Polymyalgia treatment without steroids

All patients with PMR should be counseled about symptoms that could suggest GCA, especially new-onset headache, monocular visual impairment, or jaw pain with mastication, and instructed to notify the clinician promptly if such symptoms arise. At every follow-up visit, patients with PMR should be monitored for symptoms or physical findings referable to GCA, and, if warranted, further diagnostic evaluation should be pursued (see "Clinical manifestations of giant cell (temporal) arteritis" ). The presence of low-dose glucocorticoid therapy will not affect the yield of temporal artery biopsy [ 45 ]. Biopsy can be negative if there is large artery involvement by GCA, the diagnosis of which requires imaging of the vascular tree.

PMR is very treatable. The only drug which is known to be a consistently effective therapy is  prednisone (or another corticosteroid of the same family), which works by decreasing inflammation. Methotrexate, a medication commonly used to treat rheumatoid arthritis and some other rheumatic diseases, has been used to reduce disease flares, but is not of certain benefit. Blood tests — including the erythrocyte sedimentation rate or C-reactive protein — will be done every few weeks to months to determine if the inflammation is still active. Most people require about 3 years of treatment, but duration varies widely.

Your doctor may need to remove a small piece of an artery above and in front of your ear to determine if you have giant cell arteritis. Often the artery will be taken from the temple through a small incision. You will not need to be put to sleep to do this but you will receive medicine to numb the area. The piece of the artery then will be examined under a microscope. If you have giant cell arteritis the artery will be inflamed. A sed rate reading also can help determine the diagnosis because as in the case of PMR the sed rate is almost always higher than normal.

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Polymyalgia treatment without steroids

polymyalgia treatment without steroids

Related Polymyalgia rheumatica Info Videos about Polymyalgia rheumatica   Forum Discussions about Polymyalgia rheumatica

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  1. Polymyalgia rheumatica: Introduction
  2. Symptoms
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  4. Treatments
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  6. Misdiagnosis
  7. Testing & Diagnosis
  8. Home Testing
  9. Complications
  10. Prognosis

 » Next page: What is Polymyalgia rheumatica? Medical Tools & Articles: Tools & Services:
  • Bookmark this page
  • Symptom Search
  • Symptom Checker
  • Medical Dictionary
Medical Articles:
  • Disease & Treatments Search
  • Misdiagnosis Center
  • Full list of interesting articles
Forums & Message Boards
  • Ask or answer a question at the Boards :
    • I cannot get a diagnosis. Please help.
    • Tell us your medical story.
    • Share your misdiagnosis story.
    • What is the best treatment for my condition?
    • See all the Boards.
    Next: Symptoms of Polymyalgia rheumatica homepage | back to top   Search Specialists by State and City

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