{"id":417,"date":"2017-03-26T14:07:10","date_gmt":"2017-03-26T14:07:10","guid":{"rendered":"http:\/\/papergp.com\/index.php\/rheumatology-and-musculoskeletal\/polymyalgia-rheumatica\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"polymyalgia-rheumatica","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/rheumatology-and-musculoskeletal\/rheumatology\/polymyalgia-rheumatica\/","title":{"rendered":"Polymyalgia Rheumatica"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; headaches, visual changes, jaw pain, weight loss<\/li>\n<li>Others &#8211; worse in the mornings, bilateral shoulder and hip pain<\/li>\n<li>Examine &#8211; neck, shoulders, hips, temporal arteries<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; ESR<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>PMR is a condition where there is irritation of the large muscles of the body leading to pain and stiffness &#8211; symptoms typically develop gradually &#8211; a steroid medicine helps ease symptoms and is needed for several months to years<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Prednisolone &#8211; 15mg OD, reduce slowly to maintenance dose of 5mg (over 1-2 years)<\/li>\n<li>Steroid card &#8211; details dose, indication, informs drs to continue<\/li>\n<li>Consider osteoporosis prophylaxis<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety net\n<ul>\n<li>if headaches, visual changes &#8211; see dr urgently<\/li>\n<li>see in 2 weeks for response to\u00a0steroids<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>NB:<\/p>\n<ul>\n<li>When starting steroids, check:<\/li>\n<li>DM, mental health, BP, weight<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; headaches, visual changes, jaw pain, weight loss Others &#8211; worse in the mornings, bilateral shoulder and hip pain Examine &#8211; neck, shoulders, hips, temporal arteries &nbsp; Clinical management Investigations Bloods &#8211; ESR Explanation PMR is a condition where there is irritation of the large muscles of the body leading to &hellip; <a href=\"https:\/\/papergp.com\/index.php\/rheumatology-and-musculoskeletal\/rheumatology\/polymyalgia-rheumatica\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Polymyalgia Rheumatica<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2019,"menu_order":164,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-417","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/417","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=417"}],"version-history":[{"count":7,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/417\/revisions"}],"predecessor-version":[{"id":2026,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/417\/revisions\/2026"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2019"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}