Related Experiment Video
Updated: Jul 17, 2026
07:05
A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients
Published on: May 26, 2026
[A 81-year-old patient with physiotherapy-resistant upper limb tenderness]
C von Garnier1, D Bär, T Daikeler
1Medizinische Poliklinik, Universitätsspital Basel. garnierc@uhbs.ch
Praxis
|January 9, 2007
Summary
Atypical polymyalgia rheumatica (PMR) presenting as upper extremity tenderness responded well to systemic steroids. Clinical assessment is crucial for differentiating PMR from giant cell arteritis and guiding steroid therapy.
Area of Science:
- Rheumatology
- Internal Medicine
- Clinical Diagnosis
Background:
- Polymyalgia rheumatica (PMR) is an inflammatory condition typically affecting older adults.
- Atypical presentations of PMR can mimic other conditions, complicating diagnosis.
- Systemic steroids are the mainstay of treatment for PMR.
Observation:
- An 81-year-old patient presented with a six-month history of upper extremity tenderness.
- This presentation was suspected to be an atypical manifestation of polymyalgia rheumatica.
- The patient showed a positive clinical response to a course of systemic steroids.
Findings:
- The patient's symptoms of upper extremity tenderness were successfully managed with systemic steroid therapy.
- This case highlights the importance of considering atypical PMR presentations.
- Effective clinical assessment is key to accurate diagnosis and management.
Implications:
- Accurate clinical assessment is paramount for distinguishing polymyalgia rheumatica from other conditions, including giant cell arteritis.
- Prompt and appropriate diagnosis of PMR facilitates effective steroid-based treatment.
- Understanding atypical PMR presentations can improve patient outcomes and diagnostic efficiency.
