Conditions & Treatments

Gout and Pseudogout

What are

Gout and Pseudogout?

Gout and pseudogout are two types of calcium pyrophosphate deposition diseases that are caused from crystal formations in the joints and sometimes tendons. These crystals irritate the joints and cause the body to release chemicals that make the joints swell. This results in the irritated area of the hand to become painful and appear red.

What Causes


Gout is characterized by the production of a salt called monosodium urate. The cause of gout is associated with an imbalance in uric acid levels. Rapid changes in uric acid can be a result of genetics, health and diet, and conditions such as heart disease.

What Causes


Pseudogout is associated with the production of calcium pyrophosphate. The development of pseudogout crystals tends to occur throughout a patient’s life, but does not always cause symptoms of pain, swelling, or redness. The cause of calcium pyrophosphate is associated with multiple injuries to the joint. However, an injury does not immediately result in an attack. It can also occur in patients with health concerns associated with the thyroid.


Both gout and pseudogout commonly affect the elbow, wrist, and finger joints. Symptoms of gout and pseudogout may include redness, swelling, and radiating heat. The pain may prevent mobility, and the area may appear infected.

In gout, symptoms of visible crystals can be seen under the skin and appear white or tophi. However, pseudogout crystals can only be seen through an X-ray.


When flare-ups occur in the hand and prevent the patient’s movement abilities, treatment is designed to decrease the pain and visible symptoms. Gout and pseudogout treatment options include the use of:

  • Anti-inflammatory medications, such as indomethacin or colchicine
  • Splints
  • Compressions
  • Prescription medications
The Gout Diet

Because gout can be influenced by diet, there is an effective “Gout Diet” treatment that is designed to lower uric acid levels. This can be beneficial for patients who are unable to tolerate prescription therapy, and it may help to minimize flare-ups. The diet includes a maintained meal plan with lists of suggested foods and foods to avoid. There is also a set of general guidelines implemented in the plan for optimal results.

Learn more about the Gout Diet and guidelines here.

If you are experiencing signs and symptoms of gout or pseudogout, we at Arora Hand Surgery in West Bloomfield, Howell, Macomb Township, and Warren want to help you treat and maintain symptoms for optimal hand health. Reach out to us here and speak to one of our caring professionals about our effective gout and pseudogout treatment options. Contact us today and schedule your consultation!

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Dr. Aroras office from my first call to schedule my appointment was friendly. Walking in the first day, I felt like I was in a nice atmosphere. Dr. Arora was EXCELLENT in taking great care of my hand injury. He was gentle and very understanding to the concerns I had about my hand. His expertise was admirable and I would recommend anyone with an injury to their hand to his office to be under his care. Because of him, I have healed faster than expected and will make an 100% recovery! Thank you Dr.

Jackie S.

I first thought I was going to have to have painful injections or surgery, but Dr. Arora suggested physical therapy may do the trick. I was doubtful, but I agreed to do it. Now, my pain is gone, and with the help of an ergonomic keyboard at work to keep my hands in the correct position, I am virtually pain free. The therapy strengthened my wrists and shoulders, and built more flexibility into my wrists.

Jerry T.

My experience with this doctor was positive from the outset. Dr. Arora was kind and spent a great deal of time with me. Staff was friendly. The office was nice and bright.

Ariel G.

Very friendly and helpful Great staff!!! Doctor Arora was very professional and did great work. I was very happy with everything!

L B.