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What is Polymyalgia Rheumatism and is it related to fibromyalgia?



<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = "Here's a quick language lesson:" Myalgia, " the second half of "fibromyalgia," comes from the combination of two Greek combining forms 1 . The first is " myo ", which means muscle 2 ] algia "means pain 3 . Muscle pain is a hallmark of fibromyalgia but it's not just a chronic disease that bears its name as a major symptom. Take polio, for example. a condition that may sound similar to ibromyalgia, but it has little to do with it. "data-reactid =" 22 "> Here's a quick language lesson:" Myalgia, "the second half of" fibromyalgia, "comes from the combination of two Greek combining forms 1 . The first is "myo" which means muscle 2 . The second variant of "algo", "algia", means pain 3 . Muscle pain is a hallmark of fibromyalgia, but it is not the only chronic disease that is named after the main symptom. Take polymyalgia, a condition that may sound like fibromyalgia, but has little to do with it.

<h2 class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = " What is Polymyalgia? "data-reactid =" 23 "> What is Polymyalgia?

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = "" Polymyalgia rheumatic is an inflammatory condition that causes pain and stiffness mainly involving shoulder and hip straps, " Paul Suffka, MD, board-certified rheumatologist, told The Mighty:" We do not know what causes the condition, but it is observed almost exclusively in adults 50 "" Data-reactid = "24"> "Polymyalgia rheumatic is an inflammatory condition that causes pain and stiffness, mainly involving the shoulder and hip," said Poe l Sufka, MD, Certified Rheumatologist, told The Mighty. "We do not know what causes the condition, but it is almost exclusively seen in adults over 50 years of age."

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – -sm Mt ( 0.8em) – sm "type =" text "content =" Polymyalgia rheumatica (PMR) is considered an autoimmune condition that causes your immune system to attack your connective tissues 4 . It can usually be treated effective with low-dose steroids and a good prognosis, unlike fibromyalgia, which is still a relatively controversial diagnosis, has at least 100 years of medical knowledge behind how and Polymyalgia Management 1 . & nbsp; "data-reactid =" 25 "> Polymyalgia rheumatica (PMR) is considered an autoimmune condition that causes your immune system to attack your connectives fabrics 4 . It can usually be treated effectively with low-dose steroids and has a good prognosis. Unlike fibromyalgia, which is still a relatively controversial diagnosis, there is at least 100 years of medical knowledge behind how to manage polio 1 .

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = " Related: Grief that multiple sclerosis has taken from me "data-reactid =" 26 "> Related: Mourning that multiple sclerosis has taken from me

<h2 class =" canvas -atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm "type =" text "content =" What Causes Polymyalgia? "data-reactid =" 27 " > What Causes Polymyalgia?

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = "The cause of polymyalgia is still a mystery to experts What we do know is that the symptoms may be directly related to the inflammation that the condition causes in your muscles 4 Beyond that, Dr. Sufka said research has shown that polio may be caused by a combination of genetic and environmental factors, especially infection 5, 7 Algia may be associated with problems with the immune system or with aging in general 6 . & nbsp; ] "data-reactid = "28"> The cause of polio is still a mystery to experts. What we do know is that the symptoms can be directly related to the inflammation that the condition causes in your muscles 4 . In addition, Dr. Sufka said that research suggests that polio may be caused by a combination of genetic and environmental factors, especially infection 5, 7 . Other data suggest that poliomyagia may be associated with problems with the immune system or, in general, aging 6 .

<h2 class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = " Who gets polio? "data-reactid =" 29 "> Who gets polio?

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) –sm" type = "text" content = "Polymyalgia can be caused in part by aging as most people who experience poliomyelitis are between the ages of 70 and 80 years and occur in almost no one under the age of 50 1 [Polymyalgiaaffectsapproximately50each100yearsofageover50yearsofage 7 198 ] Polio is more common in women 1 Caucasian people, especially in the Nordic and Scandinavian countries or with Viking descent, also are most likely to develop polio 7 . "data-reactid =" 30 "> Polio can be caused in part by aging, since most people who experience polio are between the ages of 70 and 80 and occurs in almost anyone under the age of 50. 1 Polymyalgia affects approximately 50 in every 100,000 people over the age of 50 worldwide 7 . Like fibromyalgia, polymyalgia is more common in women 1 . Caucasian people, especially in the Nordic and Scandinavian countries or with Viking descent, are also most likely to develop poliomyelia 7 .

