Enteropathic Arthropathy

There seems to be a connection between the gut and spondyloarthropathies. Of patients with inflammatory bowel disease (IBD; ulcerative colitis and Cohn's disease), 10% to 20% have a peripheral arthritis different from other defined arthritides. Migratory arthralgias, especially of the knees, ankles, and feet, often coincide with periods of GI disease flares. Other joints, including the spine and sacroiliac joints, might be involved but are seemingly less coincident with bowel exacerbations. HLA-B27 is found in 50% of patients with IBD-associated spondylitis but is not found in a higher percentage than in the general population for this type of spondylitis. RF and ANA are negative. NSAIDs are normally used but must be taken with caution given the patient's underlying GI disease. As noted earlier, dietary factors might increase the patient's baseline inflammatory state, so a trial of dietary manipulation or the addition of omega-3 fatty acids is reasonable.

Osteoarthritis

Osteoarthritis

Thank you for deciding to learn more about the disorder, Osteoarthritis. Inside these pages, you will learn what it is, who is most at risk for developing it, what causes it, and some treatment plans to help those that do have it feel better. While there is no definitive “cure” for Osteoarthritis, there are ways in which individuals can improve their quality of life and change the discomfort level to one that can be tolerated on a daily basis.

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