A form of arthritis that cause pain in muscles more particularly of lower back, thighs, hips, neck, shoulder and upper arms, as well as in other parts of the body. It happens when the membrane that surrounds joints, bursa and tendons near shoulders and hips (called synovial) becomes inflamed. Although the disease is centered on joints especially shoulders and hips, normally discomfort is felt in upper arms and thighs. This type of pain is called referred pain because it arises in one area but causes symptoms in another. Left untreated, it can lead to stiffness and significant disability. In some cases, though, symptoms do not get worse and may even lessen in a few years. In a minority of cases, polymyalgia rheumatic is associated with giant cell arteritis, a condition in which blood vessels in the neck and head, and sometimes elsewhere, are inflamed. Common symptoms of giant cell arteritis include visual complaints, jaw pain with chewing and headache. If left untreated, giant cell arteritis can lead to blindness or other complications.
Symptoms of polymyalgia rheumatic can include:
- Aches or pain
- An overall feeling of illness
- Difficulty walking
- Fatigue and lack of appetite
- Joint swelling, for example, in wrists
- Limited range of motion in affected areas
- Low-grade mild fever
- People with temporal arteritis also have polymyalgia rheumatic
- Stiffness in affected areas
- Sudden pain and stiffness in shoulders, upper arms, neck, lower back, hips and thighs that tends to be worse in morning or after sleep
- Weight loss unintended
- Women are twice as likely to get PMR as men.
Certain symptoms, such as headache, jaw pain when you chew or high fever, may suggest the presence of giant cell arteritis. A blood test to measure inflammation throughout the body, called the erythrocyte sedimentation rate (ESR), often shows higher results in people with polymyalgia rheumatic. This test may be helpful both to diagnose the condition and to check whether treatment is working.
Though physical therapy may help to control discomfort and maintain the ability to move and function. If symptoms such as fever, visual problems or headache as these symptoms suggest that person could have giant cell arteritis then an evaluation is needed.
Although treatment may be required for years, the outlook for people with polymyalgia rheumatic is excellent. If you have giant cell arteritis, you may lose vision in one eye or, more rarely, in both eyes, especially if treatment is delayed. The stiffness with pain may be from the activity of inflammatory cells and proteins that are normally a part of body’s disease fighting immune system and the inflammatory activity seems to be concentrated in tissues surrounding the affected joints. Normally, white blood cells in the body attack the lining of the joints, causing inflammation. Persons having the human leucocyte antigen DR4 are more prone to risk.
Normally, patients are encouraged to exercise and healthy diet. As exercise strengthen the weak muscles, and help prevent weight gain. It further maintains healthy joints, relieve stiffness, reduce pain, fatigue, and improve muscle along with bones strengthening. And a healthy diet helps to keep a strong immune system, and help build strong muscles and bones.
One should also: Avoid holding one position for too long. Avoid positions or movements that place extra stress on affected joints. Reduce stress, which can irritate symptoms. Try meditation!
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