What is polymyalgia rheumatica (PMR)?
Polymyalgia rheumatica is pain and stiffness, typically in the morning, found most frequently in the neck and shoulders but can be widespread throughout the body. If you already been diagnosed with giant cell arteritis, you have a higher chance of also having polymyalgia rheumatica. This condition is most commonly seen in Caucasian women over 55 but can be found in anyone over the age of 55.
What causes PMR?
Similar to other rhematic conditions, the exact cause of PMR is unknown. Researchers have found that it is not caused from any medications. It is believed that any of the following could be influencers of the condition:
- Giant cell arteritis
- Genetics
Symptoms of PMR
The number one symptom of PMR is pain and stiffness in your upper back and shoulder area. Additional symptoms that could be present include:
- Limited range of motion (difficulties getting dressed or standing up)
- Pain and stiffness in other areas of the body (lower back, hips, thighs, wrists, knees, etc.)
- Flu like symptoms (fever, fatigue, loss of appetite)
- Decreased mental stability (depression)
- Troubles sleeping
Diagnosing Polymyalgia Rheumatica
A rheumatologist will start the diagnosis process by reviewing your health history as well as your symptoms and their severity. The next step to diagnosis may include a physical exam as well as a test of your range of motion. If needed your doctor may order blood or imaging tests to help provide a clear diagnosis.
Polymyalgia Rheumatica Treatment
Treatment options will vary based on the severity and location of your PMR diagnosis. You may start by taking a corticosteroid to help ease pain. Additional supplements such as vitamin D and calcium may be recommended as well. Taking NSAIDs will not be beneficial for the pain your are experiencing.
If you would like to schedule an appointment with a board-certified rheumatologist, call the Iowa Clinic Rheumatology department at 515.875.9790.