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Management of Crohn’s disease is complicated, and there is no substitute for experienced clinical judgment, so I asked my colleague Dr. Sunanda Kane at the Mayo Clinic. She advised me that many people who say they have no symptoms “subconsciously changed their diet or other habits based on early satiety, bloating or a sense of fullness.” Dr. Kane noted also that strictures can be due to inflammation or fibrosis. If the stricture they found was inflammatory, she says: “Humira is a good therapy and the risk is worth the benefits. If this is a fibrostenotic stricture then we recommend ...

Dear Dr. Roach: I was a bit surprised that in your response to a question about coping with nighttime leg cramps some time ago, you made no mention of vitamin E. I was troubled with these painful . . .

D. It’s not unusual to hear a crunching or popping sound or sensation in the joints. There are many different causes, both in the soft tissues of the joint as well as the bones, and not all of them are concerning. In people with osteoarthritis, an examiner can feel the crunching (called “crepitus”) associated with the bone spurs (called “osteophytes”) of that condition, and often be moderately sure of the diagnosis by feel alone. Frozen shoulder is caused by inflammation of the joint capsule, the ligaments and the lining of the joint. The mainstay of treatment is physical therapy,...

The vaccine may be given at any time after the shingles lesions are healed

Dear Dr. Roach: I am 81 years old and was diagnosed with shingles at the end of October 2020. After taking famciclovir, I am healing, but still have a scaly rash and shooting pains on the right . . .