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CPPD Deposition Disease.

Last updated Tuesday, December 21, 2004

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Management and treatment

How is cppd deposition disease treated?

If you have CPPD deposition disease, your treatment program will depend on how severe your disease is, which type of symptoms you have, and whether you also have another disease or form of arthritis along with CPPD crystal deposition disease.

The goals of treatment are to relieve pain, maintain full joint movement and muscle strength, and keep inflammation under control.

A treatment program may include a combination of joint aspiration, occasional corticosteroid injections into affected joints, medication, rest, exercise, and joint protection. A few people with CPPD deposition disease may need surgery.

Can exercise, therapy, rest, posture, or stretching help treat cppd deposition disease?

Exercise can help strengthen the muscles around your joints, help maintain full movement and use of your joints, and keep your body physically fit.

Range of motion exercises are particularly helpful during times when CPPD crystal deposition disease is active. These are gentle exercises, done without any weights and designed to preserve the mobility of the joint. The sore joint should be gently moved through its full available range of motion each day, paying special attention to the end of the motion where mobility often is first lost. Using heat or cold applications before or after exercising can increase your comfort and the effectiveness of these exercises. Do range of motion exercises on a daily basis to maintain or restore motion after checking with your doctor.

During times when CPPD crystal deposition disease is not active, strengthening exercises can be done to ensure maximum function and stability of your joints. These exercises should be taught by a physical or occupational therapist or physician, preferably one who is familiar with CPPD crystal deposition disease.

Walking, bicycling, and aquatic exercises are often recommended for people with CPPD crystal deposition disease.

During aquatic exercise the buoyancy of the water usually protects the joints from rapid or stressful movement. Your doctor or physical therapist can help you plan an exercise program and can explain specific kinds of exercise to do during flares and remissions of the illness.

During a sudden attack of inflammation due to CPPD crystal deposition disease, you may need to rest your sore joint(s). Sometimes splints are recommended for resting and protecting the joint(s). Splints, canes, and other devices for protecting joints can be fitted by physical or occupational therapists.

What medications are used to treat or manage cppd deposition disease?

Some medicines are used for short term relief from pain. Others are used to keep the disease under long-term control. Nonsteroidal anti-inflammatory drugs (NSAIDs) are the medicines used most often. NSAIDs reduce joint pain and swelling and usually relieve symptoms within three to 10 days. NSAIDs may cause mild stomach up set in many people. For this reason, doctors often recommend taking these drugs with fluids (such as water or milk) and with meals. If you are taking an NSAID, check with your doctor about the best way to take the medication and how he or she wants to supervise its use.

Corticosteroids are a synthetic form of a natural body hormone, cortisone. They may be injected directly into the sore joint or taken in pill form for a few days to relieve pain and swelling of an attack. These drugs can be very helpful but can cause serious side effects. Colchicine has been shown to be mildly effective in preventing joint pain and swelling as well as in treating sudden attacks of pain. Keep colchicine and other medications away from children.

As your symptoms improve, your doctor may lower the dose of medicine. Some people will be able to stop taking all medications, while others will have to continue taking some medicine to keep the disease under control. Never stop taking your medicine (even when you are feeling better) without checking with your doctor.

At the present time, there are no medications available to eliminate the crystals. Those medications that currently are available only relieve symptoms.

A note about unproven remedies: Beware of anything called a "quick cure," such as drugs, vitamins and minerals, or devices. These products do not cure CPPD crystal deposition disease; they only cost you money. Some may actually be harmful or keep you from getting proper care. Follow your doctor's advice closely and discuss any other forms of treatment you are considering.

Can surgery help treat cppd deposition disease?

In a few patients, surgery may be used to reduce pain and improve movement in a joint that is badly damaged or unstable. Some joints can be partially repaired by removing CPPD crystals or cartilage fragments through an arthroscope (a small scope that looks into a joint). Some joints, especially the hip or knee, can be replaced with an artificial joint made of plastic and metal.

Can joint aspiration or injection treat or manage cppd deposition disease?

Joint aspiration is the process of removing some fluid from the sore joint(s). This not only helps your doctor determine if you have the disease, but it also removes many of the CPPD crystals that cause the pain and swelling. Removing the crystals also can help medications work better.

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