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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain And Swelling In The Hands And Shoulders

I have a relapse of PMR and have swelling in my hands and pain in my shoulders.I was put on 10 mg of Prednisone in July and tapered 1mg per month,The swelling in the left hand is still bad when I get up in the morning.Put back on 10mg of Prednisone last week and also had a nerve conduction test that showed i had Carpal Tunnel because of numbness in my thumb,index finger,and middle finger.what should i do?
Thu, 24 Jan 2019
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General & Family Physician,  's  Response
Hello,

In polymyalgia rheumatic (PMR) muscle stiffness and pain, especially in the shoulder joint, is commonly seen.

I assume you are seeing a rheumatologist for the same. Sometimes there is temporary relief is seen but relapse is common.

Steroids are the mainstay of treatment as just the painkillers alone don’t help much in this. Whenever patients come to me with similar symptoms I suggest them to consult a rheumatologist.

You can talk to your doctor regarding this, if required he will suggest you any dose adjustment in the medicines you are taking.

Along with that, I suggest you keep yourself active with regular exercise which can help efficiently to get some relief in symptoms in this illness.

Make sure you have enough vitamin D levels in your body. Also sometimes alcohol and smoking worsen the symptoms in some patients so stopping these can help them.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Manisha Auradkar, General & Family Physician
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Suggest Treatment For Pain And Swelling In The Hands And Shoulders

Hello, In polymyalgia rheumatic (PMR) muscle stiffness and pain, especially in the shoulder joint, is commonly seen. I assume you are seeing a rheumatologist for the same. Sometimes there is temporary relief is seen but relapse is common. Steroids are the mainstay of treatment as just the painkillers alone don’t help much in this. Whenever patients come to me with similar symptoms I suggest them to consult a rheumatologist. You can talk to your doctor regarding this, if required he will suggest you any dose adjustment in the medicines you are taking. Along with that, I suggest you keep yourself active with regular exercise which can help efficiently to get some relief in symptoms in this illness. Make sure you have enough vitamin D levels in your body. Also sometimes alcohol and smoking worsen the symptoms in some patients so stopping these can help them. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Manisha Auradkar, General & Family Physician