4years ago I had which I now know was PMR. Although never diagnosed at that time I was treated with tapering doses of prednisone and analgesic meds and after 6 mos all symptoms disappeared. Three months ago after a mild URI I came down with the EXACT same symptoms a frustrating condition! Only abnormal tests were very high sed rate and C-reactive proteins which are indicative of edema,along with a mild anemia. Went back to the same Drs who were perplexed as to why I had this 4 year remission until I went to a new Rheumatologist ( previous one had retired) who finally diagnosed PMR. 24 hours after the first dose of steroid(40mg) I was 85% better. I am now on a tapering dose currently 20mg and take acetaminophen at regular 4 hour intervals( being. Careful not to exceed 4000mg max per day )
It has given me my life back. I am being followed for side effects of the steroids but the plan is to keep tapering dosage till weaned completely. I know this is not a cure but if it will give me another 4 year respite I will be eternally grateful! (I am now 62yr but first episode was at age 58)
The caudal approach to the epidural space involves the use of a Tuohy needle, an intravenous catheter, or a hypodermic needle to puncture the sacrococcygeal membrane . Injecting local anaesthetic at this level can result in analgesia and/or anaesthesia of the perineum and groin areas. The caudal epidural technique is often used in infants and children undergoing surgery involving the groin, pelvis or lower extremities. In this population, caudal epidural analgesia is usually combined with general anaesthesia since most children do not tolerate surgery when regional anaesthesia is employed as the sole modality.