It is an inflammatory disorder that causes muscle pain and stiffness,especially in the shoulders. Signs and symptoms of polymyalgia rheumatica (pol-e-my-AL-juh rue-MAT-ih-kuh) usually begin quickly and are worse in the morning.
Most people who develop polymyalgia rheumatica are older than 65. It rarely affects people under 50.
This condition is related to another inflammatory called giant cell arteritis. Giant cell arteritis can cause headaches, vision difficulties, jaw pain and scalp tenderness. It is possible to have both conditions together.
SYMPTOMS OF POLYMYALGIA RHEUMATICA
The signs and symptoms of polymyalgia rheumatica usually occur on both sides of the body and might include:
- Aches or pain in your shoulders
- Aches or pain in your neck, upper arms, buttocks, hips or thighs
- Stiffness in affected areas, particularly in the morning or after being inactive for a time
- Limited range of motion in affected areas
- Pain or stiffness in your wrists, elbows or knees
One might also have more-general signs and symptoms, including:
- Mild fever
- A general feeling of not being well (malaise)
- Loss of appetite
- Unintended weight loss
CAUSE OF POLYMYALGIA RHEUMATICA
The exact cause of polymyalgia rheumatica is unknown. Two factors appear to be involved in the development of this condition:
- Certain genes and gene variations might increase our susceptibility.
- An environmental exposure.
Giant cell arthritis
Giant cell arthritis results in inflammation in the lining of the arteries, most often the arteries in the temples. Signs and symptoms include headaches, jaw pain, vision problems and scalp tenderness. If left untreated, this condition can lead to stroke or blindness.
RISK FACTORS OF POLYMYALGIA RHEUMATICA
Risk factors for polymyalgia rheumatica include:
- Polymyalgia rheumatica affects older adults almost exclusively. It most often occurs between ages 70 and 80.
- Women are about two to three times more likely to develop the disorder.
- Polymyalgia rheumatica is most common among white people whose ancestors were from Scandinavia or northern Europe.
COMPLICATION OF POLYMYALGIA RHEUMATICA
Symptoms of polymyalgia rheumatica can greatly affect our ability to perform everyday activities, such as:
- Getting out of bed, standing up from a chair or getting out of a car
- Combing your hair or bathing
- Getting dressed
These difficulties can affect our health, social interactions, physical activity, sleep and general well-being.
In addition, people with polymyalgia rheumatica seem to be more likely to develop peripheral arterial disease, although it is usually mild and responds well to treatment.
DIAGNOSIS OF POLYMYALGIA RHEUMATICA
A physical exam, including joint and neurological exams, and test results can help your doctor determine the cause of your pain and stiffness. During the exam, he or she might gently move your head and limbs to assess your range of motion.
- Blood tests
- Imaging tests
teroid treatment is usually very effective at treating polymyalgia rheumatica. However, because it can increase your risk of getting osteoporosis, it’s important to think about other risk factors associated with this condition.
Smoking or drinking a lot of alcohol will increase your risk of developing osteoporosis.
Ensuring you get enough calcium and vitamin D, and that you do some weight-bearing exercise will reduce the risk of getting osteoporosis.
If you have polymyalgia rheumatica, you’ll need to find the right balance between rest and activity. Too much exercise is likely to make your symptoms worse, but activity usually helps to ease pain and stiffness in the muscles of the shoulders, hips and thighs.
Physiotherapy, including range of movement exercises for the shoulders, can help to reduce pain and maintain mobility.
Weight-bearing exercise is good for maintaining bone strength and reducing the risk of osteoporosis.
Weight-bearing exercise is anything like jogging, walking, tennis, dancing or lifting weights, where some force or the weight of the body is impacted on bones during the exercise. This is in contrast to swimming, for example, where the water supports the weight of the body. Walking is usually the most suitable weight-bearing exercise for people with polymyalgia rheumatica.
Sitting for any length of time may cause stiffness, making activities such as driving more difficult. Stop from time to time on a long journey to stretch your shoulders, arms and legs.
Simple measures such as a hot bath or shower can help to ease pain and stiffness, either first thing in the morning or after exercise.
HOMEOPATHIC TREATMENT FOR POLYMYALGIA RHEUMATICA
Homeopathic treatment depend upon totality symptoms upon individuality of patient.Some common medicine used for this problem depending upon symptoms are
Rhustox, Bryonia, Magnesium phosphoricum, causticum.