Polymyalgia Rheumatica Treatment

Polymyalgia rheumatica is condition characterized by inflammation and widespread pain and stiffness of muscles, particularly of muscles in the neck, shoulders, thighs, hips and upper arms. The condition has no known cause, and it can appear suddenly, though it often goes away on its own within a year or two. Treatment is focused on alleviation of symptoms and improving overall quality of life.

Medical Treatment

• The most common method of treating polymyalgia rheumatica is through the use of corticosteroids, such as prednisone, to control inflammation and pain. Alleviation of your symptoms should come almost instantly. In the event that it does not, then the cause of the pain is most likely not polymyalgia rheumatica and a new diagnosis must be made.

  Once symptoms begin to subside, you will reduce the dosage of corticosteroids gradually to an amount necessary to control inflammation and pain, though how much will be used is different for each individual. The majority of people taking corticosteroids for the condition stop using them after two years, and prolonged use can lead to serious side effects, such as osteoporosis, hypertension and cataracts.

  Beyond this, over-the-counter medications such as ibuprofen and acetaminophen may be used to provide temporary relief for mild symptoms of associated pain and inflammation. These should not be used long term because excessive use can lead to severe complications, including internal bleeding, liver failure, hypertension and fluid retention.

Lifestyle Treatment

• In addition to medication, regular exercise can help alleviate pain and make you feel better in the long run. It can lower stress, improve mood and help keep off the weight that may gained as a side effect of corticosteroid use. The most effective exercises are low-impact exercises, such as cycling and swimming, especially when combined with moderate daily stretching. If you do not normally exercise, discuss an exercise plan with your physician. Exercise should be introduced gradually and performed for about 30 minutes a day.

  Adequate exercise is most effective when used in conjunction with a healthy diet. Eating whole grains, fruits, vegetables and lean meats and avoiding excess salt and fatty foods is recommended to help stave off weight gain, thinning bones and high blood pressure. Adequate amounts of calcium and vitamin D are recommended, through food or supplements, because they help with bone health.

  Finally, preventing excessive use of your muscles is advised. Take things slowly, and avoid lifting heavy objects without some sort of help.