Polymyalgia Rheumatica

Rheumatology

Overview

Definition

Inflammatory disorder causing muscle pain and stiffness, especially in shoulders and hips.

Epidemiology

Exclusively affects adults > 50 years.

Etiology & Risk Factors

  • Unknown inflammatory cause

Clinical Symptoms

  • Severe bilateral pain/stiffness in shoulders, neck, and hips
  • Worse in the morning
  • No profound muscle weakness

Clinical Approach

Diagnosis

  • Elevated ESR and CRP
  • Rapid response to low-dose steroids

Management

  • Low-dose Corticosteroids (Prednisone 10-20 mg/day)

Complications

  • Giant Cell Arteritis (Temporal Arteritis) - medical emergency causing blindness