Polymyalgia rheumatica

Also called PMR

Polymyalgia rheumatica (PMR) is a condition that causes pain, stiffness and inflammation in the muscles around the shoulders, neck and hips. The stiffness is usually worst in the morning. It almost always affects people over 50 and is more common in women. The cause is not known.

Last updated Nov 9, 2026

What it is

It usually responds quickly to steroid tablets, which are then slowly reduced over 1 to 2 years. Bone protection may be offered while taking steroids.

Some people with PMR also develop giant cell arteritis, a related condition that needs urgent treatment.

Common signs

  • Pain and stiffness in both shoulders
  • Pain and stiffness in the neck and hips
  • Stiffness worst in the morning
  • Tiredness
  • Loss of appetite or weight
  • Feeling low

How it is usually diagnosed

  • Questions about symptoms and an examination
  • Blood tests for inflammation (ESR, CRP)
  • Checking how symptoms respond to steroids

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Inflammation blood test results over time
  • Steroid dose schedule
  • Rheumatology or GP letters
  • Bone density scan reports

Questions to ask your doctor

  • How long will I need steroids?
  • How should the dose be reduced?
  • Which symptoms of giant cell arteritis should I watch for?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A new headache, scalp tenderness, jaw pain when chewing, or any change in vision: get urgent help the same day

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources