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.
Polymyalgia Rheumatica FAQ
What are the most common symptoms of polymyalgia rheumatica?
Polymyalgia rheumatica (PMR) usually causes pain and stiffness in the shoulders, neck, and hips. The stiffness is often worse in the morning or after resting. Other common symptoms include feeling tired, low energy, and sometimes a mild fever.
How is polymyalgia rheumatica diagnosed?
PMR is diagnosed based on your symptoms, a physical exam, and blood tests. Doctors look for signs of inflammation with tests like ESR and CRP. Sometimes, other tests are done to rule out other conditions that might cause similar symptoms.
What medications are used to treat polymyalgia rheumatica?
PMR is usually treated with low doses of corticosteroids like prednisone, which reduce inflammation and pain. Some people may need medications called DMARDs if steroids aren’t enough or to help reduce steroid use. Treatment can last from months to a few years, depending on how the symptoms respond.
What is the difference between polymyalgia rheumatica and fibromyalgia?
PMR is an inflammatory condition that causes pain and stiffness, mainly in the shoulders and hips, and usually affects older adults. Fibromyalgia is a different condition that causes widespread muscle pain, fatigue, and tenderness all over the body, often without inflammation in the blood work.
Conditions We Treat