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Symptoms of Polymyalgia Rheumatica

Posted on April 22, 2026 by Admin

Polymyalgia rheumatica (PMR) is an inflammatory condition that mainly affects older adults and causes muscle pain and stiffness, especially around the shoulders and hips.

Here are the most common symptoms:

1. Muscle pain and stiffness

  • Aching and stiffness in the shoulders, upper arms, neck, hips, and thighs
  • Usually both sides of the body
  • Stiffness is often worst in the morning or after resting
  • Morning stiffness can last 30 minutes to several hours

2. Limited movement

  • Difficulty raising arms (e.g., combing hair, dressing)
  • Trouble standing up from a chair or climbing stairs

3. General flu-like feelings

  • Fatigue or low energy
  • Mild fever in some cases
  • Feeling generally unwell
  • Loss of appetite and sometimes weight loss

4. Sleep disturbance

  • Pain and stiffness can make it hard to sleep comfortably

5. Systemic inflammation signs (less common)

  • Mild anemia (found on blood tests)
  • Elevated inflammatory markers (ESR/CRP)

Important associated condition

PMR can sometimes occur alongside or overlap with Giant cell arteritis, which is more serious. Symptoms to watch for include:

  • New severe headache
  • Scalp tenderness
  • Jaw pain when chewing
  • Vision problems (blurred or double vision)

If those occur, it needs urgent medical attention.


If you want, I can also explain how PMR is diagnosed or how it differs from arthritis or fibromyalgia.

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