts : 22
   Posted 10/25/2007 7:43 PM (GMT -7)   
My pain feels like bone pain -- not muscle, but not stiff, swollen joints either.  I have pain in my thumbs, wrists, elbows, right hip, back of thighs, knees, balls of the feet and toes.  My p.c.p. referred to it as "tender connectors" and has referred me to a rheumatologist.  So I'm not really sure what the connection is between the so-called "Crohn's arthritis" I always read about and my connective tissue problems.  The doc does think it's Crohn's related though.  It's all very depressing to me to feel so crummy all the time.  Hopefully we can both get some answers and relief soon!

Forum Moderator

Date Joined Nov 2003
Total Posts : 7120
   Posted 10/25/2007 8:09 PM (GMT -7)   
I'm not sure I can explain the difference between muscle pain and joint pain but I will try.

I think your description, rkilcher, of muscle pain being like that when you get the flu is pretty accurate. That muscle pain is where the larger muscles in the arms and legs hurt - they even hurt when you remain motionless.

Joint pain to me is a deeper pain centered inside where you would find the joint. Take the knee - there aren't any muscles per se right over the knee, so pain felt deeply there would likely be joint pain. Also, in many cases, but not all, joint pain is much less when the affected joint remains motionless.

HOWEVER, there is another type of pain that muddies the issue. Enthesitis is inflammation of the tendons where they insert into the bone. Tendons are part of the muscular structure of the body. I have bad bouts of enthesitis. So I feel a sort of combo muscle/joint pain. Since I have been dealing with this for sometime now, I can pretty much figure out it it is one of the three types of pain. Movement of a tendon that has enthesitis is very painful. It can still hurt at rest but much less.

also, don't forget the bursa. Bursa are found all over near joints and inflammation of the bursa can mimic joint pain. I have bursitis in several places now and it is a nagging pain - the bursitis in my hip doesn't bother me during the day when I am up but constantly awakens me at night.

The best thing you can do is describe your symptoms to a rheumatologist and let them evaluate you to get to the bottom of your discomfort. Pain-free days and nights to all!
Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, small fiber peripheral neuropathy, avascular necrosis, diffuse connective tissue disease, Sjogren's Syndrome ?

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