PMR is an inflammatory condition that causes severe pain and stiffness in the muscles of your neck, back, shoulders, and hips.
Doctors don't know what causes PMR. People have inflammation in their joints and the tissues around the joints, such as the tendons (tendinitis Tendinitis and Tenosynovitis Tendinitis is inflammation of a tendon. Tenosynovitis is tendinitis accompanied by inflammation of the protective covering around the tendon (tendon sheath). The cause is not always known. Tendons... read more ), and bursa (bursitis Bursitis Bursitis is painful inflammation of a bursa (a flat, fluid-filled sac that provides cushioning where skin, muscles, tendons, and ligaments rub over bones). Movement is usually painful, and bursae... read more ).
Symptoms can happen suddenly or develop slowly. They usually include:
The pain and stiffness may keep you from doing your normal daily activities.
You may feel sick all over, lose your appetite, and be tired and depressed.
A lot of people who have a blood vessel disease called giant cell arteritis Giant Cell Arteritis Giant cell arteritis is chronic inflammation of large and medium arteries of the head, neck, and upper body. Typically affected are the temporal arteries, which run through the temples and provide... read more also have PMR. And some people with PMR develop giant cell arteritis. In giant cell arteritis, your immune system attacks the lining of your blood vessels. It can affect the blood vessels in your eye and cause blindness if not treated.
Tell your doctor if you have symptoms of giant cell arteritis, including:
Doctors treat PMR with:
Most people with PMR feel much better very quickly when treated with corticosteroids. If you get better quickly, doctors are quite sure that you have PMR.
You usually need to take medicine for at least a year. Then the dose can be slowly lowered. PMR can come back again.
People who take corticosteroids for a long time can develop: