What are the treatment options for pseudogout?

Pseudogout, also called calcium pyrophosphate deposition disease, can cause sudden joint pain, warmth, swelling and restricted movement. Because infection and other causes can look similar, assessment may include examination and testing fluid from the joint. Anti-inflammatory medication can reduce the inflammatory response, but the suitable choice depends on your kidney, stomach, heart and bleeding risks and on medicines you already take.

Joint aspiration removes some fluid from a swollen joint. It can ease pressure and allows the fluid to be examined. A cortisone injection may be discussed after infection has been considered, particularly when inflammation is concentrated in one joint. These treatments address the flare; a clinician can also review contributing health factors and ways to protect joint function.

Rest the painful joint from strenuous loading, but avoid keeping it completely still for longer than advised. Elevate the limb when practical and use a cool pack with a cloth barrier for short periods if that feels soothing. Do not start, stop or combine anti-inflammatory medicines without checking the instructions, especially if you have kidney disease, ulcers, blood-thinning treatment or other chronic conditions. Keep follow-up if attacks recur.

A hot, swollen joint with fever, chills, severe pain, confusion or feeling acutely unwell needs prompt medical assessment because joint infection requires different treatment. Seek care when you cannot use the joint, swelling is rapidly increasing or the diagnosis has not been confirmed. Contact your clinician if symptoms are not settling or return after treatment.

Does the joint fluid need testing? Which anti-inflammatory option fits my medical history? Would aspiration or a cortisone injection be appropriate? How should I manage medicines during a future flare?