Causes and risk factors
Exact cause of PMR is not known. Genetics, environmental triggers like virus can be responsible for causing the disease. Giant cell arteritis is a disease associated with PMR. Age above 50 years is a risk factor for PMR to occur.
Clinical presentation
Pain persisting for more than one month and specific in the areas i.e. neck, shoulder or pelvic girdle is classical symptom of PMR. Patient of PMR presents with symptoms such as pain and stiffness in shoulders, neck, upper arms, buttocks, hips or thighs, morning stiffness for more than one hour, limited range of motion in affected areas. Fever, fatigue, unintended weight loss, depression are some of the associated clinical features of PMR.
Investigation
Medical history by the patient and Clinical examination by the orthopaedic doctor helps in diagnosis. Complete blood count, blood test for ESR and CRP help in further evaluation of the disease. Ultrasound imaging, MRI scan can be done to rule out other pathologies.
Treatment
PMR responds quickly to steroids. Medical treatment involves administration of low dose of an oral corticosteroid, administration of Calcium and vitamin D supplements. Symptomatic treatment is given with analgesics and NSAIDs. Physiotherapy exercises will contribute further to the treatment.
Other Modes of treatment
The other modes of treatment can also be effective in treating PMR. Homoeopathy is a science which deals with individualization considers a person in a holistic way. This science can be helpful in combating the symptoms. Similarly the ayurvedic system of medicine which uses herbal medicines and synthetic derivates are also found to be effective in treating PMR.
