{"id":38144,"date":"2025-11-10T08:41:34","date_gmt":"2025-11-10T13:41:34","guid":{"rendered":"https:\/\/sparthritis.ca\/?p=38144"},"modified":"2025-11-10T10:24:03","modified_gmt":"2025-11-10T15:24:03","slug":"comment-gerer-les-poussees-darthrite-enteropathique-blog","status":"publish","type":"post","link":"https:\/\/sparthritis.ca\/fr\/comment-gerer-les-poussees-darthrite-enteropathique-blog\/","title":{"rendered":"Comment g\u00e9rer les pouss\u00e9es d’arthrite ent\u00e9ropathique : conseils d’expert du Dr Sherry Rohekar"},"content":{"rendered":"

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Avis du Dr Sherry <\/span>Rohekar<\/span>, <\/span>rhumatologue<\/span><\/span>\u00a0<\/span><\/strong><\/h3>\n
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L’arthrite ent\u00e9ropathique (EnA) est une forme d’arthrite inflammatoire qui touche les personnes atteintes d’une maladie inflammatoire chronique de l’intestin (MICI), telle que la maladie de Crohn ou la colite ulc\u00e9reuse. Elle fait partie des diff\u00e9rents types de spondylarthrite, un groupe de maladies auto-immunes qui peuvent affecter la colonne vert\u00e9brale, les articulations et d’autres parties du corps.\u00a0<\/span>\u00a0<\/span><\/p>\n
Afin d’aider les gens \u00e0 mieux comprendre et g\u00e9rer cette affection, l’Association canadienne de spondylarthrite (ACS) a organis\u00e9 une discussion avec la Dre Sherry Rohekar, rhumatologue et chercheuse bas\u00e9e \u00e0 London, en Ontario, qui se sp\u00e9cialise dans la spondylarthrite et les affections inflammatoires connexes.\u00a0<\/span>\u00a0<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bbgcid-578f01a3-804c-40fe-94f8-3dea5c20a6a4″ hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{%22gcid-578f01a3-804c-40fe-94f8-3dea5c20a6a4%22:%91%22text_text_color%22%93}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]Voici les points saillants de la s\u00e9ance intitul\u00e9e \u00ab G\u00e9rer les pouss\u00e9es et les sympt\u00f4mes de l’arthrite ent\u00e9ropathique \u00bb.\u00a0<\/span>[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb45px||||false|false\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n
Qu’est-ce que l’arthrite <\/span>ent\u00e9ropathique<\/span> ?<\/span><\/span>\u00a0<\/span><\/strong><\/h3>\n
\u00ab L’arthrite ent\u00e9ropathique est un type d’arthrite inflammatoire li\u00e9 \u00e0 la maladie de Crohn et \u00e0 la colite ulc\u00e9reuse \u00bb, explique le Dr Rohekar. \u00ab En substance, la m\u00eame r\u00e9ponse immunitaire qui attaque par erreur la muqueuse intestinale peut \u00e9galement cibler la muqueuse des articulations. \u00bb\u00a0<\/span>\u00a0<\/span><\/p>\n
Cette inflammation peut toucher les petites articulations des mains, les articulations plus grandes comme les genoux et les chevilles, et parfois la colonne vert\u00e9brale et les articulations sacro-iliaques. Comme la r\u00e9ponse du syst\u00e8me immunitaire ne se limite pas \u00e0 une seule partie du corps, de nombreuses personnes atteintes de MICI peuvent souffrir de douleurs ou de raideurs articulaires \u00e0 un moment ou \u00e0 un autre de leur vie.<\/span><\/p>\n
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Reconna\u00eetre les premiers signes d’une pouss\u00e9e<\/span><\/span><\/strong><\/h3>\n
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Les <\/span>pouss\u00e9es<\/span> <\/span>peuvent<\/span> <\/span>survenir<\/span> <\/span>m\u00eame<\/span> apr\u00e8s des <\/span>p\u00e9riodes<\/span> de <\/span>stabilit\u00e9<\/span>. <\/span>Selon<\/span> le Dr <\/span>Rohekar<\/span>, les premiers <\/span>signes<\/span> avant-coureurs <\/span>peuvent<\/span> <\/span>inclure<\/span> :<\/span><\/span>\u00a0<\/span><\/p>\n
