Gout

Crystalline Arthritis is a term used to describe arthritic disorders characterized by small crystals that are present in joints and soft tissues.

These crystals can trigger episodes of severe inflammation, and can lead to destructive arthritis or premature degenerative arthritis over time.

The most common causes of crystalline arthritis are gout, and CPPD arthropathy (generally termed “pseudogout”).

Gout is caused by chronically elevated levels of uric acid.  The uric acid eventually forms crystals which can deposit in many different joints but most commonly in the lower extremities and other distal joints.  Often times, severe attacks of arthritis occur which can be quite debilitating.  If the crystals are present in high numbers they can lead to accumulations of crystals called tophi which can deform or destroy joints.  Gout is usually treated with medications to lower uric acid levels and to treat episodes of inflammation, and often times dietary and lifestyle changes can assist in the recovery.  This condition is very treatable with many options available.

CPPD arthropathy (calcium phyrophosphate dihydrate deposition disorder) often presents as “pseudogout” with severe attacks of inflammation and demonstration of a CPPD crystal in the joint and/or soft tissues.  CPPD arthropathy is unique in that it can be associated with metabolic disorders that rheumatologists are able to rule in or out with clinical examination, and x-ray / laboratory studies.  This condition can be associated with premature osteoarthritis in unusual locations.  The crystals themselves cannot be removed, but the crystals do not form large masses and the disease itself is usually quite manageable after diagnosis.

Dec 1, 2020

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The holidays are officially here, and I don’t think we have ever been so excited for a fresh new holiday season! The holidays provide a unique opportunity to spend quality time with family, take some time off of work, revel in some downtime, and celebrate traditions. However, while this can be a joyous time, it […]

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For those who have arthritis, exercise is excellent medicine. Low impact exercise eases joint pain, fights off fatigue, and can cause your body to release endorphins that help relieve pain and improve mindset. If you’re looking for an easy and inexpensive way to active, try walking. And there is no better time to get started […]

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