Polymyalgia Rheumatica

What is Polymyalgia Rheumatica? 

Polymyalgia Rheumatica (PMR) is an inflammatory condition that causes pain, stiffness, and limited movement, most commonly involving the shoulders, neck, and hips. Symptoms often begin suddenly and are typically worse in the morning or after long periods of rest.

PMR mainly affects adults over the age of 50 and can significantly impact daily activities if not treated early. With prompt diagnosis and care from a Rheumatologist for Polymyalgia Rheumatica, symptoms are usually well controlled, and long-term complications can often be avoided.

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Common Symptoms of Polymyalgia Rheumatica:

People with PMR may experience:

• Pain and stiffness in the shoulders, neck, upper arms, hips, or thighs

• Morning stiffness lasting longer than 30–60 minutes

• Difficulty raising arms, getting out of bed, or standing after sitting

• Fatigue, weakness, or low energy

• Mild fever, unintended weight loss, or a general feeling of illness

• Symptoms are typically most severe in the morning and gradually improve as the day progresses.

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Who is Affected?

Polymyalgia Rheumatica typically:

• Affects adults over 50 years of age

• Occurs more frequently in women than men

• Is more common in individuals of Northern European descent
  While PMR does not strongly run in families, age-related immune system changes and genetic factors may contribute to its development.

Associated Condition: Giant Cell Arteritis (GCA)

Approximately 10–20% of patients with PMR may also develop Giant Cell Arteritis (GCA), a serious inflammatory condition affecting medium and large blood vessels.

Symptoms of GCA may include:

• New or severe headaches

• Jaw pain while chewing

• Vision changes or sudden vision loss

• Scalp tenderness
   

Because GCA can lead to permanent vision loss, it is considered a medical emergency and requires immediate evaluation by a specialist.

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How Is Polymyalgia Rheumatica Diagnosed?

There is no single test for PMR. Diagnosis is based on a combination of:

• Detailed medical history and physical examination

• Blood tests showing elevated inflammatory markers (ESR, CRP)

• Exclusion of other conditions such as rheumatoid arthritis, lupus, or muscle disorders
   

Accurate diagnosis is best made by a Polymyalgia Rheumatica specialist in Orlando experienced in inflammatory and autoimmune conditions.

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Treatment for Polymyalgia Rheumatica

PMR usually responds very well to treatment when diagnosed early.

Primary Treatment

• Low-dose corticosteroids (such as prednisone) are the cornerstone of therapy

• Most patients experience significant symptom relief within days

• Steroid doses are gradually tapered over several months to reduce side effects
   

Monitoring & Supportive Care

• Regular follow-up visits to track symptoms and inflammation levels

• Monitoring for steroid-related side effects

• Calcium and vitamin D supplementation may be recommended to protect bone health
   

Expert-guided polymyalgia rheumatoid arthritis treatment in Orlando ensures safe medication adjustments and long-term disease control.

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Self-Care Tips:

• Follow prescribed medication schedule

• Report any new symptoms (e.g., headaches or vision changes)

• Maintain physical activity with gentle stretching and exercise

• Regular follow-up visits to adjust medication

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Living Well With Polymyalgia Rheumatica

With proper treatment and ongoing monitoring, most people with Polymyalgia Rheumatica regain mobility and return to normal daily activities. Early diagnosis, consistent follow-up, and care from a Polymyalgia Rheumatica Specialist in Orlando play a key role in preventing complications and maintaining long-term health.

Ongoing access to expert polymyalgia rheumatoid arthritis treatment in Orlando allows patients to maintain mobility, independence, and quality of life.

​Frequently Asked Questions 
 

1. What is Polymyalgia Rheumatica?

Polymyalgia Rheumatica (PMR) is an inflammatory condition that causes pain and stiffness in the shoulders, hips, neck, and upper arms. It most often affects adults over 50 and responds well to early treatment.

2. What are the early warning signs of PMR?
Early symptoms commonly include severe morning stiffness, shoulder or hip pain, difficulty lifting the arms, and fatigue. Symptoms often begin suddenly and improve later in the day.
 

3. How is Polymyalgia Rheumatica different from rheumatoid arthritis?

PMR primarily causes muscle pain and stiffness without joint damage, while rheumatoid arthritis affects the joints and can lead to swelling and deformity. Blood tests and treatment response help distinguish between the two.

4. How is Polymyalgia Rheumatica treated?

PMR is mainly treated with low-dose corticosteroids such as prednisone. Most patients experience rapid improvement, and medications are tapered slowly under specialist supervision.Our clinic also offers access to advanced biologic therapies, allowing eligible patients to receive comprehensive care in a familiar, medically supervised setting.

5. How long does treatment for PMR usually last?

Treatment typically lasts 6 months to 2 years, depending on symptom control and inflammation levels. Regular follow-up helps adjust treatment safely and effectively.

If you are experiencing stiffness or unexplained muscle pain, we’re here to help.