Polymyalgia Rheumatica (PMR) is one of those conditions that often goes undiagnosed for months or even years. Waiting too long to start treatment can make the disorder worse, which is why recognizing the signs early can potentially prevent unnecessary suffering.
Polymyalgia Rheumatica (PMR) is an inflammatory disorder that primarily affects older adults, causing widespread muscle pain and stiffness, the Mayo Clinic explains.
This condition is often mistaken for other musculoskeletal issues or even arthritis, leading to delayed diagnosis. If left untreated, PMR can significantly impact mobility and quality of life.
Let’s dive into the key symptoms so you can recognize the signs early.
Shoulder pain: The first sign of PMR
For most people, shoulder pain is the first noticeable symptom of PMR. The discomfort typically affects both shoulders and worsens at night, making it difficult to sleep.
Common complaints include:
- Difficulty raising arms above the head (making simple tasks like putting on a shirt or reaching for objects painful).
- A deep, persistent ache in the upper arms.
- Pain that spreads from the shoulders to the upper back and chest.
The pain can come on suddenly or develop gradually over several days, which is why it’s often dismissed as a minor strain at first.
Hips, neck, buttocks, thighs, and upper arms
While shoulder pain is the most common symptom, PMR also causes aching in other major muscle groups, including:
- Hips and thighs – Makes it difficult to walk, climb stairs, or get out of a chair.
- Neck stiffness – Turning the head is difficult.
- Upper arms and buttocks – Lifting objects or prolonged sitting is uncomfortable.
This deep, aching pain is not relieved by rest and often worsens after repetitive movements or long periods of inactivity.
Stiffness: The telltale sign
One of the most defining characteristics of PMR is severe stiffness, especially in the morning or after long periods of rest.
Telltale signs:
- Morning stiffness lasting over an hour.
- Feels like your muscles are “locked up.”
- Stiffness that eases slightly with movement but returns after inactivity.
Many patients report that just getting out of bed feels like a struggle. While some mild movement can help loosen up the muscles, untreated PMR can lead to long-term mobility issues.
Limited range of motion
Over time, persistent stiffness and pain can lead to a reduced range of motion, particularly in the shoulders and hips.
Signs of mobility restriction include:
- Difficulty raising arms or reaching overhead.
- Trouble bending over or twisting the body.
- Reduced flexibility in the hips, making mobility a challenge.
Many people unconsciously limit their movements to avoid pain, which can worsen muscle stiffness and lead to further mobility decline.
Knee, elbow, and wrist pain
Although PMR primarily affects the shoulders and hips, some individuals experience pain in smaller joints like the:
- Knees – Walking is difficult.
- Wrists – Causes discomfort when typing or holding objects.
- Elbows – Bending the arms is challenging..
Unlike rheumatoid arthritis, PMR does not typically cause joint swelling or permanent damage, but the pain and stiffness can still make daily tasks difficult.
Other symptoms
In addition to muscle and joint pain, PMR can cause:
- Fatigue and low energy.
- Mild fever and flu-like symptoms.
- Unintentional weight loss.
- General sense of not feeling well (malaise).
- Depression and mood changes, often due to chronic pain and limited mobility.
If these symptoms persist alongside morning stiffness and muscle pain, it’s time to consult a doctor.
Early diagnosis is crucial
PMR is highly responsive to low-dose corticosteroids (like prednisone) and most patients experience significant symptom relief within days of starting treatment.
Without treatment, PMR can severely impact mobility and independence. Recognizing symptoms early means staying active, avoiding unnecessary pain, and preventing further complications.
Polymyalgia Rheumatica is a painful and often misunderstood condition, but early recognition of symptoms can lead to effective treatment and relief. If you’re experiencing unexplained muscle stiffness, fatigue, or sudden mobility issues, don’t ignore these warning signs – consult a doctor!
Please share this story with your friends so they will also know the signs of PMR.
