How Can Joints Pain Be Treated While On Humira For Crohn's Disease?

Posted on Wed, 8 Feb 2017

Question: 69 year old man with crohns disease is taking humira, just started Dec, 21 2016. pain in joints and muscles. can not even get out of bed or a chair without help. Pain moves around from one arm then to the other, same with knees.

Answered by Dr. Divya Agarwal (21 minutes later)

Brief Answer:
arthritis due to crohns

Detailed Answer:
Hi,

Crohns can sometimes cause arthritis. In case that is the case humira should definitely help.
In case it is a non inflammatory cause like osteoarthritis, physiotherapy exercises and paracetamol may be used.

Other things to be ruled out are myositis or myopathy, vitamin D or nutritional deficiencies.

Unfortunately here without a physical examination and relevant tests it's difficult to narrow down to a possibility. I will recommend you report back to your doctor and discuss about aforementioned possibilities.

Hope that is of help
regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Divya Agarwal (3 minutes later)

I had symptoms before starting Humera, I have had part of colon removedI have stoma now.

my blood work is in average range,My information is in my tissue,not fluid ,do to a ultrasound on hands,knee etc,severe weekness in muscle,& pain.

Answered by Dr. Divya Agarwal (37 minutes later)

Brief Answer:
site of inflammation

Detailed Answer:
yes thats what we need to ascertain where is the inflammation.
in joints or muscles.
that could be done with ultrasound or blood workup like muscle enzymes-cpk.

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Above answer was peer-reviewed by : Dr. Prasad