Polymyalgia Rheumatica (PMR)
Polymyalgia rheumatica is an inflammatory disorder causing severe muscle pain and stiffness, primarily in the shoulders and hips.
Polymyalgia rheumatica (PMR) is a condition that causes muscle pain and stiffness, particularly in the shoulders, neck, and hips. The symptoms often start suddenly and can be severe, making it difficult to move and perform everyday tasks. PMR is more common in people over 50, and it tends to affect women more than men. Morning stiffness is a hallmark of the disease.
We diagnose PMR based on symptoms, a physical exam, and blood tests that check for inflammation. There isn't a single test for PMR, so we also look to rule out other conditions with similar symptoms. Sometimes, a trial of therapy can be used to help confirm the disease.
Treatment for PMR usually involves corticosteroids, which are medications that reduce inflammation. Most people start to feel better within a few days of beginning treatment. The dosage is gradually reduced over time to find the lowest effective dose. Sometimes, biologic medications are used along with corticosteroids. Along with medication, gentle exercise can help maintain mobility and strength. Regular check-ups are important to monitor progress and adjust treatment as needed.
Conditions We Treat