Polymyalgia rheumatica (PMR) is a relatively common condition seen in older people characterised by muscle stiffness and raised inflammatory markers.

Appears to be closely related to temporal arteritis

PC

• typically patient > 60 years old
• usually rapid onset (e.g. < 1 month)
• aching, morning stiffness in proximal limb muscles
  • weakness is not considered a symptom of polymyalgia rheumatica
• also mild polyarthralgia, lethargy, depression, low-grade fever, anorexia, night sweats

Investigations

• raised inflammatory markers e.g. ESR > 40 mm/hr
• note creatine kinase and EMG normal

Management

• prednisolone e.g. 15mg/od
  • patients typically respond dramatically to steroids, failure to do so should prompt consideration of an alternative diagnosis