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.
The signs and symptoms of polymyalgia rheumatica usually occur on both sides of the body and might include:
One might also have more-general signs and symptoms, including:
The exact cause of polymyalgia rheumatica is unknown. Two factors appear to be involved in the development of this condition:
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 for polymyalgia rheumatica include:
Symptoms of polymyalgia rheumatica can greatly affect our ability to perform everyday activities, such as:
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.
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.
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 depend upon totality symptoms upon individuality of patient.Some common medicine used for this problem depending upon symptoms are
Rhustox, Bryonia, Magnesium phosphoricum, causticum.
RL 35