Curbside Consultation in IBD: 49 Clinical Questions, Second Edition

David T Rubin, MD; Sonia Friedman, MD; Francis A Farraye, MD MSc

Question 9: My Crohn’S Disease Patient Is Complaining Of Joint Pain. What Should I Do? (continued)

Richard Keating, MD

A Crohn’s disease (CD) patient who complains of joint pain should first be queried as to the location(s), character (presence or absence of inflammatory features), associated musculoskeletal features of a seronegative spondyloarthropathy (SNSA), and correlation of joint pain to the activity of the CD. The location of pain is extremely important in creating a differential diagnosis. First, is the patient describing a true articular (joint) process, such as a knee, ankle, or wrist process, or is the patient describing a periarticular process such as a tenosynovitis (rotator cuff…