Treatment FAQ

where is the best treatment clinic for temporal arteritis

by Marion Hettinger MD Published 2 years ago Updated 2 years ago
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Medication

Exercise and eat well Temporal arteritis is a condition that affects the blood vessels and the ability of your blood to pass through those vessels. Exercise can help fight many side effects from temporal arteritis medications. It can also improve your underlying health.

Self-care

Temporal arteritis is also called giant cell arteritis or Horton's arteritis. It is a form of vasculitis (inflammation of the blood vessels). The condition usually affects people over the age of 50. What is temporal arteritis? Temporal arteritis is a form of vasculitis (inflammation of the blood vessels).

Nutrition

Ophthalmologists in clinical practice will potentially diagnose and treat this disorder, which is also known as giant cell arteritis, and therefore should read this important review. The authors note that temporal arteritis is an inflammation of medium and small extracranial vessels...

How do you treat temporal arteritis?

The temporal artery is a blood vessel at the temples. This artery is situated close to the skin just before the ears and continues up to the scalp.

What is temporal arteritis (giant cell arteritis)?

Should an ophthalmologist diagnose temporal arteritis?

What is the temporal artery?

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Who specializes in temporal arteritis?

Your rheumatologist will work with all these specialists to ensure your care is well coordinated. Preventing bone problems: Our rheumatologists are careful to prevent osteoporosis in patients who take steroid treatments (prednisone) for giant cell arteritis.

Can you live a long life with temporal arteritis?

The median survival time for the 44 GCA cases was 1,357 days (3.71 years) after diagnosis, compared with 3,044 days (8.34 years) for the controls (p = ....Table 2.Total number of patients44Deceased21 (47.7%)Polymyalgia rheumatica diagnosis9 (20.5%)Vision loss24 (54.5%)6 more rows•Feb 4, 2009

What is the best treatment for temporal arteritis?

The main treatment for temporal arteritis is corticosteroids. Even if the diagnosis is only suspected and the test results are still pending, your doctor may still prescribe oral corticosteroids immediately. Prednisone is the most common corticosteroid used and has been proven to prevent visual loss.

How long does it take to recover from temporal arteritis?

Most people begin to feel better within a few days after starting treatment. The dose of corticosteroids will be cut back very slowly. However, you will need to take medicine for 1 to 2 years. If the diagnosis of giant cell arteritis is made, in most people a biologic medicine called tocilizumab will be added.

Is temporal arteritis a death sentence?

Giant cell arteritis, also referred to as temporal arteritis, is a form of vasculitis which predominantly affects older people. It must be treated urgently, as it is associated with a significant risk of permanent visual loss, stroke, aneurysm and possible death.

What triggers temporal arteritis?

The causes of temporal arteritis are poorly understood. There is no well-established trigger or risk factors. One cause may be a faulty immune response; i.e., the body's immune system may “attack” the body. Temporal arteritis often occurs in people who have polymyalgia rheumatica.

Can temporal arteritis be cured?

Is there a cure for giant cell arteritis? As of now, there is no immediate cure for GCA. Treatment with high-dose steroids can stop symptoms quickly, in as few as 1 to 3 days. Many people go into remission on these drugs, meaning they have no signs of the disease, and do not progress to vision loss.

What is the most feared complication of giant cell arteritis?

Visual loss. Acute visual loss in one or both eyes is by far the most feared and irreversible complication of giant cell arteritis. The main blood supply compromised by giant cell arteritis is to the anterior optic nerve head via the short posterior ciliary arteries and that of the retina via the central retinal artery ...

How long do you take steroids for temporal arteritis?

The typical patient with GCA remains on steroid therapy for roughly 2 years. Followup is recommended until 1 year after discontinuation of therapy. During corticosteroid therapy, monitoring for complications of long-term use of these drugs is indicated.

Does stress cause temporal arteritis?

Conclusion: This result suggests the influence of stressful events in the clinical emergence of temporal arteritis and/or polymyalgia rheumatica.

How long do you take prednisone for giant cell arteritis?

