What Causes Headaches And Extreme Weakness When Diagnosed With Polymyalgia Rheumatica?
PMR management
Detailed Answer:
good evening.
Thank you for writing on health care magic. Well headache coming in PMR is always a concern as want to rule out associated Giant cell arteritis. I So it will be Important for us to do a ultrasound of the temporal artery if it is not been performed already. Secondly I would also like to have a look at your eyes(fundus exam) so to make sure there is no inflammation there causing your headache
Thirdly, we need to add a new drug. Since symotoms are flaring on tapering steroids, it means a new drug is needed to tackle it. So I woild suggest you discuss with your rheumatologist and consider starting on methotrexate as it will give us a longer remission period when we reduce steroids
Hope the information was useful
Do let me know for more queries. would would be happy to help out
Regards
dr naval