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Any difficulty in diagnosis of PMR?
Polymyalgia Rheumatica (PMR) | Last Active: Jul 1, 2023 | Replies (51)Comment receiving replies
I went to a new DO dr yesterday with bad muscle pain because my PC Dr was booked up for 4 days. Told her I've been in pain for 6 weeks and asked for blood work for inflammation, Lymes, etc. I had the tests done last year and they were negative. She refused to run the tests again because she said I was diagnosed with fibromyalgia last year so there was no point in repeating blood work. She finally agreed to do SED rate and C Reactive Protein tests, which came back normal. So it looks like I don't have PMR. She told me to go back to my PC Dr for treatment for fibro. I'm going to a pain clinic in two weeks and hoping they can help me.
Replies to "I went to a new DO dr yesterday with bad muscle pain because my PC Dr..."
Hi @ripley, Were you ever prescribed a trial course of prednisone to see if it helped with the pain? That is a recommended course to see if Its PMR when the blood tests are normal. If pain and other symptoms are alleviated by prednisone, it's likely PMR. If not, it could be infection, malignancy,connective tissue disorder or hypothyroidism (Cecil and Goldman's Textbook of Medicine). Maybe you can propose that to your doctors.
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You can have PMR with normal CRP and SED rate tests.
"Polymyalgia rheumatica can still be a very surprising disease: the diagnosis is possible even if normal values of both ESR and CRP are present."
--- Polymyalgia rheumatica with normal values of both erythrocyte sedimentation rate and C-reactive protein concentration at the time of diagnosis: a four-point guidance: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911650/