Calcium Pyrophosphate Deposition Disease or CPPD is also commonly known as Pseudogout due to its similarity to gout, this is a form of arthritis which is characterized by sudden swelling in one or more body joints. These conditions are generally found to last for days or weeks. Most common joint which is affected by this condition is the knee. Although, it is the crystal deposits within the joints that cause both, gout & pseudogout, the type of crystals however differ in both these conditions. Moreover, it is not yet clear as to why these crystals form within joints so as to cause pseudogout, but it is an established fact that aging increases risk of this condition. Treatments which are available for pseudogout however effectively relieve pain & reduce imflammation among patients.
Signs & Symptoms of CPPD or Pseudogout
Pseudogout most commonly is found to affect the knees. Less often wrists & ankles are also involved in this condition. In many cases of pseudogout, there are no types of signs & symptoms which patients experience. However, condition of the affected joints can guide diagnosis during attacks of pseudogout.
- Joints are swollen
- Joints feel warm
- Joints are severely painful
Time to Seek Professional Help
It is time to make an appointment with the doctor, when people have sudden intensive joint swelling & pain.
Causes of CPPD or Pseudogout
Pseudogout is normally linked to calcium pyrophosphate dehydrate crystals which are typically found within the affected joints. These crystals generally become more numerous as people get older, & are found to appear in nearly half the population which is older than 85 years of age. However, it is not certain that all people having these crystal deposits will necessarily develop pseudogout. Moreover, it is still unclear as to why some people develop this condition, while others don’t.
Risk Factors Associated with CPPD or Pseudogout
Factors which increase the risk of pseudogout include the following.
- Older Age – Risk of developing psudogout generally increases as people get older.
- Joint Trauma – Trauma to joints, like after a serious injury or surgery, increases risk of pseutogout within that joint.
- Genetic Disorder – Predisposition for developing pseudogout is hereditary in some families. These are the people who tend to develop pseudogout at a very young age. Risk of pseudogout is higher among people who have excessive iron or carbon within their blood or too little magnesium.
- Other Medical Conditions – Pseudogout is also linked to underactive thyroid gland or an overactive parathyroid gland.
Risks & Complications of CPPD or Pseudogout
- Crystal deposits associated with Pseudogout can also be cause of joint damage which generally mimics signs & symptoms of osteoarthritis or rheumatoid arthritis.
Preparing for Initial Appointment for Pseudogout
People would generally see the family doctor when they experience signs & symptoms of pseudogout. After initial examination, the family doctor would usually refer them to specialist doctors for diagnosing & treating arthritis (rheumatologist) & other joint inflammatory conditions. Following is some information which can help patients get ready for initial appointment with the rheumatologist.
- What Patients Can Do in Preparation
Before patients can appear for the initial appointment, they may want to make a list of answers to the following questions which specialist doctors usually ask.
- When did you first notice these signs & symptoms?
- Did you have such signs & symptoms anytime in the past?
- Is there any position or activity which makes your joints feel better or worse?
- Did you ever have any injury at this joint?
- Are you having any other medical conditions?
- Did anyone in your family ever have had problems with joints?
- Which medicines of supplements do you regularly take?
- What Specialist Doctors Usually Ask Patients
Rheumatologists or specialist doctors who see the patient’s signs & symptoms which are common to pseudogout may ask a number of questions including the following.
- What signs & symptoms are you having?
- Which part or parts of your body are affected by these symptoms?
- Are your symptoms coming & going?
- How long do these symptoms generally last?
- Did your symptoms worsen over time?
- Is there anything which seems to trigger your signs & symptoms like stress or certain foods?
- Which treatments have you tried by now & how have they helped?
Tests & Diagnosis for CPPD or Pseudogout
Signs & symptoms of pseudogout can often mimic those of gout & various other types of arthritis. Therefore laboratory analysis & imaging tests are generally necessary to confirm diagnosis.
- Laboratory Analysis – These usually consist of blood tests which can check for problems with thyroid & parathyroid glands. Other tests can evaluate for a variety of mineral imbalances which have been linked with pseudogout. For this purpose, doctors may draw a sample of fluid from the affected joint with help of a needle in order to test for the presence of crystals.
