symptoms of pmr disease

2 min read 11-03-2025

Polymyalgia rheumatica (PMR) is a rheumatic condition causing significant pain and stiffness in the muscles. While it primarily affects older adults, understanding its symptoms is crucial for early diagnosis and treatment. This article details the common symptoms of PMR, helping you identify potential issues and seek medical attention if needed.

Key Symptoms of PMR

The hallmark symptom of PMR is pain and stiffness in the muscles, particularly in the shoulders, neck, hips, and thighs. This pain is often described as aching and deep-seated. It's typically worse in the mornings and improves slightly throughout the day with activity.

Pain and Stiffness: The Defining Characteristics

Location: The pain is usually symmetric, meaning it affects both sides of the body equally. The shoulders and hips are most frequently impacted, but the neck, upper arms, and thighs can also be affected.
Intensity: The pain can range from mild discomfort to severely debilitating. Many patients describe a profound sense of fatigue and weakness associated with the pain.
Morning Stiffness: This is a very significant symptom. The stiffness is most pronounced in the mornings and after periods of inactivity. It can last for an hour or more, making simple tasks difficult.

Other Common PMR Symptoms

While pain and stiffness are the defining features, other symptoms often accompany PMR:

Fatigue: Overwhelming tiredness and fatigue are common, often disproportionate to the level of physical activity. This can significantly impact daily life.
Low-Grade Fever: A low-grade fever (under 100.4°F or 38°C) may be present.
Weight Loss: Unexplained weight loss can occur due to decreased appetite and difficulty with physical activity.
Loss of Appetite: The pain and overall malaise can lead to a loss of appetite.
Depression: The chronic pain and limitations imposed by PMR can contribute to depression.
Headaches: Some individuals experience headaches as an associated symptom.
Jaw Claudication: This is a less common but important symptom, characterized by jaw pain or stiffness when chewing. It's associated with giant cell arteritis (GCA), a related condition.

How is PMR Diagnosed?

Because the symptoms of PMR can overlap with other conditions, a proper diagnosis is crucial. Your doctor will consider your medical history, perform a physical exam, and may order blood tests. Elevated levels of inflammatory markers like erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are often found in individuals with PMR. There is no single definitive test for PMR; the diagnosis is often clinical, based on the presentation of symptoms and exclusion of other conditions.

When to See a Doctor

If you experience persistent pain and stiffness, especially in the shoulders and hips, coupled with significant fatigue, it's important to consult a doctor. Early diagnosis and treatment are crucial for managing PMR effectively and preventing potential complications. Don't hesitate to seek medical attention if you are concerned. Prompt treatment can significantly alleviate symptoms and improve your quality of life.

Important Note: This information is for educational purposes only and is not a substitute for professional medical advice. Always consult with your physician or other qualified healthcare provider if you have questions about your health or need medical advice.