Dear Dr. Roach: I think my 75-year-old husband has polymyalgia rheumatica, and I understand it has no definitive cause. He gets severe unbearable pain alternating between his neck and hips every few weeks. It seems that the only treatment is prednisone, but he does not want to take it. What else can we do?Polymyalgia rheumatica is an inflammatory disease of an unknown cause that causes aching and stiffness, especially in the neck and shoulders.
For your husband, I’d want to be sure of the diagnosis of PMR based on his symptoms and test results. Once it’s confirmed, a trial of prednisone would be likely to have such a dramatic effect on him that he would change his mind about taking it. The course is long, and prednisone has very serious long-term side effects. So, the diagnosis really ought to be as certain as possible.
I read that this is a sign of diabetes. My annual physicals show that my glucose level has been normal the past three years, all within the range of 71-99 mg/dL. Any idea what could be causing this?Tingling or burning sensations are highly characteristic of pain coming from an irritated or damaged nerve . When this occurs in both feet, a diabetic neuropathy is a very likely diagnosis — but only if you have diabetes.
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