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Polymyalgia rheumatica

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Symptoms polymyalgia rheumatica Polymyalgia neck shoulders hips and thighs arthritis

Polymyalgia rheumatica is each incendiary disease that causes muscle aggrieve and rigorousness, originally in your neck, shoulders, upper war, hips and thighs. Symptoms of polymyalgia rheumatica usually arise soon athwart a hardly any days.

Even if it’s not a for the use of all case, polymyalgia rheumatica isn’t classed since infrequent. In England, it is estimated that single in kind in each 1,200 folks order cause to grow polymyalgia rheumatica in a single one year.

Polymyalgia rheumatica is every age-related state. It sometimes occurs in the bulk of mankind in their 50s however is again universal in the many the crowd throughout 60, and especially in those in their 70s and 80s.

Polymyalgia rheumatica is two to three spells greater degree customary in women than in men. It is additional widespread mixed white the public, singly those of Scandinavian fall, and it is a great quantity smaller quantity general in flagitious the multitude.

The action of polymyalgia rheumatica is unclear. Nevertheless, it is conception that a mixture of genetic and environmental factors is answerable.

Relating to 3 in 10 family through PMR moreover cause to grow a akin predicament called monster small room arteritis (GCA) (in like manner known like mundane arteritis). This may have existence at the like time or more time earlier or later than which time PMR develops. GCA be able to exist abundant added solemn than PMR. GCA causes conflagration of arteries (mettle vessels). The arteries chiefly commonly foppish are those that omit from one to another the temples (the sides of the audacity nearest to the eyes). The perforation be able to subsist assumed in more cases. This have power to lead to serious eye problems, even blindness. Rarely, other arteries such as those going to the brain are affected.

Signs and Symptoms
The most common symptoms of PMR are severe pain and stiffness in the muscles of the shoulders, neck, lower back, buttocks and thighs.  The muscles of the upper arms may also be affected.  It is unusual for the muscles in the forearms, hands, legs and feet to be affected. The pain and stiffness is caused by mild inflammation in the joints and surrounding tissues.
Other symptoms of PMR may include:
  • Headache
  • Fever and/or night sweats
  • Fatigue and loss of energy
  • Loss of appetite
  • Depression
  • Weight loss
  • Mild anaemia.
In some cases the onset of PMR can be sudden and dramatic, with severe symptoms literally appearing overnight.  In other cases the condition appears gradually over a period of several weeks.
 
Symptoms are often worse in the morning – when they may be disabling, but tend to ease off by the afternoon.  Symptoms are often more noticeable after a period of inactivity.
 
Diagnosis
When the onset of the condition is sudden and dramatic, a diagnosis of PMR may be relatively easy to make.  However, when symptoms develop gradually it may be less obvious that PMR is the cause

The symptoms of PMR can be similar to those of other medical conditions such as rheumatoid arthritis.  For this reason it is important to rule out other possible causes for the symptoms before a diagnosis of PMR can be made.

In order to make an accurate diagnosis the doctor will take a detailed medical history and perform a physical examination. There is no one definitive test that will confirm whether a person does or does not have PMR.  However, there are several blood tests that can help with the diagnosis

  • ESR (erythrocyte sedimentation rate) is often (but not always) raised in people with PMR.  This test can indicate the presence of inflammation in the body.
  • C-Reactive protein levels in the blood may be checked.  Again, elevated results can indicate the presence of inflammation in the body.
  • FBC (full blood count) often indicates the presence of mild anaemia in people with PMR.
  • To rule our rheumatoid arthritis a substance in the blood called Rheumatoid Factor may be checked. This will be elevated in people with rheumatoid arthritis; however it is normal in people with PMR.
Treatment
Polymyalgia rheumatica is usually treated with a corticosteroid medication called prednisone.   High doses of prednisone are given initially and the dose is gradually decreased to the lowest possible level at which symptoms are controlled.  There is usually a quick response to prednisone treatment and symptoms tend to be dramatically decreased within a few days of starting the medication. 
Treatment is usually started with a medium dose – usually about 15 mg per day. This is then reduced gradually to a lower maintenance dose. It may take several months to reduce the dose gradually. The maintenance dose needed to keep symptoms away varies from person to person. Usually it is between 5 and 8 mg per day.

You are likely to need treatment for at least two years. In some people the condition goes away, so the steroids can be stopped after 2-3 years. However, many people need treatment for several years, sometimes for life. If you stop taking the steroid tablets too soon, the symptoms return.

Some people are able to stop treatment after 2-3 years, but symptoms sometimes return at a later time (a relapse). If this occurs, the treatment with steroids can be restarted and will usually work well again.


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