How is acute calcific periarthritis treated?
Attacks of acute calcific periarthritis may be managed similarly to other crystalline arthritides. NSAIDs given in full doses are the mainstay of therapy. Indomethacin 50 mg orally three times daily for 1 to 2 days with subsequent taper is a classic approach. Other NSAIDs are probably just as effective. The patient’s age, underlying renal disease, and history of peptic ulcer disease are factors in deciding on the use of NSAIDs. Colchicine therapy is reportedly successful for acute calcific periarthritis as well. Aspiration of the joint and injection of a corticosteroid is often the most expedient way to provide relief.
