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Pseudogout

AMBULATORY CARE:

Pseudogout

is a type of arthritis. It is also called calcium pyrophosphate deposition (CPPD). Pseudogout most often affects the knees. You may also have symptoms in other large joints, including the hip or shoulder. Pseudogout causes calcium crystals to collect in fluid called synovial fluid that surrounds joints. The crystals damage the cartilage and can cause inflammation and pain.

Common signs and symptoms of pseudogout:

  • Sudden, severe pain in one or more joints
  • Swollen, red, warm, painful joints
  • Stiff joints in the morning that loosen as you move around
  • Reduced range of motion in the joint
  • Pain and swelling that lasts up to 2 weeks and that return after periods of no pain or swelling
  • Fever

Seek care immediately if:

  • You have severe joint pain that you cannot tolerate.
  • You have a fever or redness that spreads beyond the joint area.

Call your doctor if:

  • You have new symptoms, such as a rash, after you start treatment.
  • You have questions or concerns about your condition or care.

Medicines:

You may need any of the following:

  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Steroids reduce inflammation and can help your joint stiffness and pain during gout attacks.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Manage your symptoms:

  • Rest your painful joint so it can heal. Your healthcare provider may recommend crutches or a walker if the affected joint is in a leg.
  • Apply ice to your joint. Ice decreases pain and swelling. Use an ice pack, or put crushed ice in a plastic bag. Cover the ice pack or bag with a towel and apply it to your painful joint for 15 to 20 minutes every hour, or as directed.
  • Elevate your joint. Elevation helps reduce swelling and pain. Raise your joint above the level of your heart as often as you can. Prop your painful joint on pillows to keep it above your heart comfortably.
  • Go to physical or occupational therapy as directed. A physical therapist can teach you exercises to improve flexibility and range of motion. You may also be shown non-weight bearing exercises that are safe for your joints, such as swimming. Exercise can help keep your joints flexible and reduce pain. An occupational therapist can help you learn to do your daily activities when your joints are stiff or sore.

Follow up with your doctor as directed:

You may be referred to a rheumatologist or podiatrist. Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Pseudogout (Ambulatory Care)

IBM Watson Micromedex

Mayo Clinic Reference

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.