Polymyalgia Rheumatica: A Guide to Managing Pain and Stiffness Effectively
Polymyalgia rheumatica (PMR) is an inflammatory condition that typically affects adults aged 50 and older. It’s characterized by muscle pain and stiffness that are usually worse in the morning, though symptoms can happen any time of day, affecting mobility and quality of life.
Double-board-certified rheumatologist Padma Chimata, MD, FACP, AGS, and our caring team at Katy Rheumatology & Associates in Katy, Texas, help patients manage PMR with a combination of lifestyle changes and specialized therapy.
In this month’s blog, we take a closer look at common PMR symptoms, potential treatment options, and when to see a doctor for professional help.
Recognizing the symptoms of PMR
PMR is a chronic inflammatory condition that often resembles rheumatoid arthritis (RA). The main difference is that it typically causes pain and stiffness in the major muscle groups of the hips, shoulders, and neck — rather than primarily affecting the smaller joints, such as those in the hands and feet.
Other telltale signs of PMR include:
- Muscle fatigue and weakness
- Muscle stiffness that’s worse in the morning or after periods of rest
- Loss of appetite; weight loss
- Swelling in the hands and wrists
PMR mainly affects adults aged 50 and older, and it’s two to three times more common in women than men.
Because its symptoms mimic fibromyalgia and various types of arthritis, professional diagnosis is key. Without prompt treatment, PMR-related muscle pain and stiffness can worsen, interfering with daily activities such as work and exercise.
When to see a doctor
Make an appointment with Dr. Chimata if you have severe muscle pain and stiffness in your shoulders, hips, or neck. This is especially important if your symptoms don’t improve with at-home treatments, like over-the-counter (OTC) pain medication, ice and heat therapy, or rest.
Beyond providing symptom relief, working with a qualified provider can help keep PMR under control. Timely treatment lowers the risk of worsening stiffness and protects your mobility so you can stay active.
Oral corticosteroids: The first-line treatment for PMR
The good news is that PMR can be effectively treated with prescription medication, most commonly corticosteroids. For example, a low daily dose of prednisone can quickly reduce inflammation and stiffness, making it easier to move comfortably.
After beginning corticosteroid treatment, many patients report significant symptom relief. When this happens, we gradually taper the dosage over time, giving your body a chance to adjust. If pain or stiffness continues or worsens, we may prescribe other medications to help manage symptoms and reduce reliance on steroids while minimizing side effects.
In addition to medication, we recommend healthy lifestyle changes, such as regular exercise. Setting aside at least 30 minutes each day to walk, ride a stationary bike, or swim can help build muscle strength and keep your joints flexible and healthy.
Eating a balanced diet is equally important. Consuming foods rich in vitamin D and calcium supports your bones and may help offset some of the risks associated with long-term corticosteroid use.
Get screened for PMR today
PMR isn’t as well-known as osteoarthritis and fibromyalgia, but it can have similarly damaging effects on your mobility and quality of life. Luckily, it’s also treatable — and we’re here to help.
After a symptom evaluation, physical exam, and lab tests, we can identify the source of your discomfort and help you find relief, so you can move and live more comfortably once again.
If you’re concerned you might have PMR, call Katy Rheumatology & Associates in Katy, Texas, today, or use our online booking feature to schedule an appointment at your convenience.
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We are excited to announce that Dr. Padma R. Chimata has been elected as the 2026 President of the Harris County Medical Society West Branch!
