Does pseudogout usually cause many symptoms?

Similar to gout. Pseudogout involves deposition of calcium pyrophosphate crystals (instead of uric acid as in gout) in joints, most frequently knees and wrists. Presentation may be similar: joint pain, swelling, redness. In pts under 60y/o hyperparathyroidism or hemochromatosis should be ruled out. There is no definitive treatment, but corticosteroids injected into the affected joint may help.
Yes, it can. Pseudogout can present like gout, with a red, hot, painful joint. It can also be subtle and have little or no pain at all. The symptoms can vary greatly, but will typically include pain, warmth, and swelling of a joint.