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Une augmentation de la <\/span>douleur<\/span> et de la <\/span>raideur<\/span><\/span>\u00a0<\/span><\/li>\n
De la fatigue<\/span><\/span><\/li>\n
Un <\/span>gonflement<\/span> des articulations, <\/span>en<\/span> particulier des <\/span>genoux<\/span>, des chevilles <\/span>ou<\/span> des mains<\/span><\/li>\n
Difficult\u00e9s<\/span> \u00e0 <\/span>saisir<\/span> des <\/span>objets<\/span> <\/span>ou<\/span> \u00e0 <\/span>bouger<\/span> <\/span>facilement<\/span> le matin<\/span><\/li>\n<\/ul>\n
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Si <\/span>ces<\/span> <\/span>sympt\u00f4mes<\/span> persistent pendant plus de <\/span>quelques<\/span> <\/span>jours<\/span> <\/span>ou<\/span> <\/span>s’aggravent<\/span>, il est important de consulter <\/span>votre<\/span> <\/span>rhumatologue<\/span>. \u00ab Si les <\/span>sympt\u00f4mes<\/span> persistent pendant <\/span>plusieurs<\/span> <\/span>semaines<\/span>, il ne <\/span>s’agit<\/span> <\/span>peut-\u00eatre<\/span> pas <\/span>seulement<\/span> <\/span>d’une<\/span> <\/span>pouss\u00e9e<\/span>, <\/span>mais<\/span> d’un <\/span>mauvais<\/span> <\/span>contr\u00f4le<\/span> de <\/span>votre<\/span> <\/span>maladie<\/span> \u00bb, <\/span>pr\u00e9vient-elle<\/span>.<\/span><\/span>\u00a0<\/span><\/p>\n
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Soulagement<\/span> de la <\/span>douleur<\/span> et gestion des <\/span>pouss\u00e9es<\/span><\/span>\u00a0<\/span><\/strong><\/h3>\n
Il existe plusieurs strat\u00e9gies qui peuvent aider \u00e0 soulager la douleur et la raideur pendant une pouss\u00e9e :<\/span><\/span>\u00a0<\/span><\/p>\n
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Exercices et physioth\u00e9rapie<\/strong> : des mouvements doux et des \u00e9tirements sont essentiels, en particulier pour les probl\u00e8mes li\u00e9s \u00e0 la colonne vert\u00e9brale.\u00a0 <\/span><\/p>\n<\/li>\n
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<\/span>Traitements topique<\/strong>s : des produits tels que le gel diclof\u00e9nac (<\/span>Voltaren<\/span>) peuvent soulager l’inflammation localis\u00e9e.\u00a0\u00a0<\/span><\/p>\n<\/li>\n
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<\/span>Chaleur ou glace<\/strong> : essayez les deux pour voir lequel soulage le mieux.\u00a0\u00a0<\/span><\/p>\n<\/li>\n
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<\/span>Compression<\/strong> : les manchons ou bandages de soutien peuvent aider \u00e0 r\u00e9duire le gonflement.\u00a0\u00a0<\/span><\/p>\n<\/li>\n
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<\/span>M\u00e9dicaments<\/span><\/span><\/strong> : les anti-<\/span>inflammatoires<\/span> non <\/span>st\u00e9ro\u00efdiens<\/span> (AINS) <\/span>peuvent<\/span> aider, <\/span>mais<\/span> <\/span>doivent<\/span> <\/span>\u00eatre<\/span> <\/span>utilis\u00e9s<\/span> avec prudence chez les <\/span>personnes<\/span> <\/span>atteintes<\/span> de MICI. Si <\/span>une<\/span> <\/span>ou<\/span> deux articulations <\/span>sont<\/span> <\/span>particuli\u00e8rement<\/span> <\/span>enfl\u00e9es<\/span>, <\/span>une<\/span> injection de <\/span>corticost\u00e9ro\u00efdes<\/span> <\/span>peut<\/span> <\/span>apporter<\/span> un <\/span>soulagement<\/span> <\/span>rapide<\/span>.\u00a0<\/span><\/span><\/p>\n
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Activit\u00e9<\/span> physique pendant <\/span>une<\/span> <\/span>pouss\u00e9e<\/span><\/span>\u00a0<\/span><\/strong><\/h3>\n
