Hospital

Polymyalgia Rheumatica

(PMR)

Pronounced: Pol-ee-my-al-ja Roo-MAT-ic-ah

Definition

Polymyalgia rheumatica (PMR) is a disease that causes inflammation throughout the body. It results in muscle pain and stiffness.

Causes

The cause is unknown. Genes and things in environment around you may play a role.

Risk Factors

PMR is most common in people over 50 years of age. It is more common in women and people of European descent.

Symptoms

Symptoms of PMR may include:

  • Muscle pain and stiffness in the hip, shoulder, or neck
  • Pain that spreads to the elbows or knees
  • Low energy
  • Morning stiffness lasting longer than 30 minutes
  • Weight loss without a known cause
  • Fever

Diagnosis

The doctor will ask about symptoms and past health. A physical exam will be done. PMR will be suspected if symptoms are there for more than 2 weeks.

A blood test may be done to rule out other causes.

Treatment

Treatment often leads to rapid relief. Steps may include:

  • Corticosteroids—may be used for up to 2 years at low doses
  • Anti-inflammatory medicine

Long term steroids can cause bone loss. Supplements may be given to stop bone loss.

Prevention

PMR can not be prevented.

RESOURCES:

American College of Rheumatology
http://www.rheumatology.org
Arthritis Foundation
http://www.arthritis.org

CANADIAN RESOURCES:

The Arthritis Society
http://www.arthritis.ca

References

Polymyalgia rheumatica. American College of Rheumatology website. Available at:
...(Click grey area to select URL)
Updated March 2017. Accessed October 4, 2019.
Polymyalgia rheumatica (PMR). EBSCO DynaMed Plus website. Available at: http://www.dynamed... . Updated February 8, 2019. Accessed October 4, 2019.
Questions and answers about polymyalgia rheumatical and giant cell arteritis. National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at:
...(Click grey area to select URL)
Updated May 30, 2016. Accessed October 4, 2019.
Last reviewed October 2019 by EBSCO Medical Review Board Warren A. Bodine, DO, CAQSM