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Polymyalgia rheumatica

Also known as PMR

Polymyalgia rheumatica (which takes its name from the word "polymyalgia" which means "pain in many muscles" in Greek followed by the term "rheumatica") abbreviated as PMR, is a syndrome with pain or stiffness, usually in the neck, shoulders, and hips. The pain can be very sudden, or can occur gradually over a period. It may be caused by an inflammatory condition of blood vessels such as temporal arteritis.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with polymyalgia rheumatica, 47% report having fatigue, 42% report having shoulder pain, and 36% report having ache all over. The symptoms that are highly suggestive of polymyalgia rheumatica are muscle pain, irregular heartbeat, leg weakness, and stiffness all over, although you may still have polymyalgia rheumatica without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with polymyalgia rheumatica often receive lipid panel, mammography, examination of breast, bone density scan, rectal examination, physical therapy exercises, biopsy and procedures on spleen .

Common Medications

The most commonly prescribed drugs for patients with polymyalgia rheumatica include prednisone, atenolol, alendronate, calcium carbonate, methotrexate, carbidopa, rituximab, bumetanide, raloxifene (evista), latanoprost, amiodarone, tolterodine (detrol) and diclofenac .

Prednisone
$5
(28 days)
Atenolol
$4
(28 days)
Alendronate

Calcium Carbonate
$5
(28 days)
Methotrexate
$14
(28 days)
Carbidopa
$170
(28 days)
Rituximab
$5743
(21 days)
Bumetanide
$11
(28 days)
Raloxifene (Evista)
$105
(28 days)
Latanoprost
$85
(28 days)
Amiodarone
$18
(28 days)
Tolterodine (Detrol)
$121
(28 days)
Diclofenac
$59
(28 days)

Who is at risk?

Groups of people at highest risk for polymyalgia rheumatica include age 75+ years age 60-74 years. On the other hand, age 5-14 years, age 1-4 years, and age < 1 years almost never get polymyalgia rheumatica.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.1x
30-44 years
0.1x
45-59 years
0.3x
60-74 years
2.6x
75+ years
5.4x

Sex

Male
0.7x
Female
1.3x

Race/Ethnicity

Black
0.3x
Hispanic
0.3x
White
1.5x
Other
0.3x
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