Polymyalgia Rheumatica

Overview

Polymyalgia rheumatica (PMR) is an inflammatory condition that causes muscle pain and stiffness, most commonly in the shoulders, neck, and hips. It almost exclusively affects people over 65 and is more common in women. PMR often develops rapidly, sometimes overnight. It is closely associated with giant cell arteritis (temporal arteritis), which can cause vision loss if not treated promptly. PMR responds dramatically to corticosteroids.

Symptoms

Common Symptoms

• Severe aching and stiffness in the shoulders, neck, and upper arms
• Aching in the hips, thighs, and lower back
• Morning stiffness lasting more than 45 minutes
• Stiffness after periods of inactivity
• Fatigue
• Low-grade fever
• Loss of appetite and weight loss
• Symptoms often develop rapidly

Diagnosis

Diagnosis typically involves clinical evaluation, medical history, blood tests, and appropriate imaging studies. A healthcare provider will assess symptoms, order relevant laboratory work, and may refer to a specialist for confirmation.

Treatments

Treatment depends on the underlying cause and severity. Options may include medication, lifestyle modifications (diet, exercise, stress management), and ongoing monitoring. Always work with a qualified healthcare provider to develop an appropriate treatment plan.