Question

A 65-year-old female presents with severe shoulder and pelvic girdle pain, stiffness, and elevated inflammatory markers. Polymyalgia rheumatica (PMR) is suspected. According to NICE, what is the recommended initial treatment?

Accepted Answer

Low-dose oral prednisolone

Answer

High-dose IV methylprednisolone

Answer

Methotrexate monotherapy

Answer

Physical therapy alone

Answer

Biologic therapy (e.g., TNF inhibitor)

Practice question

A 65-year-old female presents with severe shoulder and pelvic girdle pain, stiffness, and elevated inflammatory markers. Polymyalgia rheumatica (PMR) is suspected. According to NICE, what is the recommended initial treatment?