Polymyalgia rheumatica is an inflammatory condition causing stiffness in the hips and shoulders, mainly affecting those over 50. Symptoms may appear suddenly or gradually and are often mistaken for fibromyalgia. It is also linked to giant cell arteritis. Here are key signs to watch for.

Shoulder Pain

Polymyalgia rheumatica often begins with aching shoulder pain on both sides, making daily tasks difficult. The pain can spread to the upper arms, worsen at night, and disrupt sleep.

Neck, Buttock, Thigh, Hip, and Upper Arm Pain

The pain usually begins in the shoulders but can also affect the hips, upper arms, buttocks, thighs, and neck. It may worsen after repetitive movement or prolonged inactivity, making it difficult to sit, bend, or stand up.

Stiffness

A key symptom of polymyalgia rheumatica is severe morning stiffness, often lasting over an hour. Patients describe their muscles as “locking up” after waking or sitting for long periods, making movement painful. Mild activity may help, but without treatment, mobility can decline over time.

Limited Range of Motion