Hi, I have just acquired a patient with PMR affecting her neck/shoulder girdle quite badly and starting to affect her hip regions.
She is apparently unfortunately unable to tolerate steroids. She uses heat packs whish give short term comfort, but is increasingly bothered by stiffness and pain, especially on rising. Does anybody have any bright ideas of any modalities which may help?
She is in her 90's but has always had a very good erect posture, walks well, and has no other arthritis except for some minor wasting in her hands. She did not think much of my suggestion of hydrotherapy as she doesn't like pools and feels it would be too much trouble to travel to one as she has no transport.
Any suggestions gratefully received.
J