Most patients with giant cell arteritis require at least two years of corticosteroid therapy. A few patients remain on a low dosage of corticosteroid indefinitely.

What happens if temporal arteritis goes untreated?

Most often, it affects the arteries in your head, especially those in your temples. For this reason, giant cell arteritis is sometimes called temporal arteritis. Giant cell arteritis frequently causes headaches, scalp tenderness, jaw pain and vision problems. Untreated, it can lead to blindness.

What is temporal arteritis?

Temporal arteritis is a serious condition, but it is also controllable, treatable, and often curable.

Causes for temporal arteritis

The exact cause of temporal arteritis is unknown. However, during it, your immune system attacks the arteries. It is not known why and when the immune system attack occurs.

Who can get temporal arteritis

Temporal arteritis is a rare condition, with people above the age of 50 being more at risk of developing it. Women are also at a greater risk of getting it more than men.

Diagnosis for temporal arteritis

To confirm a diagnosis of giant cell arteritis, your doctor will take a small sample (called a biopsy) of the temporal artery. They will locate this artery easily, as it is situated close to the skin just in front of your ears and continues up to your scalp.

Treatments for temporal arteritis

Temporal arteritis is a serious condition, but it is also controllable, treatable, and often curable.

Complications and side effects of temporal arteritis

The most common condition that comes from people with temporal arteritis is polymyalgia rheumatica (PMR). This causes pain and stiffness in your muscles and joints. If it develops, it often occurs after the development of temporal arteritis.

Top What Is the Best Treatment for Temporal Arteritis Related Articles

Giant cell arteritis, inflammation of blood vessel walls, affects 10%-15% of polymyalgia rheumatica patients. Symptoms and signs of giant cell arteritis include fatigue, weight loss, low-grade fever, jaw pain when chewing, scalp tenderness, and headaches. High doses of cortisone medications are used to treat giant cell arteritis.

How to diagnose giant cell arteritis?

Biopsy. The best way to confirm a diagnosis of giant cell arteritis is by taking a small sample (biopsy) of the temporal artery. This artery is situated close to the skin just in front of your ears and continues up to your scalp. The procedure is performed on an outpatient basis using local anesthesia, usually with little discomfort or scarring.

What tests are used to diagnose giant cell arteritis?

Imaging tests. These might be used to diagnose giant cell arteritis and to monitor your response to treatment. Tests might include: Doppler ultrasound. This test uses sound waves to produce images of blood flowing through your blood vessels. Magnetic resonance angiography (MRA).

Why is giant cell arteritis so difficult to diagnose?

Giant cell arteritis can be difficult to diagnose because its early symptoms resemble those of other common conditions. For this reason, your doctor will try to rule out other possible causes of your problem.

How to prevent thinning bones?

Eating well can help prevent potential problems, such as thinning bones, high blood pressure and diabetes. Emphasize fresh fruits and vegetables, whole grains, and lean meats and fish, while limiting salt, sugar and alcohol.

What kind of doctor do you see for headaches?

He or she may refer you to an eye specialist (ophthalmologist) if you're having visual symptoms, a brain and nervous system specialist (neurologist) if you're having headaches, or a specialist in diseases of the joints, bones and muscles (rheumatologist).

Can you have a negative biopsy of giant cell arteritis?

It's possible to have giant cell arteritis and have a negative biopsy result. If the results aren't clear, your doctor might advise another temporal artery biopsy on the other side of your head.

Can you have a biopsy of a giant cell artery?

The sample is examined under a microscope in a laboratory. If you have giant cell arteritis, the artery will often show inflammation that includes abnormally large cells, called giant cells, which give the disease its name. It's possible to have giant cell arteritis and have a negative biopsy result. If the results aren't clear, your doctor might ...

What is the best treatment for GCA?

It is very important to have a temporal artery biopsy to support the diagnosis. The first line of treatment for GCA is Prednisone. This drug will reduce your bone density and has many other potential risks. The goal should be to manage the disease with the least amount of Prednisone possible.

