Polymyalgia rheumatica

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Symptoms

By Mayo Clinic staff

The signs and symptoms of polymyalgia rheumatica include:

  • Aches or pain in your shoulders (often the first symptom)
  • Aches or pain in your neck, lower back, buttocks, hips or thighs
  • Tenderness in your upper arms
  • Stiffness in affected areas, particularly in the morning or after prolonged inactivity, such as a long car ride
  • Limited range of motion in affected areas
  • Pain or stiffness in wrists or knees (less common)

When pain and stiffness first appear, it's common to have more general signs and symptoms, including:

  • Low-grade fever
  • Fatigue
  • A general feeling of not being well (malaise)
  • Loss of appetite
  • Unintended weight loss
  • Depression

When to see a doctor
See your doctor if you experience aches, pains or stiffness that:

  • Is new
  • Disrupts your sleep
  • Limits your ability to do activities of daily living
References
  1. Michet CJ, et al. Polymyalgia rheumatica. BMJ. 2008;336:765.
  2. Unwin B, et al. Polymyalgia rheumatica and giant cell arteritis. American Family Physician. 2006;74:1547.
  3. Polymyalgia rheumatica. American College of Rheumatology. http://www.rheumatology.org/practice/clinical/patients/diseases_and_conditions/polymyalgiarheumatica.asp. Accessed April 14, 2010.
  4. Polymyalgia rheumatica. The Merck Manuals: The Merck Manual of Healthcare Professionals. http://www.merck.com/mmpe/sec04/ch033/ch033i.html. Accessed April 6, 2010.
  5. Salvarani C, et al. Polymyalgia rheumatica and giant-cell arteritis. Lancet. 2008;372:234.
  6. Giant cell arteritis. American College of Rheumatology. http://www.rheumatology.org/practice/clinical/patients/diseases_and_conditions/giantcellarteritis.asp. Accessed April 15, 2010.
  7. Glucocorticosteroid-induced osteoporosis. American College of Rheumatology. http://www.rheumatology.org/practice/clinical/patients/diseases_and_conditions/gi-osteoporosis.asp. Accessed April 15, 2010.
DS00441 Dec. 4, 2010

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