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Peak Message Rate Computing » Networking. There may be some situations where your doctor will want to prescribe a type of drug called a disease-modifying anti-rheumatic drug DMARD , alongside steroids. The specialist may decide to prescribe a DMARD alongside steroid tablets, which may help to reduce the inflammation and lower the steroid dose. An example is methotrexate.
Steroid treatment is usually very effective at treating polymyalgia rheumatica. Ensuring you get enough calcium and vitamin D , and that you do some weight-bearing exercise will reduce the risk of getting osteoporosis. 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. A pint of milk a day, together with a reasonable amount of other foods that contain calcium, should be enough.
The best source of vitamin D is sunlight on bare skin. These can be bought from supermarkets and health food shops. You can also discuss this with a pharmacist. There are some at risk groups who are advised to take vitamin D supplements all year round, including:. We explain which foods are most likely to help and how to lose weight if you need to.
Find out more about exercising with arthritis and what types of exercises are beneficial for certain conditions. I was 57 when I developed polymyalgia rheumatica and giant cell arteritis. I was head of news and current affairs at Channel Four television and a single parent of a child of It began with a very sore neck. Then my shoulders started to ache. On a few mornings, when I woke up, I found it difficult to move my arms, though my hands moved easily. The problem would wear off quickly, and I would forget about it.
Although I was young to get the condition, I knew I had polymyalgia rheumatica, as my mother had it. I was given a blood test to check inflammation levels and was put onto steroid tablets. My daughter was very upset and frightened. I would have to go to bed as soon as I got home. Sometimes during the day, I would get into my car in the car park and sleep.
When I was put on the correct dose of steroids I felt OK, but did cut back my social life a lot. Eventually, I developed a terrible headache and my jaw became very stiff.
I knew at once this was giant cell arteritis. I had to immediately take a very large dose of steroids to prevent sight loss, which is a very real risk with GCA. For two-and-a-half years I had to take steroids and then I was moved onto methotrexate for a year.
I put on weight and my face took on a moon shape. I became tired much more easily. I found it really helpful to meet other people with the condition and swap experiences and ideas. After three-and-a-half years, the condition went away. I came off the drugs. My weight went down and my face returned to its normal shape. As head of news and current affairs, I have ultimate responsibility for Channel Four News, Dispatches, Unreported World and all other news and current affairs programming.
I generally work at least 60 hours a week commissioning programmes, watching films and dealing with a wide range of programmes. I would say that I should have taken time off work and that I had to learn to expect less of myself and to tell others I had a debilitating illness, so they should expect less of me.
Polymyalgia rheumatica PMR. Download versus Arthritis - Polymyalgia rheumatica information booklet. Print this page. What is polymyalgia rheumatica? Polymyalgia rheumatica can cause pain and stiffness in the shoulders, neck, hips and thighs.
Related condition: Giant cell arteritis GCA. The symptoms of giant cell arteritis are: severe headaches and pain in the muscles of the head tenderness at the temples, the soft part of the head at the side of the eyes pain in the jaw, tongue or side of the face when chewing pain or swelling in the scalp blurred or double vision. If you have this condition, you should have a treatment plan tailored to you, that includes: initial dose of steroids and a schedule for when this dose will ideally be reduced and by how much, if your condition remains under control access to education focusing on the impact of the condition.
Steroids Other treatments. Steroid treatment is usually very effective to treat polymyalgia rheumatica. There are groups of people who could be at an increased risk of side effects, including those who have: diabetes high blood pressure a recent fracture a peptic ulcer a cataract glaucoma.
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