L’activit\u00e9 physique reste un \u00e9l\u00e9ment essentiel de la prise en charge de l’arthrite <\/span>ent\u00e9ropathique<\/span>, mais il est important d’\u00eatre \u00e0 l’\u00e9coute de son corps. <\/span><\/p>\n
\u00ab Il n’y a aucun danger \u00e0 rester actif pendant une pouss\u00e9e, mais il ne faut pas trop en faire \u00bb, explique le Dr <\/span>Rohekar<\/span>. <\/span>\u00ab Votre cerveau peut vous pousser \u00e0 en faire plus que ce que votre corps est capable de supporter. \u00bb <\/span><\/p>\n
Les activit\u00e9s douces et \u00e0 faible impact sont les plus adapt\u00e9es. Travailler avec un physioth\u00e9rapeute qui conna\u00eet bien la spondylarthrite peut vous aider \u00e0 adapter les exercices \u00e0 vos besoins. Les exercices aquatiques peuvent \u00eatre particuli\u00e8rement b\u00e9n\u00e9fiques, car la flottabilit\u00e9 de l’eau r\u00e9duit la pression sur les articulations douloureuses. L\u2019ACS offre \u00e9galement des ressources gratuites sur l’exercice physique afin d’aider les personnes atteintes de spondylarthrite \u00e0 bouger en toute s\u00e9curit\u00e9. <\/span><\/p>\n
Ces ressources sont disponibles ici<\/span><\/a><\/p>\n
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Le <\/span>r\u00f4le<\/span> de <\/span>l’alimentation<\/span><\/span>\u00a0<\/span><\/strong><\/h3>\n
Bien que les recherches sur l’alimentation et l’arthrite ent\u00e9ropathique soient limit\u00e9es, le Dr Rohekar sugg\u00e8re de privil\u00e9gier une alimentation \u00e9quilibr\u00e9e, de type m\u00e9diterran\u00e9en, riche en acides gras om\u00e9ga-3, en l\u00e9gumes verts \u00e0 feuilles, en fruits et en l\u00e9gumes.<\/span>\u00a0<\/span><\/p>\n
Certaines personnes testent des r\u00e9gimes d’\u00e9limination pour identifier leurs d\u00e9clencheurs personnels, mais elle conseille de le faire progressivement et en toute s\u00e9curit\u00e9:<\/span><\/p>\n
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\u00ab Ne <\/span>supprimez<\/span> pas tout d’un coup, <\/span>\u00e9liminez<\/span> un aliment \u00e0 la <\/span>fois<\/span> et <\/span>assurez<\/span>-vous <\/span>que<\/span> <\/span>votre<\/span> alimentation <\/span>reste<\/span> <\/span>suffisamment<\/span> nutritive. \u00bb<\/span><\/span>\u00a0<\/span><\/p>\n
\u00a0<\/span><\/p>\n<\/blockquote>\n
Comprendre les adaptations de m\u00e9dicaments<\/span><\/span><\/strong><\/h3>\n
Pour les pouss\u00e9es de courte dur\u00e9e, les m\u00e9dicaments restent g\u00e9n\u00e9ralement inchang\u00e9s. Cependant, des sympt\u00f4mes prolong\u00e9s peuvent indiquer la n\u00e9cessit\u00e9 d’un ajustement.<\/span>\u00a0<\/span><\/p>\n
\u00ab Dans ces cas-l\u00e0, nous pouvons envisager de modifier les m\u00e9dicaments modificateurs de la maladie ou les produits biologiques afin de reprendre le contr\u00f4le \u00bb, explique le Dr Rohekar.<\/span>\u00a0<\/span><\/p>\n
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Facteurs d\u00e9clencheurs courants des pouss\u00e9es<\/span><\/span>\u00a0<\/span><\/strong><\/h3>\n
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Flares can be unpredictable, but some common triggers include:<\/span><\/p>\n
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Stress <\/span><\/span><\/strong>:<\/span> Le stress <\/span>\u00e9motionnel<\/span> <\/span>ou<\/span> <\/span>psychologique<\/span> est un <\/span>facteur<\/span> important. \u00ab <\/span>Lorsque<\/span> la vie <\/span>devient<\/span> <\/span>stressante<\/span>, <\/span>n’oubliez<\/span> pas de <\/span>ralentir<\/span> le <\/span>rythme<\/span> \u00bb, <\/span>dit-elle<\/span>. \u00ab Vous ne <\/span>pouvez<\/span> pas aider les <\/span>autres<\/span> <\/span>si<\/span> vous ne <\/span>prenez<\/span> pas <\/span>soin<\/span> de vous-<\/span>m\u00eame<\/span>. \u00bb<\/span><\/span>\u00a0<\/span><\/li>\n
