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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stiff Hands, Splitting Headache. Have Rheumatoid Arthritis, Diagnosed Polymyalgia Rheumatica. On Prednisone. Increase Dosage?

I have Rheumatoid Arthritis (since I was 28, am now 59) and I was diagnosed with Polymyalgia Rheumatica last year (Oct, 2012) and have been on Prednisone since then (7 - 10 mg per day). Everything was in control until about a month ago when my hands became very stiff (RA symtom) and then last week I got a splitting headache (left side, over my left eye, along the left side of my head and at the left back side of my head). During Oct, 2012 this (headache) was how my Polymyalgia Rheumatica started. Should I increase my Prednisone or what?
Fri, 23 Aug 2013
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Cardiologist,  's  Response
Dear patient,

Headaches in a patient with polymyalgia rheumatica are worrisome, as they may signal compromise of the arteries of the head in a process called temporal arteritis; I encourage you to carefully visit this issue with your rheumatologist as an urgency, as you may need extra testing and adjustment of your medications; self adjusting your prednisone is not a wise approach.


Yours truly,

Dr Brenes-Salazar MD
Mayo Clinic MN
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Stiff Hands, Splitting Headache. Have Rheumatoid Arthritis, Diagnosed Polymyalgia Rheumatica. On Prednisone. Increase Dosage?

Dear patient, Headaches in a patient with polymyalgia rheumatica are worrisome, as they may signal compromise of the arteries of the head in a process called temporal arteritis; I encourage you to carefully visit this issue with your rheumatologist as an urgency, as you may need extra testing and adjustment of your medications; self adjusting your prednisone is not a wise approach. Yours truly, Dr Brenes-Salazar MD Mayo Clinic MN