Doctor insights on:
What Foods Are Bad When One Has Been Diagnosed With Pmr
Can polymyalgia rheumatica be so bad that one can not get out of bed some days and better as day goes on on is that more myositis?
How can one with pmr get a sed rate of >100 but one with lupus & organ involvement have a sed rate not nearly as high?
Good question: Sed rate is positive after a value of 30. The higher it is does not necessarily mean the greater the inflammation. Both these conditions create high sed rates. It's not so important what that means after it becomes positive. The part that is important is the "it's positive" part. ...Read more
Dad has pmr controlled w/ 20mg prednisone. Has bad back spams (feels lower back is being pulled). Okay when walking but bad when gets up from sitting. Rheum doesn't think d/t pmr. What could be cause?
Cannot diagnose: If your dad has polymyalgia rheumatica, is being seen regularly by a rheumatologist, and does not have a specific diagnosis, would you really accept a guess over the internet by someone who has never seen him. If you are not satisfied with his doctor, have him seen for a second opinion. Hope he feels better soon. ...Read more
Can one have seronegative polymyalgia rheumatica + giant cell arteritis? Alll the typical symptoms but blood tests were normal yet on 5mg pred by then
Yes: The sed rate is sometimes done wrong by labs and I am not sure I would trust the C-reactive protein. If your temporal arteries are tender, treat in spite of labs. If you were already on prednisone, then there's no wonder the labs were within reference range. Judgement plays a big role in managing rheumatologic disease despite a plethora of labs. ...Read more
I have been diagnosed with pmr and gca is there any other treatment the steroids I also am going to a tempral arterie biopsy where exactly will it be?
Doubt the diagnosis: I have never seen this diagnosis in a 30 year old. Get a 2nd opinion. Have you seen a rheumatologist? ...Read more
Autoimmune: Polymyalgia rheumatica (pmr) is an autoimmune disease that occurs in people 50 years of age and older. It is associated with severe pain and stiffness in the shoulders and hips. Pmr can also lead to blindness due to inflammation in blood vessels of the eye. Pmr is treated with steroids and Aspirin to prevent blindness. Other medicines (antibiotics) are sometimes used to prevent steroid effects. ...Read more
Yes.: Musculoskeletal symtpoms dominate polymyalgia rheumatica, and vascualr disease, usually in scalp arteries dominates in temporal arteritis. They are frequently treated with similar drugs. Prednisone is the traditional therapy, but I coadminster injectable methotrexate, so I can quickly decrease the prednisone. Tnf-alpha inhibitors are now being used with great success! ...Read more
Phys. Med/rehab: PMR doctors specialize in physical medicine and rehabilitation. As an orthopedic surgeon they are very helpful to coordinate and structure a physical therapy/ occupational therapy program specific for our patients recovering from total knee replacement, hip fracture surgery, etc. Hope that helps! ...Read more
Immune disorder: Polymyalgia Rheumatica (PMR) is an autoimmune-type disorder which affect mostly people older than 50.Frequently starts in the shoulders or neck w/pain & weakness. Left untreated it can damage tendons & muscles permanently. It responds very well to steroid treatment, but that has it's drawbacks too as long-term steroid use has complications, as well. No one knows exact cause. May be genetic factors. ...Read more
See below: Polymyalgia rheumatica usually is a condition in people greater then 50. It causes stiffness and pain in muscles and joints including the shoulders, upper arms, hips, and upper legs. It can be associated with fevers and rarely weight loss. It is associated with an elevated sedimentation rate and c reactive protein which are both measures of inflammation. Treatment is steroids. ...Read more
No: Pmr is an auto-immune disease but the underlying cause is not known. ...Read more
I was diagonosed w/ pmr 1.5 years ago - started w/ 60 mg of predisone and now down to 4 mg. Now I have the same sever pain in m my neck. I have increased predisone to 20 and still have the pain. I'm I having a relapse or is this normal?
Two cousin disease, polymialgia reumatica and temporal arteritis, both are vasculitis, pmr is treated with low dose sterids, in general 10 to 15 mg a day with excelent response, temporal arteritis with 60 mg, because other concerns and problems related to thje complications of the temporal arteritis m, that include loss off vision and stroke. The main feature of pmr, is shoulder and hip girdle weakness.
Don t understand were is the pain in the m, but you probably should consult your rheumatologist to make sure why you have the pain and if the diagnosis is still pmr, pmr is caracterized by age over 50, hibh sed rate although 30 % of patien may have a normal sed rate and shoulder and hip girdle weakness and pain. ...Read more
Common symptoms are pain and stiffness, usually starting suddenly over a few days period of time. The areas affected are neck, shoulders, arms, hips and thighs.
See your doctor asap if you have these symptoms. ...Read more
PMR affects muscles: Polymyalgia rheumatica presents as painful muscles, usually in your shoulders, upper arms and thighs. It is associated with a lab finding, elevated sedimentation rate (ESR) and is treated with oral steroids, usually prednisone. Little is known about what causes pmr, but it is an inflammatory disorder of the muscles. It is seen usually in those aged over 50. ...Read more
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