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Polymyalgia rheumatica - Treatment

Treatment:

The goal of treatment is relief of discomfort and stiffness. The disease can be very bothersome if it is not treated. Corticosteroids, such as prednisone, are prescribed in low doses.

Expectations (prognosis):

Polymyalgia rheumatica usually goes away by itself, even when not treated, in 1 to 4 years. Symptoms diminish greatly with treatment. Most patients need steroid treatment for 1 or more years.

Complications:

Polymyalgia rheumatica may occur before the onset of giant cell arteritis or other disorders.

Calling your health care provider:

Call for an appointment with your health care provider if you experience persistent weakness or stiffness of the pelvis or shoulder, especially if this is accompanied by symptoms of general illness, such as fever or headache.

  • Reviewed last on: 2/22/2009
  • Ariel D. Teitel, MD, MBA, Chief, Division of Rheumatology, St. Vincent’s Hospital, 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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