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Understanding Polymyalgia Rheumatica

Polymyalgia rheumatica (PMR) is an inflammatory disorder that primarily causes muscle pain and stiffness, particularly in the shoulders and hips. The condition can appear suddenly and is more common in individuals over the age of 50. It can be difficult to diagnose as PMR symptoms can mimic other conditions such as autoimmune myositis.

At Concierge Rheumatology, we specialize in personalized treatment approaches to effectively manage polymyalgia rheumatica, reduce inflammation, and improve mobility. inflammation, and improve mobility.

Symptoms of Polymyalgia Rheumatica

PMR symptoms typically develop rapidly and can include:

Aches and pain in the shoulders, upper arms, hips, thighs, and neck

Morning stiffness lasting more than 30 minutes

Limited range of motion in the affected joints

Pain in the wrists, elbows, or knees

Causes & Risk Factors

The exact cause of polymyalgia rheumatica remains unknown, but it is believed to be linked to immune system dysfunction. Genetic factors may also play a role in increasing susceptibility to the condition. It most commonly affects individuals over age 50, with peak onset between 70-80 years old and primarily affects individuals of Northern European descent.

Polymyalgia rheumatica is closely associated with giant cell arteritis (GCA), a condition that causes inflammation of the blood vessels. Symptoms of GCA include severe headaches, jaw pain, scalp tenderness, and vision disturbances. If untreated, GCA can lead to blindness or stroke.

Diagnosing Polymyalgia Rheumatica

Early diagnosis is crucial to managing PMR and preventing complications. Our diagnostic approach includes a detail history and physical examination and examining blood tests such as inflammation markers (Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP)).

Personalized Treatment Options at Concierge Rheumatology

Although polymyalgia rheumatica has no cure, effective treatments can alleviate symptoms and improve daily function. Our tailored approach includes corticosteroids and in some cases the use of maintenance therapies such as Methotrexate or biologics. We also help patients with developing a personalized exercise program to maintain mobility and muscle strength.

Take Control of Your Joint Health

Polymyalgia rheumatica can be effectively managed with the right treatment plan. At Concierge Rheumatology, we are committed to providing expert care tailored to your unique needs.

Schedule an appointment today to discuss your treatment options and regain control of your health.