- Imaging Tests – X-rays of affected joints can normally reveal any damage to joints & accumulation of crystal deposits within joint cartilage.
Treatment & Drugs for CPPD or Pseudogout
Though there is no cure for pseudogout, a combination of treatments can however help patients relieve pain & improve upon the function of joints.
- Medications – When over-the-counter pain relieving medications are not able to help the pseudogout patient, doctors would recommend the following medications.
- NSAIDs – Nonsteroidal Anti-Inflammatory Drugs – Prescription strength NSAIDs include indomethacin (Indocin) & naproxen (Naprosyn, Anaprox). Be aware that NSAIDs can also cause decrease in kidney function & bleeding in stomach, especially among older adults.
- Colchicine (Colcrys) – This low-dose pill used for gout is also effective for pseudogout. Doctors also recommend patients to take a daily dose of colchicines as a preventive measure for pseudogout.
- Corticosteroids – When patients cannot take cochicine or NSAIDs, doctors would suggest that they take corticosteroid pills like prednisone for reducing inflammation & ending an attack by pseudogout. However long-term use of corticosteroids cause cataracts, diabetes, weight gain & can also weaken bones in pseudogout patients.
Joint drainage is usually employed to relieve pain & pressure in affected in joints when medications & other treatments have failed to yield results. For this purpose doctors usually insert a needle inside joint & remove some joint fluid. This is performed to remove some crystals from the joints in order to remove severity of symptoms. Following this, doctors will then inject a numbing medication & corticosteroids inside joint so as to decrease inflammation & pain.
Lifestyle Changes & Home Remedies
Home treatments generally prove useful during flare-ups of pseudogout. Some good examples include the following.
- Resting the Affected Joint – Patients should try not to use the pseudogout affected joint for at least a couple of days.
- Application of Ice – application of cold ice packs can effectively help reduce swelling & inflammation which is associated with pseudogouts.
- NSAIDs – Over-the-counter NSAIDs like naproxen sodium (Aleve) & ibuprofen (Motrin IB, Advil) can often be helpful in treating pseudogout.
Low Cost Orthopedic Treatments for Pseudogout in India
Over the past few decades, India has emerged as a leading global medical tourism destination providing a variety of affordable medical procedures to people from all around the world. Driving factors which have contributed to this status include a large pool of specialist doctors & surgeons who are renowned experts in their specific medical fields. Some of these are globally reputed & have initially trained & experienced for decades in medically advanced countries like the UK, Canada & United States before returning to their homeland. Along with this fact, there are numerous multispecialty hospital facilities spanning the length & breadth of the country. Most of these institutions are nationally or internationally accredited & are equipped with the latest technologies so as to provide advanced treatments while committing to adhere to standardized norms. On top of this, most skilled nurses & professionally trained staff managing these healthcare institutions are able to communicate in English, bringing respite to international patients who can recover in a soothing & comfortable environment following successful treatments.
Affordable Treatment for CPPD or Pseudogout with Orthopaedic Surgery India
Orthopaedic Surgery India is one of the fastest growing specialist global medical tourism destinations which are based in South Asia. We are providing a wide spectrum of low cost orthopedic treatments & surgeries including effective solutions for pseudogout, without compromising on the high quality which we deliver to our esteemed patients. Our seamless services in fact begin with the first telephonic conversation with the patient & move on to identifying the best doctor & hospital facility for his/her treatment. Covering all aspects & details of what a patient can need in a foreign land, our range of services include assisting the patient & his/her accomplice obtain medical visas, a warm reception at airport when the patient arrives for treatment, convenient modes of local travel, comfortable accommodation options which include budget or luxury hotels, or serviced apartments near to the treatment facility, scheduled appointments with doctors & surgeons for tests & treatment procedures, choice of exotic recuperative holidays at reasonable costs, evaluation check-ups & an affectionate farewell when the patient is heading back home after successful treatment.