Polymyalgia Rheumatica is an inflammatory disorder that causes muscle pain and stiffness, primarily in the shoulders and hips. It typically affects adults over age 50.
Rheumatology clinic
Symptoms
- Aching and stiffness in shoulders, neck, and hips
- Morning stiffness lasting an hour or more
- Fatigue and low-grade fever
- Difficulty with daily activities (dressing, rising from a chair)
Causes & Risk Factors
- Aging immune system changes
- Genetic predisposition
- Association with Giant Cell Arteritis (GCA)
Diagnosis
- Elevated ESR and CRP
- Clinical history and physical exam
- Rapid response to corticosteroids is a key diagnostic clue
Treatment Options
- Joint pain and swelling (often in fingers and toes)
- Morning stiffness
- Nail pitting or separation
- Lower back or heel pain
- Red, scaly skin patches (psoriasis)
Living with
PMR
- Joint pain and swelling (often in fingers and toes)
- Morning stiffness
- Nail pitting or separation
- Lower back or heel pain
- Red, scaly skin patches (psoriasis)
When to See a Rheumatologist
Sudden onset of shoulder and hip stiffness in older adults should be evaluated promptly—PMR responds best when treated early.