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = " Related: What is when your doctors accuse you of your chronic illness "data -reactid =" 33 "> Related: What if your doctors accuse you of your chronic illness

<h2 class =" canvas -atom canvas-text Mb (1.0em) Mb (0) –sm Mt (0.8em) – sm "type =" text "content =" What Are The Symptoms Of Polymyalgia? "data-reactid = "34"> What Are The Symptoms Of Polymyalgia?

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = "The main symptoms of polymyalgia include stiffness and pain in neck, shoulder and hip muscles 4 Most people with polio, about 70 to 95% of patients will first notice stiffness and pain in the shoulder muscles, which then gradually move to the neck and thighs on both sides of your body 7, 10 Your symptoms may appear quickly and appear to be blue – previously you were healthy, but for a period of two weeks or less of open pain and stiffness limit your agility 7 . "data-reactid =" 35 "> The main symptoms of polymyalgia include stiffness and pain in the muscles of the neck, shoulders and thighs 4 . Most people with polymyalgia, about 70 to 95% of patients, will first notice stiffness and pain in the shoulder muscles, which then gradually move to the neck and thighs on both sides of your body 7, 10 . Your symptoms may have a quick start and appear to go white – you were previously healthy, but for a period of two weeks or less the established pain and stiffness limit your agility 7 .

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = "Approximately 40% of people will experience additional symptoms of polio, including 4, 10 : "data-reactid =" 36 "> Approximately 40% of people will experience additional symptoms of polio, including 4, 10 :

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = " text "content =" It's common for polio to have stiffness as soon as you wake up, which can make it difficult and activities like wearing socks and shoes [7459003] 7, 8 stiffness during the day, if you've been sitting for a long period of time, but after moving, you can usually go for your usual routine 7 Lifting your arms above your shoulders is also a common problem with poliomyelia because it can affect your upper arms 8 . "Data-reactid =" 42 "> In polymyalgia, it is customary to experience severe stiffness immediately after waking up, which may impede some activities such as wearing socks and shoes 7, 8 . You may also experience stiffness through day, if you sit for a long time, but once moving, you can usually get on with your usual routine 7 Raising your arms above your shoulders is also a common problem with polio, as it can affect your upper arms hands 8 .

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = " Related: Chronic Disease Removed From" The Great British Bake Off "After Backlash " data-reactid = "43"> Related: Chronic Fun Joke Removed from "The Great British Bake Off" After Backlash

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = "Many people who have polio have a risk of depression testing which may be your first true symptom of the condition before you notice the pain 7 . This can be exacerbated because the onset of symptoms of polio will suddenly be scary – you may fear that you will no longer be able to perform the activities you like or have the anxiety about aging 7 . Polymyalgia can aggravate your other symptoms of a chronic illness because of how it affects your system. "Data-reactid =" 44 "> Many people who have polio are at risk for depression, which may be your first true symptom of the condition before you notice the pain 7 . This can be exacerbated. because the development of the symptoms of polymyalgia can suddenly be scary – you may fear that you will no longer be able to perform the activities you enjoy or have anxiety about aging 7 Polymyalgia can make your others worse symptoms of a chronic illness because of how it affects your system ma.

<h2 class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – -sm" type = "text" content = " How to diagnose polio? & nbsp; "data-reactid =" 46 "> How to diagnose polio?

