Hi Taylor, I have pretty bad inflammatory arthritis. Auto Immune conditions often work in families Colitis/Arthritis/Psoriasis. I had my pouch for 24 yrs before I had any joint pain but once it started out just progressively got worse over the years. It effects my right Sacro Iliac joint, right hip and left knee. I highly recommend you go see a rheumatologist, I regret not seeing one earlier. Im now on Humira and Methotrexate to manage the inflammation.