WHAT YOU NEED TO KNOW: What is polymyalgia rheumatica? Polymyalgia rheumatica is a condition that causes muscle pain and stiffness from inflammation. The symptoms are worst after you have not used the muscles for a period of time. For example, it may be difficult to get out of bed when you wake up in the morning. Polymyalgia rheumatica usually affects people older than 50 years, often after age 70. Polymyalgia rheumatica can occur with a serious condition called giant cell arteritis, or temporal arteritis. This condition causes the walls of arteries to swell. What are the signs and symptoms of polymyalgia rheumatica? Any of the following may develop suddenly or within a few days or weeks: - Pain, aching, or stiffness in both shoulders, or your neck, upper arms, or hips
- Pain and stiffness that gets better with movement
- Trouble raising your arms higher than your shoulders
- Trouble getting dressed or rising out of a chair
- Less ability to move joints fully
- Fatigue, loss of appetite, or weight loss without trying
How is polymyalgia rheumatica diagnosed and treated? - Tell your healthcare provider about your symptoms and when they began. Tell him if the pain and stiffness are worse in the morning or after a period of inactivity. He may take a blood sample to measure the amount of inflammation. He may give you a small dose of steroid medicine by mouth or into a muscle. If you have polymyalgia rheumatica, the steroid will help relieve inflammation that is causing the pain.
- You may feel relief right away, or it may take several doses before you feel better. Your healthcare provider will increase the dose until your symptoms are controlled. He will then lower the dose over a few days or weeks to find the lowest dose that is effective. You will then continue to take the medicine at that dose, usually for about 6 months. You may need to continue for up to 3 years to control the pain. NSAID medicines may help relieve mild pain and stiffness.
What can I do to manage polymyalgia rheumatica? - Exercise as directed. Exercise can help prevent or reduce pain. Exercise can also help you keep muscle mass and prevent falls.
- Go to physical therapy as directed. A physical therapist can teach you exercises to help keep muscle mass. He can also teach you exercises to improve range of motion in joints that are difficult to move.
- Use assistive devices as needed. A raised toilet seat or chair can help you stand more easily. Devices are available to help you reach items on high shelves if you have trouble reaching up. Your healthcare provider may recommend a cane or walker to help you keep your balance.
- Eat a variety of healthy foods. Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy products, beans, lean meats, and fish. Healthy foods can help you have more energy. Ask if you need to be on a special diet.
When should I seek immediate care? - You have signs or symptoms of giant cell arteritis, such as a headache, jaw pain, vision changes, or a fever.
When should I contact my healthcare provider? - You have new or returning signs or symptoms of polymyalgia rheumatica while the steroid medicine is being lowered.
- You have questions or concerns about your condition or care.
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