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Please sign in or register for free if you want to use this function. Sometimes, aching occurs at joints such as the hands and wrists. Achiness is always worse in the morning and improves as the day goes by. Yet inactivity, such as a long car ride or sitting too long in one position, may cause stiffness to return.
Stiffness may be so severe that it causes any of these problems:. The cause of polymyalgia rheumatica PMR is unknown. PMR does not result from side effects of medications. The abrupt onset of symptoms suggests the possibility of an infection but, so far, none has been found. Recent research suggests that inflammation in PMR involves the shoulder and hip joints themselves, and the bursae or sacs around these joints. So pains at the upper arms and thighs, in fact, start at the nearby shoulder and hip joints.
PMR should not be confused with fibromyalgia , a poorly understood syndrome that unlike PMR has no evidence of inflammation. Polymyalgia rheumatica may be hard to diagnose. Because rheumatologists are experts in diseases of the joints, muscles and bones, they can recognize the diagnosis of PMR and expertly manage its treatment. In PMR, results of blood tests to detect inflammation are most often abnormally high.
Both tests may be very elevated in PMR but, in some patients, these tests may have normal or only slightly high results. PMR can be hard to diagnose. Your health care providers should rule out other health problems, such as rheumatoid arthritis. If your doctor strongly suspects PMR, you will receive a trial of low-dose corticosteroids. Often, the dose is 10—15 milligrams per day of prednisone Deltasone, Orasone, etc. Advertising revenue supports our not-for-profit mission. This content does not have an English version.
This content does not have an Arabic version. Overview Polymyalgia rheumatica is an inflammatory disorder that causes muscle pain and stiffness, especially in the shoulders and hips.
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Share on: Facebook Twitter. Show references Docken WP. Clinical manifestations and diagnosis of polymyalgia rheumatica. Accessed April 1, Polymyalgia rheumatica. American College of Rheumatology. Camellino D, et al. Update on treatment of polymyalgia rheumatica. Docken WP.
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