Polymyalgia rheumatica symptoms
Polymyalgia rheumatica (PMR) is an inflammatory condition causing pain and stiffness in the shoulders, neck, and hips. It almost always starts after age 50 and affects women more often than men.
Common symptoms of polymyalgia rheumatica
- Bilateral shoulder and hip-girdle stiffness, worst in the morning
- Morning stiffness lasting more than 45 minutes
- Difficulty getting out of bed, rising from a chair, or raising arms
- Aching across the upper arms, thighs, and buttocks
- Tiredness, low mood, and a general feeling of being unwell
- Possible mild fever or weight loss in some cases
When to see your GP
See your GP promptly if you're over 50 and develop new bilateral shoulder and hip stiffness lasting more than two weeks. Urgent review is needed if you also have new severe headache or vision changes (possible giant cell arteritis).
This is general information, not a substitute for personalised medical advice.
Frequently asked questions
What are the first signs of polymyalgia rheumatica?
The earliest signs of polymyalgia rheumatica often include joint pain, stiffness — particularly in the morning or after rest — and reduced flexibility in the affected area. Symptoms typically develop gradually, so keep a short symptom diary and speak to your GP if pain persists for more than a few weeks.
How is polymyalgia rheumatica diagnosed in the UK?
In the UK, GPs diagnose polymyalgia rheumatica from your symptoms, a clinical examination, and — where appropriate — blood tests, X-rays, ultrasound or MRI. For inflammatory types, your GP may refer you to UK healthcare rheumatology for specialist review under NICE guidance.
Can pmr symptoms come and go?
Yes. Many people with pmr experience flares — periods of worse pain, swelling and stiffness — followed by quieter spells. Tracking your flares helps you and your GP spot triggers and adjust treatment.
When should I see a GP about polymyalgia rheumatica symptoms?
Book a GP appointment if joint pain has lasted more than a few weeks, is interfering with sleep or daily life, or is accompanied by swelling, warmth, locking or unexplained fatigue. Early assessment leads to better long-term outcomes.
Is polymyalgia rheumatica the same as general arthritis pain?
No — there are over 100 forms of arthritis, and polymyalgia rheumatica has its own pattern of symptoms, affected joints and treatment pathway. Getting the right diagnosis matters because the most effective treatments differ between conditions.