How long does it take to cure aortic giant cell arteritis?

The prednisone is for the inflammation and the methotrexate is for the auto-immune disease of giant cell. Apparently it takes about a year.

How to treat temporal arteritis?

Exercise and eat well. Temporal arteritis is a condition that affects the blood vessels and the ability of your blood to pass through those vessels. Exercise can help fight many side effects from temporal arteritis medications. It can also improve your underlying health.

What is the role of inflammation in temporal arteritis?

Inflammation plays an important role in temporal arteritis, as it does in many other vascular health problems and pain conditions. The Cleveland Clinic suggests the following dietary strategies to fight inflammation and improve your health: ( 09)

What are the symptoms of temporal arteritis?

Symptoms of temporal arteritis include temporal headache or throbbing head pain; pain or tenderness of the scalp, temples or neck; fatigue or fever; jaw pain or lack of appetite; and pain or stiffness in the neck, shoulders and hips. The condition has no known cause, but is thought to be linked to immune function.

What is the name of the inflammation of the arteries in the head and neck?

Temporal arteritis is inflammation of the arteries in the head and neck. In most cases, the arteries that pass through the temples are affected, hence the name. The condition is also called giant cell arteritis (GCA), Horton disease and cranial arteritis.

How long does it take for temporal arteritis to go away?

Afterwards, you will be prescribed a lower dose of steroids that you may take for several months to a year or more , until your symptoms go away.

Does smoking cause temporal arteritis?

Smoking and even being a former smoker increase the risk of developing temporal arteritis. (4) However, when you quit smoking, your blood vessel health improves quickly. ( 7) You can try mind-body strategies to quit smoking on your own. You can also get professional help or follow a program to break the habit. Whatever you do, kicking tobacco for good has immediate and long-term benefits for your vascular health.

Can MRIs detect temporal arteritis?

You can expect a physical exam, blood tests, an ultrasound and a temporal artery biopsy to get a diagnosis. MRIs can also detect temporal arteritis. ( 1)

Temporal Arteritis Signs and Symptoms

Temporal arteritis symptoms can be different from person to person. In most cases, however, the condition causes some of the following symptoms:

Temporal Arteritis Causes and Risk Factors

The exact cause of temporal arteritis is unknown. It is possibly linked with the body’s immune system health. It has been linked to having certain severe infections or taking high doses of antibiotics in rare cases.

Conventional Treatment of Temporal Arteritis

As soon as a doctor suspects you have temporal arteritis, you will likely be given a high dose of steroids.

6 Natural Remedies for Temporal Arteritis Symptoms

Temporal arteritis treatment can improve blood vessel health. However, medications can create problems.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The condition has no cure, but medication is necessary to relieve symptoms and prevent complications.
Medication

Corticosteroids: To reduce inflammation.

Prednisone


Blood thinners: To prevent clot formation.

Aspirin

Self-care

Always talk to your provider before starting anything.

  • Perform weight bearing exercises.
  • Quit smoking.
  • Get regular bone density screenings and blood sugar checks.

Nutrition

Foods to eat:

  • Take foods rich in calcium such as milk, cheese and yogurt
  • Foods rich in vitamin D such as beef liver, salmon and sardines

Foods to avoid:

  • NA

Specialist to consult

Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.
Ophthalmologist
Specializes in the medical and surgical care of the eyes.

Coping and Support

  • Giant cell arteritis can be difficult to diagnose because its early symptoms resemble those of other common conditions. For this reason, your doctor will try to rule out other possible causes of your problem. In addition to asking about your symptoms and medical history, your doctor is likely to perform a thorough physical exam, paying particular a...
See more on mayoclinic.org

Preparing For Your Appointment

  • The main treatment for giant cell arteritis consists of high doses of a corticosteroid drug such as prednisone. Because immediate treatment is necessary to prevent vision loss, your doctor is likely to start medication even before confirming the diagnosis with a biopsy. You'll likely begin to feel better within a few days of beginning treatment. If you have visual loss before starting treatmen…
See more on mayoclinic.org

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