Would you escalate treatment for a patient with Crohn disease with changes suggestive of chronic sacroiliitis on MRI but without bone marrow edema or effusion that suggests active inflammation?

I do not quite understand what escalation of treatment you are referring to.

However, sacroiliitis needs to be treated depending on the patient's clinical presentation and symptoms.

There was a study done with etanercept by Maksymowych et al., PMID 33514428.

This study revealed that if erosions are p...

I need more information. What is the patient taking for CD? What are the precise findings on the MRI? Is the patient having back pain?