Definition

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

Causes    TOP

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

Risk Factors    TOP

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

Symptoms    TOP

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    TOP

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    TOP

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    TOP

PMR can not be prevented.