The story is not uncommon: an elderly person begins to experience joint pain in the upper and lower limbs, fatigue, discouragement and even weight loss.
Although very common, musculoskeletal complaints in the elderly are often underestimated and, therefore, underdiagnosed and insufficiently treated.
Today’s text calls attention to a disease with a difficult name, however, more common than imagined and relatively simple diagnosis and treatment, provided that the patient in question is correctly referred to the Rheumatologist in Delhi.
It is Polymyalgia Rheumatica, a systemic inflammatory disease that affects musculoskeletal tissues mainly around the joints of the shoulders and hips, and which is clinically characterized by pain and stiffness in the regions of the shoulders and hips.
The disease is characterized by onset in individuals over 50 years of age, but it is more common over 70 years of age. Due to the intense inflammation that the same cause, the symptoms are more intense in the morning, and there may be fatigue, weight loss and even associated fever. When very intense, these symptoms can be frightening, and often those affected can be extensively investigated for the possibility of Neoplasia before reaching the diagnosis of Polymyalgia Rheumatica, says arthritis doctor in Delhi.
The diagnosis of this disease is eminently clinical, and, therefore, the role of the best rheumatologist in Delhi is essential for rapid diagnosis and arthritis treatment in Delhi, avoiding suffering and unnecessary exams and preventing the feared complication of Polymyalgia Rheumatica known as Temporal (or Giant Cell) Arteritis, an inflammation of vessels that can lead to blindness quickly if treatment is delayed, and that can occur in up to 20% of patients with Polymyalgia Rheumatica.
In the complementary investigation, the inflammatory tests of these patients (ESR and C-reactive protein) are markedly elevated, corroborating the inflammatory nature of the disease.
After the correct diagnosis of Polymyalgia Rheumatica, treatment is done with corticosteroids and the response is usually excellent and very fast, with significant improvement of symptoms in the first days of using the medication. After the initial treatment, the corticosteroid is weaned slowly and the patient must be monitored clinically and laboratory to determine whether or not other medications are needed.
As a final reminder, if you have a family member or know an elderly person with persistent joint pain and recent onset, suggest that they see a arthritis specialist in Delhi immediately. The symptoms can be indicative of an underlying intense inflammatory process and with dire consequences.