Surmenage<\/span> <\/span><\/span><\/strong>: Une <\/span>activit\u00e9<\/span> physique excessive <\/span>ou<\/span> les voyages <\/span>peuvent<\/span> <\/span>\u00e9galement<\/span> <\/span>d\u00e9clencher<\/span> des <\/span>sympt\u00f4mes<\/span>. <\/span>Essayez<\/span> de <\/span>planifier<\/span> \u00e0 <\/span>l’avance<\/span>, de faire des pauses et <\/span>d’int\u00e9grer<\/span> des moments de repos dans <\/span>votre<\/span> <\/span>emploi<\/span> du temps.<\/span><\/span>\u00a0<\/span><\/li>\n<\/ul>\n
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<\/h3>\n
Modifications du mode de vie pour r\u00e9duire la fr\u00e9quence des pouss\u00e9es<\/span><\/span>\u00a0<\/span><\/strong><\/h3>\n
Le Dr <\/span>Rohekar<\/span> recommande plusieurs strat\u00e9gies \u00e0 long terme pour mieux contr\u00f4ler la maladie :<\/span><\/span>\u00a0<\/span><\/p>\n
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Restez actif<\/strong> : une physioth\u00e9rapie r\u00e9guli\u00e8re et des \u00e9tirements am\u00e9liorent la mobilit\u00e9 et r\u00e9duisent la raideur.<\/span><\/li>\n
Restez actif<\/strong> : une physioth\u00e9rapie r\u00e9guli\u00e8re et des \u00e9tirements am\u00e9liorent la mobilit\u00e9 et r\u00e9duisent la raideur. <\/span><<\/li>\n
Maintenez un poids sant\u00e9<\/strong> : cela peut r\u00e9duire la pression sur les articulations et am\u00e9liorer votre \u00e9tat de sant\u00e9 g\u00e9n\u00e9ral. <\/span><\/li>\n
Donnez la priorit\u00e9 aux soins personnels<\/strong> : \u00ab Beaucoup de personnes atteintes d’arthrite se sentent coupables de ralentir \u00bb, explique le Dr <\/span>Rohekar<\/span>. \u00ab Mais prendre soin de soi signifie que l’on peut continuer \u00e0 \u00eatre l\u00e0 pour les autres. \u00bb <\/span>\n<\/ul>\n
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Conclusion<\/strong><\/h3>\n
Vivre avec l’arthrite ent\u00e9ropathique peut \u00eatre difficile, mais comprendre votre corps, reconna\u00eetre les premiers signes d’une pouss\u00e9e et maintenir des soins r\u00e9guliers peut faire une diff\u00e9rence significative.\u00a0<\/span>\u00a0<\/span><\/p>\n
\u00ab N’oubliez pas, dit le Dr Rohekar, que vous n’\u00eates pas seul et qu’avec un soutien, un traitement et des ajustements de mode de vie appropri\u00e9s, vous pouvez prendre le contr\u00f4le de votre sant\u00e9 et bien vivre avec cette maladie. \u00bb<\/span>\u00a0<\/span><\/p>\n
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Regardez le vid\u00e9o<\/strong><\/h3>\n
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Avis du Dr Sherry Rohekar, rhumatologue\u00a0 L’arthrite ent\u00e9ropathique (EnA) est une forme d’arthrite inflammatoire qui touche les personnes atteintes d’une maladie inflammatoire chronique de l’intestin (MICI), telle que la […]<\/p>\n","protected":false},"author":6,"featured_media":38151,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"
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Insights from Dr. Sherry Rohekar, Rheumatologist\u00a0<\/strong><\/h3>
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Enteropathic arthritis (EnA) is a form of inflammatory arthritis that occurs in people living with inflammatory bowel disease (IBD), such as Crohn\u2019s disease or ulcerative colitis. It\u2019s one of several types of spondyloarthritis, a group of autoimmune diseases that can affect the spine, joints, and other parts of the body.<\/span>\u00a0<\/span><\/p>