<p class =" canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt ( 0.8em) – sm "type =" text "content =" There is no test that can detect polio, so your doctor will diagnose based on your symptoms, family medical history, physical examination and blood tests to measure the level of inflammation in your body and to rule out other potential conditions 9 . Since poliomyagia is an autoimmune disease and the symptoms of pain may look similar to other chronic conditions, such as rheumatoid arthritis or fibromyalgia, excluding other options is important 8 . "Data-reactid =" 47 "> There is no test to detect polio, so your doctor will diagnose you based on your symptoms, family medical history, physical examination and blood tests to measure the level of inflammation in the body you and to rule out other potential conditions 9 Since polymyalgia is an autoimmune disease and the symptoms of pain may look similar to other chronic conditions, such as rheumatoid arthritis or fibromyalgia, excluding other options is important 8 . [19659018] <p class = "canvas-atom c anvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm "type =" text "content =" While no blood test can definitely determine you have polio, your doctor will probably ask you to determine if you have higher than expected levels of inflammation, a reliable sign that you may have polio 5, 7, 8 . "In most cases, if the inflammatory markers are normal, it is unlikely that the patient will have polymyalgia rheumatism," Sufka says. "Data-reactid =" 50 "> While no blood test can definitely determine that you have polio, your doctor will probably want to determine if you have higher than expected levels of inflammation, a sure sign that you may have polymyalgia 5, 7, 8 . "In most cases, if inflammatory markers are normal, the patient is unlikely to have rheumatic polymyalgia," Sufka said.

<p class = "canvas-atom canvas- text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm "type =" text "content =" For example, your doctor may prescribe you erythrocyte sedimentation rate (ESR) or the acceleration test, a blood test that measures inflammation in your body by looking at how quickly your red blood cells settle at the bottom of the test tube 8, 11 . A blood test can also measure your levels of C-reactive protein (CRP), a protein produced by your liver that may also show higher levels of inflammation. "Data-reactid =" 51 "> For example, your doctor may prescribe erythrocyte sedimentation (ESR) or a sed rate test, a blood test that measures inflammation in your body by watching how quickly your red blood cells settle in the bottom of the tube 8, 11 . The test can also measure your levels of C-reactive protein (CRP), a protein made from your liver that may also show higher levels of inflammation. ( 0) – sm Mt (0.8em) – sm "type =" text "content =" How is poliomyelia treated? "data-reactid =" 52 "> How is polymyalgia treated?

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = "The good news is polymyalgia is a very treatable condition through reducing your inflammation 4, 5 For most patients diagnosed with polio, this means prescription corticosteroids, especially prednisone 4, 5, 8 . to notice a significant improvement in your symptoms of poliomyelitis in just a few days. If you do not improve after two to three weeks of the drug, you probably do not have poliomyelia but another condition 8 . " id = "53"> The good news is polymyalgia is a very treatable condition by reducing your inflammation 4, 5 . For most patients diagnosed with polio, this means prescribing corticosteroids, especially prednisone 4, 5, 8 . see a significant improvement in your symptoms of polio in just a few days. If you do not improve after two to three weeks, you probably do not have polio, but another condition 8 . [19659021] "Most people who develop polymyalgia rheumatics are initially treated with corticosteroids – usually prednisone, starting at moderate doses of about 15 or 20 mg per day – and then slowly decrease over several months," Suffka says. "Most patients have a rapid improvement in their symptoms once pr monisone is started."

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type Although corticosteroids are extremely effective, drugs such as prednisone have some pretty serious side effects that occur in at least 50% of patients such as irritability and changes in the mood, swelling of the face (or " moon face "), weight gain or hot flashes 10, 12 . however, 8, 10 your doctor needs to find the lowest dose of the drug to control your symptoms and most patients can stop taking corticosteroids after one to three years, depending on the severity of your symptoms 8 . "Data-reactid =" 55 "> Although corticosteroids are extremely effective, drugs such as prednisone have some pretty serious side effects that occur in at least 50% of patients , such as irritability and mood swings, swelling of the face (and and "moon face"), weight gain or hot flushes 10, 12 . You will not need to take corticosteroids for the rest of your life, however 8, 10 . Your doctor should find the lowest dose of medicine to manage your symptoms, and most patients may stop taking corticosteroids after one to three years, depending on the severity of your symptoms 8 .

