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Inflammatory Bowel Disease (IBD) Arthritis

What is it?

Inflammatory Bowel Disease (IBD) arthritis is an inflammation of the joints that is a symptom of inflammatory bowel diseases such as Crohn's disease and ulcerative colitis.

Who gets it?

People with Crohn's disease or ulcerative colitis get IBD arthritis. IBD most commonly affects adults between the ages of 25 and 45.

What causes it?

Crohn's disease is a chronic inflammation of the intestinal wall. Ulcerative colitis is a form of IBD in which the inner lining of the large intestine becomes inflamed, swollen, and ulcerated. In many IBD patients, this inflammation causes inflammation in other areas of the body, such as the joints.

What are the symptoms?

The symptoms are pain, swelling, and stiffness in the joints. Like most forms of arthritis, symptoms flare-up, then go away only to flare up again. The more severe the IBD, the more severe the arthritis symptoms.

How is it diagnosed?

When joint pain accompanies Crohn's disease or ulcerative colitis, it is diagnosed as IBD arthritis. Blood tests may show high numbers of white blood cells and other signs of inflammation.

What is the treatment?

The treatment for IBD arthritis is nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, naproxen sodium, or indomethacin, which are available over-the-counter and are effective in relieving pain and swelling. In some cases, steroid medications, called corticosteroids, may also be used to treat IBD as well as the arthritis symptoms. Non-drug treatments include exercise to keep the affected joints and muscles moving, splints to support the inflamed joints, moist heat or cold packs, and rest during severe flare-ups.

Self-care tips

If you have an IBD, there is no known way to prevent the development of IBD arthritis. However, you can reduce the pain of flare-ups and keep the joint flexible and mobile by following your doctor's treatment recommendations.


This information has been designed as a comprehensive and quick reference guide written by our health care reviewers.  The health information written by our authors is intended to be a supplement to the care provided by your physician.  It is not intended nor implied to be a substitute for professional medical advice. 

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This page was last updated on October 31, 2006
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