3 doctors weighed in:

Having UC, on methotraxate inj. once a week. Having swollen tight and painful knees. What could it be. On painkillers for sacroillitis. Is it of conce?

3 doctors weighed in
Dr. Ronald Krauser
Internal Medicine - Rheumatology
1 doctor agrees

In brief: See details

The knee issues are related to poorly controlled UC.
The sacroiliitis is also related. Methotrexate is a poor choice for treatment of either of these arthritic issues. Biologics such as Humira or Remicade (infliximab) are the meds of choice.

In brief: See details

The knee issues are related to poorly controlled UC.
The sacroiliitis is also related. Methotrexate is a poor choice for treatment of either of these arthritic issues. Biologics such as Humira or Remicade (infliximab) are the meds of choice.
Thank
Dr. Laurence Badgley
General Practice

In brief: Patellofemoral Synd

40's female w. Ulcerative Colitis has "sacroiliitis & painful knees".
Painful sacroiliac joints, SIJ, commonly reflect mechanical ligament stress absent inflammation & none detected by SPECT scans. Genu varus/vulgus, GV, common w. Patellofemoral Syndrome, PS. High degree of association of Hypermobility Syndrome, SIJ disorder, UC, GV & PS. See Osteopath; Rheumatologists often overlook connection.

In brief: Patellofemoral Synd

40's female w. Ulcerative Colitis has "sacroiliitis & painful knees".
Painful sacroiliac joints, SIJ, commonly reflect mechanical ligament stress absent inflammation & none detected by SPECT scans. Genu varus/vulgus, GV, common w. Patellofemoral Syndrome, PS. High degree of association of Hypermobility Syndrome, SIJ disorder, UC, GV & PS. See Osteopath; Rheumatologists often overlook connection.
Thank
7 comments
Dr. Ronald Krauser
Are you serious?
Dr. Laurence Badgley
At Eighth Interdisciplinary Congress Low Back & Pelvic Pain, my Study: 20 male extreme-sport enthusiasts w. unilateral sacroiliac joint, SIJ, disorder from trauma & developed IBS post-injury. Using ODG guidelines, I diagnosed their SIJ disorders as hypermobility & non-inflammatory. Presacral parasympathetic impingement etiologic?
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