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Crohn's Disease
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Posted 1/5/2009 8:27 PM (GMT 0)
Hi everyone.  I've posted here once or twice before, but haven't been a regular.  I have a very mild case of Crohn's disease and have had it for around 15 years.  Currently, I take 4 Asacol tablets once per day for maintenance.  Prior to that I had not taken any meds for my Crohns for more than 10 years, and did pretty well. Anyway, right now I'm really struggling with joint pain.  My lower back, knees, ankles and now my heels are killing me.  I have an appointment with my GP tomorrow as a follow up to some general tests, and I would like to address this with him.  Do any of you have heel pain and if so, please let me know what helps you.

Thanks in advance,

Angela

Posted 1/5/2009 9:39 PM (GMT 0)
Hi Angela,

And welcome to Healingwell. I have always heard that joint pain is often a precursor to a Crohns flare. One question I did want to ask you was if you had taken Cipro or Flagyl recently? I know they can cause some tendon tears in some people. One thing to think about. Other than that you might want to ask for a referral to a Rheumatologist. You could have some osteoarthritis or other inflammatory arthritis related to Crohns. Keep us posted on what the doc says.

Good luck,
Gail *Nanners*
Posted 1/5/2009 9:42 PM (GMT 0)
Hi Nanners,

Thanks for your reply.. I have not taken antibiotics for at least a few years. I'm actually hoping to be referred to a rheumatologist.

Posted 1/5/2009 10:18 PM (GMT 0)
Heel pain can be plantar fasciitis. Plantar fasciitis is one of the prominent signs of spondyloarthropathy SpA] associated with IBD. The fact that you are having other joint issues makes this new symptom lean towards SpA. You probably need an evaluation by a rheummy. In the meantime, your GP could order a MRI of yourpelvis/hips to check for sacroilitis [another hallmark of SpA] and a MRI of the worse foot to check for inflammation in the bottom of the foot and for achilles enthesitis/inflammation/calcification.
Posted 1/6/2009 6:59 AM (GMT 0)
Hi Angela,

I have had bad joint pain in the past, from my crohn's, it is strange because it could be debilitating for weeks and then miraculously disappear (without me going into remission or anything) - one of the places I had pain was in my heels, so it might be crohn's-related arthritis. I didn't' see a rheumy but my arthritis (which affected my wrists, hips and heels at different times) seemed to just go away after a while. Strange hey. I hope you have the same luck!! :)
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