Dr Les Bailey physical therapies
Calcium pyrophosphate deposition ( cppd ) was known for many years as pseudo gout, because the pain mimicked that of gout, but rather than uric acid crystals depositing, crystals of calcium pyrophosphate is the culprit.
It is more commonly found in the knees, but can affect shoulders, ankles, hands and indeed other joints.
The pain is similar to rheumatoid arthritis or osteoarthritis, for what it is usually mistaken.
The crystals first attack the cartilaginous surfaces, working their way into the bony surfaces. It can cause irreversible damage to these areas.
It is thought to be genetic, but there is no satisfactory reason for its onset.
Diagnosis depends on tests, and involve taking samples from the synovial joint to check for deposits.
It occurs mainly with age, but can affect the young too, although not as commonly.
It can often accompany rheumatoid or osteoarthritis.
Many older people have these deposits in the synovium but remain symptom free.
Differential diagnosis includes osteo and rheumatoid arthritis, gout, and infection of the joints.
Treatment generally hinges on anti inflammatories, but there are various gout medications that have been known to offer relief.
However, some benefit from the synovial fluid being partially drained, and hydrocortisone injected.
In severe cases, joint reconstruction surgery can be undertaken.
Physical therapies can be of quite some help, but this should be alongside a rheumatologists expertise .
My own treatment of cppd centres around joint mobilising, massage, electroacupuncture and laser to help inflammation in specific joints.
It must be remembered that physical therapy of any kind is merely an effective help, but nonetheless very useful to the sufferer.
About Dr Les Bailey phd,DO, acopm.apta(int part)
Author of the laymans guide to foot and heel pain.
Dr Les Bailey can be found on these links
Direct phone number 07801418080
Dr Les Bailey began in physical therapies in 1981,qualifying in remedial massage,and later going on to qualify as an osteopath.
He gained his phd from OIUCM for a thesis on the treatment of plantar fasciitis.
He was awarded a teaching/lecturing diploma from the northern school of osteopaths in 1993.
He also holds a diploma in foot biomechanics .
Dr Les Bailey works from his clinic near woodmansterne / Banstead in surrey.
A Dr Les Bailey orthotics article 2012
Dr Les Bailey phd, DO, acopm, apta, ( int part )
Dr Les Bailey woodmansterne, Banstead, Surrey