The hallmarks of PMR are shoulder and hip girdle pain with pronounced stiffness
Keeping the disorder in check as it subsides usually involves careful medication management
Therapy is based on empiric experiences because few randomized clinical trials are available to guide treatment decisions
Polymyalgia rheumatica, an inflammatory disease most commonly seen in older adults, usually causes pain and stiffness in the shoulders and upper back and/or the hip area
Clinical features — Polymyalgia rheumatica (PMR) is characterized by symmetrical aching and stiffness about the shoulders, hip girdle, neck, and torso, worst on arising in the morning, of recent onset, in a patient over the age of 50 ( figure 1 )
The cause is not known
The main symptom is muscle stiffness in the morning that lasts longer than 45 minutes
The British Society for Rheumatology and the British Health Professionals in Rheumatology have recently published guidelines on management of PMR
Incidence of infections associated with oral glucocorticoid dose in people diagnosed with polymyalgia rheumatica or giant cell arteritis: a Polymyalgia Rheumatica and GCA Dexamethasone? Follow Posted 4 years ago, 9 users are following
It affects adults > 55
The pain and stiffness is usually much worse in the mornings and fatigue is also quite common
More women are affected than men
PHILADELPHIA— Polymyalgia rheumatica (PMR) is a chronic inflammatory condition that almost exclusively affects individuals older than 50
Dementia-like symptoms have been found in some individuals who have been exposed to glucocorticoid medication, often dispensed in the form of