Polymyalgia Rheumatica

Polymyalgia rheumatica (PMR) is an inflammatory disorder that causes muscle pain and stiffness, especially in the shoulders and hips. Signs and symptoms of PMR usually begin quickly and are worse in the morning. It is a common cause of widespread aching and stiffness that affects adults over the age of 50. Because PMR does not often cause swollen joints, it may be hard to recognize. It may occur with another health problem,

giant cell arteritis

. The average age when symptoms start is 70, so people who have PMR may be in their 80s or even older.
It sounds serious, even ferocious, but it responds to proper treatment.
Symptoms

Difficulty moving shoulder

  • Occurs or worsens in the morning or after being inactive for a time

  • More than 45 minutes

common

Shoulder pain

  • Both shoulders

  • At rest

common

Difficulty moving neck

  • Occurs or worsens in the morning

  • More than 45 minutes

common

Back neck pain

common

Fatigue

or Depression

or Poor appetite

or Weight loss

or Fever

  • Less than 38°C (100.4°F)

common

Difficulty moving hip

  • Occurs or is worse in the morning

  • Less than 30 minutes

common

Joint pain

  • At hip

  • Knees

  • At wrist

common

Joint stiffness

  • Difficulty moving knee, Difficulty moving wrist

Sensitive scalp

or Headache

  • In the temporal region

or Jaw pain

Weakness of hand

or Numbness or tingling in hand

  • Palmar aspect, Occurs or worsens at night, Radiates to fingers, Occurs or worsens with activities that involve sustained flexing or extending the wrist

or Pain in arms

Risk factors

Family history of Polymyalgia Rheumatica

Giant cell arteritis

Treatment
Steroid medicine is the main treatment for polymyalgia rheumatica (PMR). A type of corticosteroid called prednisolone is usually prescribed. It works by blocking the effects of certain chemicals that cause inflammation inside your body. It does not cure polymyalgia rheumatica, but it can help relieve the symptoms.
Recommended specialist

If you have Polymyalgia Rheumatica, then a visit to a rheumatologist is highly recommended.

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