Polymyalgia rheumatica

 

Polymyalgia rheumatica (PMR) is an inflammatory condition which causes pain and stiffness usually in the shoulders, neck, hips and thighs. It can often come on quite suddenly, developing over one to two weeks. Symptoms are typically worse first thing in the morning and improve as the days goes on.

PMR is usually seen in patients over the age of 60. It is very unusual to see it in patients younger than 50.

It is important to note that PMR can be associated with another serious condition called giant cell arteritis.

More on what we do

PMR is usually managed by your GP with steroid tablets. Most patients with PMR will respond to steroid tablets quickly and then take them for 12 to 18 months, while slowly dropping down the dose.

Your GP may refer you to the rheumatology department if they are unsure of the diagnosis or if you are having difficulty dropping your dose of steroid tablets.

Treatments

Treatment is usually with steroids tablets (for example, prednisolone) at a starting dose of 15mg daily.

Because steroid tablets can cause osteoporosis or 'thinning of the bones' many patients are also given tablets to prevent this condition. These tablets could include a bisphosphonate, such as alendronic acid, and a vitamin D and calcium supplement.

If you are having difficulty dropping your dose of steroids then we can discuss additional stronger treatments to dampen the inflammation.

Our team

Our rheumatology team includes six consultants and a Staff Grade:

  • Dr Earl
  • Dr Haigh
  • Dr Brown
  • Dr Mascarenhas
  • Dr Abusalameh
  • Dr Cates
  • Dr Murphy

 

We have five nurse specialists:

  • Jill Moran
  • Tracey Morey
  • Gillian Hawkins
  • Sharon Mulcahy
  • Rachael Shaw

 

All of our consultants see patients with polymyalgia rheumatic.

Where to find us

RD&E Wonford, Barrack Rd, Exeter EX2 5DW

Contact us

Patients with PMR are seen in various clinics, including in the community.

Your appointment letter will tell you where to attend.

Information for healthcare professionals

Further information including referral criteria can be found at the Devon Formulary website

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