\u00a0<\/span>To help people better understand and manage this condition, the Canadian Spondyloarthritis Association (CSA) hosted a discussion with <\/span>Dr. Sherry Rohekar<\/span><\/b>, a rheumatologist and researcher based in London, ON, who specializes in spondyloarthritis and related inflammatory conditions.<\/span>\u00a0<\/span><\/p>
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Below are key highlights from the session, <\/span><\/span>Managing Flares and Symptoms for <\/span>Enteropathic<\/span> Arthritis.<\/span><\/span>\u00a0<\/span><\/p>
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What Is Enteropathic Arthritis?\u00a0<\/strong><\/h3>
\u201cEnteropathic arthritis is a type of inflammatory arthritis that\u2019s related to Crohn\u2019s disease and ulcerative colitis,\u201d explains Dr. Rohekar. \u201cEssentially, the same immune response that mistakenly attacks the lining of the bowel can also target the lining of the joints.\u201d<\/span>\u00a0<\/span><\/p>
\u00a0<\/span>This inflammation can affect small joints in the hands, larger joints like the knees and ankles, and sometimes the spine and sacroiliac joints. Because the immune system\u2019s response isn\u2019t limited to one part of the body, many people with IBD may experience joint pain or stiffness at some point in their lives.<\/span>\u00a0<\/span><\/p>
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Recognizing Early Signs of a Flare\u00a0<\/strong><\/h3>
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Flares can occur even after periods of stability. According to Dr. Rohekar, early warning signs may include:\u00a0<\/span><\/p>
Increased pain and stiffness<\/span><\/li>
Fatigue\u00a0<\/span><\/li>
Swelling in the joints, particularly the knees, ankles, or hands\u00a0<\/span><\/li>
Trouble gripping objects or moving easily in the morning<\/span><\/li><\/ul>
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If these symptoms last more than a few days or start worsening, it\u2019s important to reach out to your rheumatologist. \u201cIf symptoms persist for several weeks, you may not just be having a flare, your disease may no longer be well controlled,\u201d she cautions.<\/span><\/p>
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Pain Relief and Flare Management<\/strong> <\/span><\/h3>
There are several strategies that can help relieve pain and stiffness during a flare: <\/span><\/p>
Exercise and physiotherapy:<\/strong> Gentle movement and stretching are key, especially for spinal involvement.<\/span><\/li>
Topical treatments<\/strong>: Products like diclofenac (<\/span>Voltaren<\/span>) gel may ease localized inflammation. <\/span><\/li>
Heat or ice:<\/strong> Try both to see which provides better relief. <\/span><\/li>
Compression: Support sleeves or wraps can help reduce swelling. <\/span><\/li>
Medication<\/strong>: Non-steroidal anti-inflammatory drugs (NSAIDs) may help but must be used cautiously in people with IBD. If one or two joints are particularly swollen, a corticosteroid injection may provide fast relief<\/span><\/li><\/ul>
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Physical Activity During a Flare<\/strong><\/h3>
Movement remains an essential part of managing EnA, but it\u2019s important to listen to your body.<\/span>

<\/span>\u201cIt\u2019s safe to stay active during a flare, but don\u2019t push yourself too far,\u201d says Dr. Rohekar. <\/span>\u00a0<\/span>\u00a0<\/span><\/p>
\u201cYour brain may want to do more than your body is ready for.\u201d<\/span>\u00a0<\/span><\/p>
