Polymyalgia rheumatica PMR Causes, symptoms, treatments
This group of people may also need a falls assessment, to prevent falls where possible. They may check people’s balance and mobility, their vision, heart rate and blood pressure, for example. Prednisolone works by blocking the effects of certain chemicals that cause inflammation inside your body. It does not cure polymyalgia rheumatica, but it can help relieve the symptoms.
- It is estimated that one in every 1,200 people develop the condition every year.
- Relapse requires restarting or increasing the steroid dose.
- Diseases such as systemic lupus erythematosus (SLE), vasculitis and polymyositis require systemic corticosteroid therapy for effective control.
- These factors could increase the likelihood of someone developing polymyalgia rheumatica.
- In most cases the symptoms will cease within one month to one year.
At first you may have blood tests which can check whether inflammation is present. Most patients start to feel the effects of prednisone within a few days. Some patients will start feeling better hours after taking the first pill. Prednisone suppresses the body’s immune system and also works to reduce inflammation that people experience as heat, redness, swelling, and pain.
It is important to note that steroids such as prednisolone must not be stopped suddenly. This is because the drug suppresses the production of steroid hormones by the adrenal glands (the treatment provides steroids in greater levels than the body does). I was given a blood test to check inflammation levels and was put onto steroid tablets.
- Most people with PMR are in their 60s or older — it is very rare in those under 50 — and typically women are affected.
- Stop from time to time on a long journey to stretch your shoulders, arms and legs.
- They chime with my own experience of not being monitored for borderline osteoporosis (not due to polymyalgia rheumatica) until I asked.
- Your doctor will prescribe daily doses of calcium and vitamin D supplements to help prevent bone loss because of corticosteroid treatment (5).
In some cases, however, it is not recognised as polymyalgia rheumatica. The condition is thought to be one of the effects of ageing, buy anabolic uk but these come on slowly. Polymyalgia rheumatica, on the other hand, can develop in a matter of days or over a few weeks.
Drugs and Side effects
If you have pain and stiffness that lasts longer than a week, you should see your GP so the cause can be investigated. We take your privacy seriously and this page lets you know how we will process and protect any data you share with us as part of our data protection policy. Some warning signs of health conditions shouldn’t be ignored, so if you would like to read our article advising when you should contact your GP, click on this link.
What is the medical term PMR?
The rheumatology department at UHB does not provide a specific
PMR clinic. Patients with PMR can be managed effectively in primary
care, with support from the rheumatology service as needed for
complex patients. We will still accept referrals for any patients
with atypical features of PMR, diagnostic uncertainty, or those
with incomplete or non-response to glucocorticoids.
Polymyalgia Rheumatica (PMR)
Please show them the card – depending on what additional treatment you need, the steroid dose may need to be adjusted. The steroid tablet most often prescribed is called prednisolone. However, there’s a chance it will return after treatment stops.
Walking is a great way of maintaining movement without making your symptoms worse. A medical professional will also look at your family history to look for any mutations that could cause the condition. Some gene mutations have been linked to an increased chance of developing PMR, with certain genes named PMR genes. Some of the environmental factors that can trigger or worsen PMR are stress and UV exposure.
Who is most likely to suffer from polymyalgia rheumatica?
Always seek the opinion of your GP or other qualified medical professional before starting any new treatment, or making changes to existing treatment. There may be some situations where your doctor will want to prescribe a type of drug called a disease-modifying anti-rheumatic drug (DMARD), alongside steroids. This needs urgent treatment as there’s a risk of permanent loss of your eyesight or having a stroke with giant cell arteritis. Most people diagnosed with it are over 70, and it’s very rare in people younger than 50.