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Polymyalgia rheumatica - Treatment

Treatment:

Although there is no cure for polymyalgia rheumatica, treatment can help prevent patients from becoming disabled.

Low doses of corticosteroids (such as prednisone) can relieve polymyalgia rheumatica within a day or two. The dose can then be slowly reduced to a very low level, but the treatment will need to continue for a long time -- around 2 - 6 years.

Corticosteroids cause a variety of side effects that must be carefully monitored and managed.

Expectations (prognosis):

Polymyalgia rheumatica usually goes away by itself after 2 - 6 years. After this time, treatment can be stopped.

Complications:

Polymyalgia rheumatica can cause serious disabilities if untreated.

Calling your health care provider:

Call for an appointment with your health care provider if you have persistent weakness or stiffness of the shoulder and neck area, especially if you also have symptoms of general illness, such as fever or headache.

  • Reviewed last on: 2/3/2011
  • Michael E. Makover, MD, professor attending in Rheumatology at the New York University Medical Center, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Unwin B, Williams CM, Gilliland W. Polymyalgia Rheumatica and Giant Cell Arteritis. Am Fam Physician; 2006; 74(9):1547-1554.
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