Polymyalgia rheumatica is an inflammatory disorder causing muscle pain and stiffness, typically in the shoulders, neck, and hips. It mainly affects people over 50 and can be associated with giant cell arteritis. The condition may develop quickly and can be debilitating, but can be effectively managed with medication.

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Polymyalgia Rheumatica FAQ


What are the common symptoms of polymyalgia rheumatica?

Common symptoms include muscle pain and stiffness, especially in the shoulders, neck, and hips. It can also cause general fatigue and a low-grade fever.

Who is at risk of developing polymyalgia rheumatica?

People over 50, especially women, are at a higher risk. It is also more common in certain ethnic groups, including northern European populations.

Can polymyalgia rheumatica be cured?

While no cure exists, the condition can be effectively managed with proper medication and lifestyle changes. Most individuals experience significant improvement with treatment.

What medications are commonly used to treat this condition?

Corticosteroids, such as prednisone, are usually the first line of treatment. They help reduce inflammation and manage the symptoms effectively.

Are there any known complications associated with polymyalgia rheumatica?

A significant complication can be the development of giant cell arteritis, which is a related inflammatory condition that affects the arteries of the head, especially the temples. This can lead to serious problems if not promptly treated.

How long does treatment for polymyalgia rheumatica usually last?

The duration of treatment varies for each individual but often lasts for at least a year or longer. The doctor will gradually reduce the dosage of medication as the symptoms improve.

Can physical activity help manage polymyalgia rheumatica symptoms?

Gentle exercises and physical therapy can help improve muscle strength and flexibility, reducing the impact of the symptoms. However, it is important to avoid overexertion, especially during flare-ups.

Is polymyalgia rheumatica hereditary?

There is no strong evidence to suggest a direct genetic link, but certain genetic factors may play a role in predisposing individuals to develop this condition.

What lifestyle changes can be beneficial for individuals with polymyalgia rheumatica?

Maintaining a healthy, balanced diet, getting sufficient rest, and avoiding stress can help manage the symptoms. It is also important to follow the prescribed medication regimen.

Can polymyalgia rheumatica affect other areas of the body?

While it primarily affects the shoulders, neck, and hips, it can also cause discomfort in other areas, such as the wrists, elbows, and knees, due to its systemic inflammatory nature.

Are there any alternative therapies that can help with polymyalgia rheumatica?

Some individuals find relief through techniques like acupuncture, massage, or relaxation exercises. However, it's important to consult with a healthcare professional before trying any alternative therapies.

What should be done in case of severe or sudden exacerbation of symptoms?

Seek medical attention immediately if there is a sudden or severe worsening of pain, particularly if it is accompanied by new symptoms such as vision changes or severe headaches.

Can polymyalgia rheumatica increase the risk of osteoporosis?

Long-term use of corticosteroids, which are often prescribed for polymyalgia rheumatica, can increase the risk of osteoporosis. It's important to discuss this risk with your doctor.

Is it safe to take over-the-counter pain relievers for polymyalgia symptoms?

It's important to consult a healthcare professional before taking any over-the-counter medications, as these can potentially interact with prescribed treatments or may not be suitable for individuals with this condition.

Can the symptoms of polymyalgia rheumatica recur after successful treatment?

While some people experience a recurrence of symptoms, many individuals achieve long-term remission with proper management. Regular follow-ups with the healthcare provider are crucial.

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Information provided by Maryam Abdullahi-Mahdi. Reviewed by Mr. Matthew Liew