Polymyalgia rheumatica treatment
PMR responds dramatically well to low-dose corticosteroids. Treatment is usually continued for 1–2 years with very gradual dose tapering.
Treatment approaches
Low-dose prednisolone
Most people feel much better within a few days of starting treatment.
Slow steroid taper
Dose is reduced gradually over 1–2 years to prevent relapse.
Bone protection
Calcium, vitamin D, and often a bisphosphonate to protect against steroid-induced osteoporosis.
Gastric protection
PPIs are often co-prescribed during steroid treatment.
Methotrexate
Sometimes added to help reduce the steroid dose if relapses are frequent.
Specialist referral
Considered for diagnostic uncertainty or atypical course.
This is general information, not a substitute for personalised medical advice.
Frequently asked questions
What is the best treatment for polymyalgia rheumatica in the UK?
UK treatment for polymyalgia rheumatica follows NICE guidance and usually combines self-management (exercise, weight control, pacing), pain relief, and — where needed — specialist medication or therapy. There is no single "best" option; the right plan depends on the type, severity and joints involved.
Can polymyalgia rheumatica be cured?
Most forms of pmr cannot be cured, but they can be very effectively managed. With the right combination of exercise, medication, and lifestyle support, many people maintain a full and active life.
What painkillers help polymyalgia rheumatica?
Common options include paracetamol, topical or oral NSAIDs (such as ibuprofen) and, for inflammatory types, prescription medication such as DMARDs or biologics. Always take pain relief at the lowest effective dose and ask your GP or pharmacist about interactions.
Do I need a referral to see a rheumatologist for pmr?
Yes — in the UK, you'll usually need a referral from your GP to access UK healthcare rheumatology services. If your GP suspects an inflammatory arthritis, NICE recommends urgent referral so that treatment can start early.
Are there free UK healthcare resources for polymyalgia rheumatica treatment?
Yes. UK healthcare physiotherapy, occupational therapy, pain clinics and self-management programmes are available — many free at the point of use. Ask your GP or check the UK healthcare system website for services in your area.