Polymyalgia Rheumatica (PMR) is an inflammatory condition that often flies under the radar, especially in older adults. Because its symptoms can mimic arthritis or other muscle problems, it sometimes goes undiagnosed for months — even years. Unfortunately, the longer it’s left untreated, the worse it can get.
According to medical experts, PMR mainly targets the shoulders, hips, and other large muscle groups, causing intense pain and stiffness that can make even simple daily tasks feel impossible.
Early Warning Sign: Shoulder Pain
For many people, the very first symptom is aching in both shoulders. This pain often gets worse at night and can make sleeping difficult.
Common shoulder-related issues include:
Struggling to lift your arms above your head.
A deep, persistent ache in the upper arms.
Pain radiating into the upper back and chest.
Sometimes this discomfort appears suddenly, while other times it creeps in over several days — making it easy to mistake for a minor strain.
Other Areas Affected
While the shoulders are the most common starting point, PMR can also cause:
Hip and thigh pain — making walking or climbing stairs difficult.
Neck stiffness — turning your head becomes challenging.
Buttock and upper arm aches — even sitting or lifting can hurt.
The pain doesn’t usually improve with rest and can worsen after repetitive movements or long periods of sitting still.
The Tell-Tale Stiffness
One of the clearest signs of PMR is intense stiffness, particularly in the morning or after resting.
You might notice:
Stiffness lasting over an hour after waking up.
Muscles that feel “locked” and refuse to move freely.
Slight relief with gentle movement, but stiffness returning after inactivity.
Mobility Problems
If left untreated, PMR can limit your range of motion. Everyday activities like reaching overhead, bending, or twisting may become difficult. Over time, avoiding movement to escape pain can make the stiffness even worse.
Other Symptoms to Look For
PMR doesn’t just affect muscles — it can also bring:
Fatigue and low energy.
Mild fever or flu-like feelings.
Unexplained weight loss.
Mood changes or depression caused by chronic pain.
Why Early Diagnosis Matters
The good news? PMR often responds quickly to low-dose corticosteroids like prednisone, with many patients feeling relief within days. But without treatment, it can seriously impact independence and quality of life.
If you or someone you know has persistent morning stiffness, unexplained muscle pain, or fatigue, don’t ignore it. Speak to a doctor — catching PMR early can mean staying active and avoiding unnecessary suffering.
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