What is polymyalgia pain like?

The signs and symptoms of polymyalgia rheumatica usually occur on both sides of the body and might include: Aches or pain in your shoulders. Aches or pain in your neck, upper arms, buttocks, hips or thighs. Stiffness in affected areas, particularly in the morning or after being inactive for a time.

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Does polymyalgia hurt all the time?

The symptoms are different from the ache you may feel after exercise that your body isn't used to. The pain and stiffness from polymyalgia rheumatica is often widespread, and is worse when resting or after rest. Symptoms can improve with activity or as the day goes on. The pain may also wake you at night.

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What does a polymyalgia flare feel like?

Polymyalgia rheumatica (PMR) is a condition that causes pain, stiffness and inflammation in the muscles around the shoulders, neck and hips. The main symptom is muscle stiffness in the morning that lasts longer than 45 minutes. It may also cause other symptoms, including: high temperature (fever) and sweating.

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What can be mistaken for polymyalgia?

Polymyalgia rheumatica shares many symptoms with a range of other diseases, including:
  • rheumatoid arthritis (RA)
  • tendonitis or bursitis.
  • infections.
  • fibromyalgia.
  • Lyme disease.
  • spondyloarthropathy.
  • lupus.
  • vasculitis.

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How long does a bout of polymyalgia last?

Although your symptoms should improve within a few days of starting treatment, you'll probably need to continue taking a low dose of prednisolone for about 2 years. Polymyalgia rheumatica often improves on its own after this time. However, there's a chance it will return after treatment stops.

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Polymyalgia Rheumatica | Signs and Symptoms of PMR

34 related questions found

What aggravates polymyalgia?

Foods linked to increased inflammation include: refined carbohydrates, such as white bread or white rice. fried foods, such as french fries. sugary drinks.

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What causes polymyalgia to flare up?

An environmental exposure. New cases of polymyalgia rheumatica tend to come in cycles, possibly developing seasonally. This suggests that an environmental trigger, such as a virus, might play a role. But no specific virus has been shown to cause polymyalgia rheumatica.

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What foods trigger polymyalgia?

Since the main symptom of polymyalgia rheumatica is inflammation, it is extremely important to avoid foods that could worsen that. Foods that have been known to cause inflammation include fried foods, refined carbohydrates (like white bread), processed meat, and alcohol.

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Does polymyalgia show up in a blood test?

There's no specific test for polymyalgia rheumatica, but it's likely that a series of blood tests will be done. Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are blood tests that can be used to check the levels of inflammation in your body.

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How do I know if I have polymyalgia or fibromyalgia?

Similarities and differences in symptoms of polymyalgia and fibromyalgia include: The location of the pain. People with fibromyalgia often experience pain on both sides of the body, usually in 18 key places. People with polymyalgia typically feel stiffness and pain in their shoulders, back, and hip girdles.

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What happens if polymyalgia is left untreated?

Serious complications of PMR can also occur when patients develop GCA, which causes narrowing of the arteries in the head and the temples, resulting in persistent headaches, scalp tenderness and vision changes. Without treatment, GCA can result in stroke or blindness.

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Do you ever get rid of polymyalgia rheumatica?

Outlook (Prognosis) For most people, PMR goes away with treatment after 1 to 2 years. You might be able to stop taking medicines after this point, but check with your provider first. For some people, symptoms return after they reduce or stop taking corticosteroids.

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Which is worse fibromyalgia or polymyalgia?

Is Polymyalgia Rheumatica Worse Than Fibromyalgia? Every person's experience is different, so it's impossible to say definitively whether one disorder is worse than another. However, there are aspects of fibromyalgia that may make it harder to manage than PMR.

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How bad can polymyalgia get?

Up to 1 in 5 people with polymyalgia rheumatica develop a more serious condition called temporal arteritis (also known as giant cell arteritis), where the arteries in the head and neck become inflamed.

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Is polymyalgia an autoimmune disease?

Polymyalgia rheumatica is a rheumatic autoimmune inflammatory disease that affects the lining of the joints or around the joints (periarthritis) and, in rare cases, the arteries.

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Can polymyalgia affect your legs?

Symptoms may include muscle pain (myalgia) and stiffness in the neck, shoulders, upper arms, lower back, hips, and/or thighs. The lower arms, hands, lower legs, and feet (distal extremities) are not usually affected by this disorder.

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What are the red flags for PMR?

Features include abrupt onset headache (usually temporal) and temporal tenderness; visual disturbance, including diplopia; jaw or tongue claudication; prominence, beading, or diminished pulse on examination of the temporal artery; upper cranial nerve palsies; and limb claudication or other evidence of large vessel ...

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How does a doctor diagnose polymyalgia?

There is no single test to tell if you have polymyalgia rheumatica or giant cell arteritis. The doctor usually: Takes your medical history and performs a physical exam. He or she will likely examine the temporal arteries for evidence of swelling or tenderness, signs of giant cell arteritis.

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What is the first line treatment for polymyalgia rheumatica?

Polymyalgia rheumatica is usually treated with a low dose of an oral corticosteroid, such as prednisone (Rayos). You'll likely start to feel relief from pain and stiffness within the first two or three days.

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Does vitamin D help polymyalgia?

In a new study, investigators from Brigham and Women's Hospital found the people who took vitamin D, or vitamin D and omega-3 fatty acids, had a significantly lower rate of autoimmune diseases — such as rheumatoid arthritis, polymyalgia rheumatica, autoimmune thyroid disease, and psoriasis — than people who took a ...

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Is heat good for polymyalgia?

learn new ways to manage pain – there are many things you can do to manage pain – and different strategies will work for different situations. For example, heat packs can help ease muscle pain, cold packs can help with inflammation, gentle exercise can help relieve muscle tension.

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Can stress bring on polymyalgia?

Infections, traumatic injuries or sudden shocks such as bereavement or a period of high stress can trigger the onset of polymyalgia rheumatica.

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Can magnesium help polymyalgia?

Low levels of either can lead to muscle cramps from PMR – magnesium supplements help. As with all supplements, you should run them by your doctor or pharmacist. I've found it helpful to keep a daily pain and dosage log.

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Is polymyalgia a form of arthritis?

In the past, PMR was believed to be a type of rheumatoid arthritis in the aging population, however, the two conditions are different. Unlike RA, PMR does not cause permanent joint damage and does not typically affect the hands, wrists, knees, or feet.

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