Persistent pain in older adults is often attributed to ageing, arthritis or general wear and tear. Yet in some cases, the true cause is an inflammatory condition that remains frequently overlooked: polymyalgia rheumatica.
Polymyalgia rheumatica, commonly referred to as PMR, primarily affects individuals over the age of 50 and is particularly common in adults over 70. Despite its prevalence, it is often misdiagnosed because its symptoms resemble other musculoskeletal disorders.
Early recognition is essential. When treated promptly, PMR responds well to medication and can significantly improve quality of life.
What Is Polymyalgia Rheumatica?
Find YOUR ideal care home NOW!
Polymyalgia rheumatica is an inflammatory disorder that causes muscle pain and stiffness, especially in the shoulders, neck and hips. The stiffness is often most severe in the morning or after periods of inactivity.
Unlike osteoarthritis, which is caused by joint degeneration, PMR is driven by systemic inflammation. Blood tests often show elevated inflammatory markers such as ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein).
The condition can appear suddenly, sometimes within days, and may significantly limit mobility.
Why Is It Often Misdiagnosed?
PMR symptoms overlap with many common age-related conditions. Shoulder stiffness may be mistaken for frozen shoulder. Hip discomfort may be attributed to arthritis. General fatigue may be dismissed as normal ageing.
Additionally, older adults sometimes underreport pain or assume discomfort is inevitable. Without targeted blood tests and clinical evaluation, PMR can be overlooked.
Delayed diagnosis prolongs suffering and may increase the risk of complications.
Common Symptoms of Polymyalgia Rheumatica
The presentation of PMR follows a recognisable pattern. The following table highlights the main symptoms and distinguishing features.
| Symptom | How It Appears | Why It Matters |
|---|---|---|
| Shoulder stiffness | Difficulty raising arms | Classic early sign |
| Hip and thigh pain | Trouble standing or walking | Impacts mobility |
| Morning stiffness | Lasts more than 45 minutes | Distinguishes from mild arthritis |
| Fatigue | Low energy and weakness | May be misinterpreted as ageing |
| Low-grade fever | Mild temperature elevation | Signals inflammatory origin |
Recognising this pattern is key to early medical intervention.
The Link with Giant Cell Arteritis
Polymyalgia rheumatica is sometimes associated with a more serious inflammatory condition called giant cell arteritis. This condition affects the arteries and may cause headaches, scalp tenderness or vision disturbances.
If symptoms such as sudden visual changes or severe headaches occur, urgent medical attention is required.
The overlap between PMR and giant cell arteritis highlights the importance of professional assessment rather than self-diagnosis.
Diagnosis and Treatment
Diagnosis relies on clinical assessment, symptom history and blood tests measuring inflammatory markers. In some cases, imaging may be used to exclude other conditions.
The standard treatment for PMR is low-dose corticosteroids. Most patients experience rapid improvement within days of starting medication. The treatment course often lasts one to two years, with gradual dose reduction.
Regular monitoring is essential to manage side effects and adjust dosage safely.
The Impact on Daily Life
Untreated polymyalgia rheumatica can significantly reduce independence. Simple activities such as dressing, lifting objects or rising from a chair may become painful.
Persistent pain may also affect emotional wellbeing. Chronic discomfort increases the risk of depression and social withdrawal in older adults.
Prompt treatment restores mobility and improves overall quality of life.
FAQ: Polymyalgia Rheumatica in Seniors
What age group is most affected by polymyalgia rheumatica?
PMR primarily affects adults over 50 and is most common in those over 70.
How is polymyalgia rheumatica diagnosed?
Diagnosis is based on symptom history and elevated inflammatory markers in blood tests.
Can polymyalgia rheumatica go away on its own?
The condition typically requires medical treatment. Without treatment, symptoms may persist or worsen.
Is polymyalgia rheumatica the same as arthritis?
No. PMR is an inflammatory condition affecting muscles and soft tissues, not joint degeneration.
How long does treatment last?
Treatment often lasts one to two years with gradual tapering of corticosteroids.
Need help finding a care home?
Senior Home Plus offers free personalized guidance to help you find a care facility that suits your health needs, budget, and preferred location in the UK.
Call us at 0203 608 0055 to get expert assistance today.
Search for Care Homes by Region in the UK
| East Midlands | Eastern | Isle of Man |
| London | North East | North West |
| Northern Ireland | Scotland | South East |
| South West | Wales | West Midlands |
| Yorkshire and the Humber |
You are looking for a care home or nursing home for your loved one ?
Share this article :
Latest posts
You are looking for an establishment for your loved one ?
Get availability & prices
Fill in this form and receive
all the essential information
We would like to inform you of the existence of the opposition list for telephone canvassing.
