Understanding Polymyalgia Rheumatica

What is Polymyalgia Rheumatica?

Polymyalgia rheumatica (PMR) is an inflammatory disorder that causes muscle pain and stiffness, primarily in the shoulders, neck, and hips. It typically affects adults over 50 years old, with women being more commonly affected than men.

Key Symptoms

• Morning stiffness lasting 45+ minutes
• Bilateral shoulder pain and limited range of motion
• Hip and neck pain
• Fatigue and general malaise
• Low-grade fever (in some cases)
• Decreased appetite and weight loss

Diagnosis

Diagnosis typically involves:

• Physical examination
• Blood tests (especially ESR and CRP)
• Careful evaluation of symptoms
• Ruling out other conditions

Treatment Options

Primary Treatment

• Corticosteroids (usually prednisone)
• Typically rapid improvement within 24-48 hours
• Gradual dose reduction over time

Supportive Care

• Regular exercise
• Calcium and vitamin D supplements
• Regular monitoring of bone density
• Physical therapy when needed

Associated Conditions

PMR can be associated with Giant Cell Arteritis (GCA), a serious condition requiring immediate medical attention. Watch for:

• Severe headaches
• Scalp tenderness
• Vision problems
• Jaw pain while chewing

Prognosis and Outlook

Most patients respond well to treatment, with symptoms typically resolving within 1-2 years. Regular medical follow-up is essential for:

• Monitoring treatment response
• Managing medication side effects
• Adjusting treatment plans
• Screening for complications

When to Seek Medical Care

Contact your healthcare provider if you:

• Experience new or worsening symptoms
• Have difficulty with medication side effects
• Develop any vision problems
• Have persistent fever or weight loss