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) –sm Mt (0.8em) – sm" type = "text" content = "Depending on the course of your illness, there is also a chance that your symptoms of polio will have a recurrence. Sufka said relapse occurs in about 50% of patients 5, 10 . Studies show that patients who relapse were more likely to start treatment with higher doses of corticosteroids or faster drugs at the end of treatment 10 Sufka said more recent studies suggest that the "immunosuppressant methoxate" may be administered лзва и за лечение на полимиалгия и предотвратяване на рецидиви 5 . от вашето заболяване, има и шанс вашите симптоми на полимиалгия да рецидивират. Суфка каза, че рецидивът се среща при около 50% от пациентите 5, 10 . Изследванията показват, че пациентите, които имат рецидив, са били по-склонни да са започнали лечение по-високи дози кортикостероиди или по-бързи лекарствени препарати в края на лечението 10 Суфка заяви, че по-новите изследвания предполагат, че „имуносупресивният медикатор метоксат“ може да се изпол зва и за лечение на полимиалгия и предотвратяване на рецидиви 5 .

<h2 class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = " Какво разликата между полимиалгия и фибромиалгия? "data-reactid =" 57 "> Какво s Разликата между полимиалгия и фибромиалгия?

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm" type = "text" content = „Освен името и основния им симптом, фибромиалгия и полимиалгия имат малко общо. Дори мускулната болка може да е малко по-различна – някои експерти предполагат, че полимиалгия мускулна болка не включва нежността, която може да изпитате при мускулна болка с фибромиалгия 15 . Начинът, по който всяко състояние засяга вашето тяло, е много различен и методите на лечение също са много различни 5, 13, 14 . "Data-reactid =" 58 "> Освен тяхното име и основен симптом, фибромиалгия и полимиалгия. имат малко общо. Дори мускулната болка може да е малко по-различна – някои експерти предполагат, че болката в мускулите на полимиалгия не включва нежността, която може да изпитате при мускулна болка от фибромиалгия 15 . Начинът, по който всяко състояние влияе на тялото ви, е много различни и методите на лечение също са много различни 5, 13, 14 .

„Понякога диференцирането на тези две състояния може да бъде трудно, особено защото няма изключителн о специфичен кръвен тест за полимиалгия ревматика, и няма кръвен тест за фибромиалгия, "каза Суфка и добави:

Основната разлика е, че полимиалгия ревматика е възпалително състояние, а фибромиалгията е невъзпалително състояние. Поради това полимиалгите ревматика реагира на лечение с противовъзпалителни медикаменти. … Алтернативно, фибромиалгията е невъзпалително състояние, причинено от нервната система, което води до усилване на болката и се свързва с умора, „мозъчна мъгла“ и проблеми със съня.

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm "type =" text "content =" Докато е възможно да има полимиалгия и фибромиалгия едновременно, по-големият риск когато сте диагностицирани с полимиалгия се развива друго възпалително състояние, наречено гигантски клетъчен артерит. " data-reactid = "62"> Въпреки че е възможно едновременно да имате полимиалгия и фибромиалгия, по-големият риск, когато сте диагностицирани с полимиалгия, развива друго възпалително състояние, наречено гигантски клетъчен артерит.

<h2 class = "canvas-atom canvas-text Mb (1.0em) Mb ( 0) – sm Mt (0.8em) – sm "type =" text "content =" Какво е гигантски клетъчен артерит? & nbsp; "data-reactid =" 64 "> Какво е гигантски клетъчен артерит?

„Гигантски клетъчен артерит (GCA) е друго възпалително състояние, което причинява възпаление на големите кръвоносни съдове, като най-често засяга главата и скалпа“, казва Суфка. „Най-честият симптом на GCA е главоболие, както и болка в челюстта, която се влошава с дъвчене, нежност при докосване на скалпа над слепоочията. В някои случаи GCA засяга артериите, отиващи към очите, което може да доведе до слепота. “

<p class =" canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em ) – sm "type =" text "content =" Приблизително 10 до 20% от хората с диагноза полимиалгия ще развият GCA 7, 10 . Около 40 до 60% от хората с диагноза GCA имат полимиалгия, въпреки че полимиалгията е с две трети по-често 10 . " data-reactid = "66"> Приблизително 10 до 20% от хората с диагноза полимиалгия ще развият GCA 7, 10 . Около 40 до 60% от хората с диагноза GCA имат полимиалгия, въпреки че полимиалгията е две трети по-често 10 .

