Related Questions

I have polymyalgia rheumatica, and on prednisone. I am 66 and going blind, I gained weight and feel ugly. But I can now walk. Will I die from this?

Not likely. Hi Wendy. Polymyalgia rheumatica is exquisitely sensitive to steroids. But, it is associated with giant cell arthritis, which can be both deadly and blinding. As soon as it is under control you can be put on so-called steroid-sparing immunosuppressive medication such as methotrexate, which will help normalize your life. These have much fewer side effects. Please see a rheumatologist.

What is polymyalgia rheumatica?

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.
Standard rx? Has been with prednisone at moderately high doses. I am a fan of weekly subcutaneous methotrexate, 25 mg /week. The new IL-6 inhibitors are very effective but costly. I've seen too many steroid side effects from prednisone!

What are polymyalgia rheumatica?

See below. Pmr is a disorder characterized by muscle pain, often around the shoulders & hips. Often seen in late middle aged or elderly individuals. It can be associated with temporal arteritis that has the symptoms of headaches, jaw fatigue and vision problems. Early recognition is important. There is no confirmatory test; however an elevated sed rate or CRP can aid in diagnosis. Steroids are the treatment.
Autoimmune disease. Polymyalgia rheumatica is an autoimmune, inflammatory disease typically involving the shoulders/neck and possibly hips/low back that starts in those over 50.

What is polymyalgia rheumatica like?

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.

Polymyalgia rheumatica --what is pmr?

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.
Rheumatica. Polymyalgia rheumatica is a combination of signs/symptoms of the perception of proximal muscle weakness (although objective testing reveals no weakness), fatigue, fever and erythrocyte sedimentation rate elevation/prolongation. Steoids are the first step in its treatment.

How is polymyalgia rheumatica treated?

Low Dose Steroids. Although there is no cure for polymyalgia rheumatica, treatment can help prevent patients from becoming disabled. Low doses of corticosteroids (such as prednisone) can relieve polymyalgia rheumatica within a day or two. The dose can then be slowly reduced to a very low level, but the treatment will need to continue for a long time -- around 2 - 6 years.

How can I treat polymyalgia rheumatica?

Low dose steroids. If the diagnosis is accurate, low dose steroids should control it, of course with efforts to reduce loss of bone integrity.
Prednisone plus....? Prednisone is the tried and true remedy for this condition. Sometimes other arthritis medications are helpful too. Speak to your rheumatologist.

What does having polymyalgia rheumatica mean?

Feeling weak, but no. It is a condition in which the person is fatigued, may have fever, feels weak and has an elevated sedimentation rate.
Many aches and pain. The definition is many muscles and joint pain. Polymyalgia rheumatica is an inflammatory arthritic disease that affects patients above 50 years old. It is associated with shoulder, upper arm (muscles), hip, upper leg (muscles) pain and stiffness. It can be associated with fevers and weight loss. True weakness comes from the pain and stiffness of the muscles and joints.