Diet for polymyalgia rheumatica
A balanced diet rich in calcium, vitamin D, and protein supports bone and muscle health during the long course of steroid treatment.
Foods to favour
- Calcium-rich foods (dairy or fortified alternatives) every day
- Oily fish for omega-3s and vitamin D
- Lean protein to protect muscle mass
- Plenty of fruit and vegetables
- Wholegrains and pulses
Foods to limit
- Excess salt (important during steroid treatment)
- Added sugars and sugary drinks
- Excess alcohol
- Ultra-processed foods
This is general information, not a substitute for personalised medical advice.
Frequently asked questions
What is the best diet for polymyalgia rheumatica?
A Mediterranean-style anti-inflammatory diet is the most evidence-backed eating pattern for polymyalgia rheumatica. It emphasises vegetables, fruit, wholegrains, pulses, oily fish, olive oil, nuts and seeds, with limited ultra-processed food and sugar.
What foods should I avoid with pmr?
Limit ultra-processed foods, sugary drinks, excess alcohol, and large amounts of red or processed meat. Many people also notice individual triggers — a short food diary can help you spot them.
Can diet reduce polymyalgia rheumatica inflammation?
Yes — an anti-inflammatory eating pattern, combined with maintaining a healthy weight, has been shown to reduce joint pain and inflammatory markers in polymyalgia rheumatica. Diet works best alongside exercise and any prescribed medication.
Do supplements help with pmr?
Evidence is mixed. Omega-3 fish oil, vitamin D (where deficient), and turmeric/curcumin have the most supportive research for pmr. Speak to your GP or pharmacist before starting supplements, especially if you take other medication.
Is there a single food that triggers polymyalgia rheumatica flares?
No single food causes polymyalgia rheumatica, but ultra-processed foods, excess sugar, and (for gout in particular) high-purine foods and alcohol can worsen symptoms. Focus on overall pattern rather than individual "miracle" or "forbidden" foods.