<p class = "canvas-atom canvas-text Mb (1.0em) Mb ( 0) – sm Mt (0.8em) – sm "type =" text "content =" Причината, че полимиалгията и GCA са свързани, е неясна, но някои експерти смятат, че и двете заболявания могат да бъдат свързани с подобни гени и могат да бъдат различни начини същият процес на заболяване се проявява 7 . Можете да развиете GCA преди, по време или след вашата диагноза полимиалгия 10 . GCA е сериозно състояние, което вашият лекар трябва да наблюдава редовно, ако имате полимиалгия 10 . " data-reactid = "67"> Причината полимиалгията и GCA да са свързани е н еясна, но някои експерти смятат, че и двете заболявания могат да бъдат свързани с подобни гени и може да са различни начини, по които се проявява един и същ болестен процес 7 . Можете да развиете GCA преди, по време или след вашата полимиалгия диагноза 10 . GCA е сериозно състояние, което лекарят Ви трябва да наблюдава редовно, ако имате полимиалгия 10 .

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm "type =" text "content =" Ако се притеснявате за вашите симптоми на болка консултирайте се с вашия лекар. Дори и да сте диагностицирани с фибромиалгия – и имате трудно намиране на начини да управлявате симптомите си – знайте, че има много възможности за лечение навън, за да помогнете при хронична болка, умора и вашите други симптоми на фибро . За да научите повече, проверете Ръководството на фибромиалгия на Могъщите и публикувайте The Mighty, използвайки хештега #Fibromyalgia за да се свържете с други, които са били там. " data-reactid = "69"> Ако се притеснявате от болковите си симптоми, консултирайте се с вашия лекар. Дори ако сте диагностицирани с фибромиалгия – и трудно намирате начини да управлявате симптомите си – знайте, че има много възможности за лечение навън, за да помогнете при хронична болка, умора и други ваши фиброзни симптоми. За да научите повече, проверете ръководството на Mighty за Fibromyalgia и публикувайте в The Mighty с помощта на hashtag #Fibromyalgia, за да се свържете с други, които са били там.

<p class = "canvas-atom canvas-text Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm "type =" text "content =" Можете също да разгледате тези други Мощни истории, които са помогнали на другите, които се справят с хронични заболявания и хронична болка : "data-reactid =" 70 "> Можете също да разгледате тези други Мощни истории, които са помогнали на други, които се справят с хронични заболявания и хронична болка :

<p class =" canvas-atom canvas- текст Mb (1.0em) Mb (0) – sm Mt (0.8em) – sm "type =" text "content =" Източници "data-reactid =" 76 "> Източници

  1. Цай, Й. (2018). УПРАВЛЕНИЕ НА БОЛАТА: Полимиалгията и фибромиалгията са различни. The Daytona Beach News-Journal. Извлечено от: https://www.news-journalonline.com/entertainmentlife/20181231/pain-management-polymyalgia-and-fibromyalgia–are-different evidence19659037ziraDictionary.com. (2002 г.). Мио-. Извлечено от https://www.dictionary.com/browse/myo-. evidence19659038 SAMSDictionary.com. (2002 г.). Algia. Извлечено от https://www.dictionary.com/browse/algia?s=t. evidence19659039 SAMSClauw, D. (n.d.). Разлика между фибромиалгия и полимиалгия. Извлечено от https://www.arthritis.org/living-with-arthritis/tools-resources/expert-q-a/fibromyalgia-questions/polymyalgia-fibromyalgia.php. evidence19659040 снимкиSufka, Paul. (2019). Какво е полимиалгия срещу фибромиалгия?
  2. Национален институт по артрит и мускулно-скелетни и кожни заболявания. (2016 г.). Полимиалгия ревматика: причини. Произведено от https://www.niams.nih.gov/health-topics/polymyalgia-rheumatica#tab-causes. evidence19659042 freedMilchert, M., & Brzosko, M. (2017). Диагнозата полимиалгия ревматика обикновено означава благоприятен резултат за вашия пациент. Индийски журнал за медицински изследвания, 145 (5) 593–600. doi: 10.4103 / ijmr.IJMR_298_17
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