Gentle, low-impact activities are best. Working with a physiotherapist familiar with spondyloarthritis can help tailor exercises to your needs. Aquatic exercises can be particularly beneficial, as the water\u2019s buoyancy reduces pressure on painful joints.<\/span>\u00a0<\/span>\u00a0<\/span><\/p>
CSA also offers <\/span>free exercise resources <\/span><\/b><\/a>to support safe movement for people with spondyloarthritis, available on our website.<\/span>\u00a0<\/span><\/p>
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The Role of Diet\u00a0<\/strong><\/h3>
While research on diet and EnA is limited, Dr. Rohekar suggests focusing on a <\/span>balanced, Mediterranean-style diet<\/span><\/b> rich in omega-3 fatty acids, leafy greens, fruits, and vegetables.<\/span><\/p>
Some people experiment with elimination diets to identify personal triggers, but she advises doing so gradually and safely:<\/span> \u00a0<\/span><\/p>
\u201cDon\u2019t remove everything all at once, eliminate one thing at a time and make sure your diet still provides adequate nutrition.\u201d<\/span><\/p>
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Understanding Medication Adjustments\u00a0<\/strong><\/h3>
For short-term flares, medications usually remain unchanged. However, prolonged symptoms may indicate the need for an adjustment.<\/span>
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<\/span>\u201cIn those cases, we may consider modifying the disease-modifying drugs or biologics to regain control,\u201d Dr. Rohekar explains.<\/span>\u00a0<\/span><\/p>
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Common Triggers for Flares\u00a0<\/strong><\/h3>
Flares can be unpredictable, but some common triggers include:
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Stress:<\/span><\/b> Emotional or psychological stress is a major contributor. \u201cWhen life gets stressful, remember to pace yourself,\u201d she says. \u201cYou can\u2019t help others if you\u2019re not taking care of yourself.\u201d<\/span>\u00a0<\/span><\/li>
Overexertion:<\/span><\/b> Overdoing physical activity or travel can also trigger symptoms. Try to plan ahead, take breaks, and build rest into your sche<\/span><\/li><\/ul>
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Lifestyle Modifications to Reduce Flare Frequency<\/strong> <\/span><\/h3>
Dr. Rohekar recommends several long-term strategies for maintaining better disease control:<\/span><\/p>
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Quit smoking<\/strong>: Smoking worsens inflammation and accelerates joint damage. <\/span><\/li>
Stay active<\/strong>: Regular physiotherapy and stretching improve mobility and reduce stiffness. <\/span><\/li>
Maintain a healthy weight<\/strong>: This can reduce pressure on joints and improve overall health. <\/span><\/li>
Prioritize self-care<\/strong>: \u201cMany people with arthritis feel guilty for slowing down,\u201d says Dr. Rohekar. \u201cBut taking care of yourself means you can continue to be there for others.\u201d <\/span><\/li><\/ul>
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Final Thoughts\u00a0<\/strong><\/h3>
Living with enteropathic arthritis can be challenging, but understanding your body, recognizing early signs of a flare, and maintaining consistent care can make a meaningful difference.<\/span>\u00a0<\/span><\/p>
\u00a0<\/span>\u201cRemember,\u201d says Dr. Rohekar, \u201cyou\u2019re not alone, and with the right support, treatment, and lifestyle adjustments, you can take control of your health and live well with this condition.\u201d<\/span>\u00a0<\/span><\/p>
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Watch the Video<\/strong><\/h3>
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