Polymyalgia rheumatica (musculoskeletal manifestations)

Musculoskeletal manifestations of polymyalgia rheumatica are the commonest presentation of polymyalgia rheumatica.

Polymyalgia rheumatica is the most common inflammatory rheumatic condition in older adults 1.

Patients typically present with 1:

  • shoulder or pelvic girdle aches lasting over 2 weeks
  • morning shoulder or pelvic girdle stiffness
  • raised inflammatory markers (e.g. ESR)

Although usually not required ultrasound may commonly show 2:

  • bilateral subacromial bursitis
  • biceps long head tenosynovitis
  • trochanteric bursitis

Treatment is usually low dose corticosteroids which most patients respond well to 1

Article information

rID: 65985
Synonyms or Alternate Spellings:
  • polymyalgia rheumatica
  • PMR

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