This sheet has been written for people affected by polymyalgia rheumatica. It provides general information to help you understand how you may be affected and what you can do to manage it. It also tells you where to find further information and advice

What is polymyalgia rheumatica?

Polymyalgia rheumatica means ‘pain in many muscles’. It is a condition that causes inflammation of the joints and tissues around the joints. This causes muscles to feel painful and stiff, especially in the shoulder, neck and hip areas. Polymyalgia rheumatica is different to fibromyalgia, a condition that does not cause inflammation.

What are the symptoms?

The main symptoms are:

muscle pain and stiffness in the upper arms, neck, buttocks and thighs on both sides of the body
pain and stiffness worse in the morning, and after not moving, such as after a long car ride or sitting too long in one position
difficulty sleeping and doing daily activities (for example, lifting the arms to put on a jacket, bending over to pull on shoes or getting up from a low chair) due to pain and stiffness.

Symptoms usually come on quickly, over several days or weeks and sometimes even overnight.

How is it diagnosed?

There is no single test that can diagnose polymyalgia rheumatica. Your doctor will diagnose polymyalgia rheumatica from your symptoms, a physical examination and blood tests that measure levels of inflammation.
These tests measure the erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP) blood level. However some people with polymyalgia rheumatica can have normal blood tests. It may take several visits before your doctor can tell if you have polymyalgia rheumatica as the symptoms can be like other types of arthritis

What will happen to me?

The good news is that the symptoms of polymyalgia rheumatica usually improve with treatment. In fact, most people find their symptoms improve dramatically within a few days of starting treatment. It usually takes between several months to three years for polymyalgia rheumatica to settle completely. Most people will need to continue treatment during this time to keep the symptoms under control. Polymyalgia rheumatica can return, particularly when you stop treatment, however this is rare if you have been free of symptoms for some time. The good news is that polymyalgia rheumatica does not cause permanent damage to the joints.

What treatments are there for polymyalgia rheumatica?

Treatment for polymyalgia rheumatica usually involves medicines called corticosteroids. Your doctor will usually start you on a dose that relieves your symptoms, and then slowly reduce the dose to the lowest possible amount that keeps you symptom free. Corticosteroids can cause side effects so it is important to be reviewed regularly by your doctor while taking these medicines.

What can I do?

See a doctor and start treatment. Your doctor will make sure you get the right treatment to manage your symptoms. Your doctor may refer you to a Rheumatologist, a doctor who specialises in arthritis, if your condition is difficult to control.

Learn about polymyalgia rheumatica and play an active role in your treatment. Not all information you read or hear about is trustworthy so always talk to your doctor or healthcare team about treatments you are thinking about trying. Reliable sources of further information are also listed in the section below. Self management courses aim to help you develop skills to be actively involved in your healthcare.

Learn ways to manage pain.

Live a healthy life. Stay physically active, eat a healthy diet, stop smoking and reduce stress to help your overall health and wellbeing.

Acknowledge your feelings and seek support. Having polymyalgia rheumatica can turn your everyday life upside down. As such it is natural to feel scared, frustrated, sad and sometimes angry. Be aware of these feelings and get help if they start affecting your daily life.

Giant cell arteritis

About one in five people with polymyalgia rheumatica may also develop a serious condition called giant cell arteritis or temporal arteritis. In this condition, the blood vessels, usually on the side of the head, become inflamed. It is diagnosed by looking at a small piece of blood vessel from your forehead (a biopsy) under a microscope. If it is not treated giant cell arteritis can cause permanent damage, such as blindness. If you have headaches, blurred or double vision, pain in the jaw muscles when chewing or the side of your head is sore to touch or swollen, you should see your doctor straight away.

© Copyright Arthritis Australia 2007. Reviewed May 2015.
Disclaimer: This sheet is published by Arthritis Australia for information purposes only and should not be used in place of professional advice.

Source: A full list of the references used to compile this sheet is available from your local Arthritis Office. The Australian General Practice Network, Australian Physiotherapy Association, Australian Practice Nurses Association, Pharmaceutical Society of Australia and Royal Australian College of General Practitioners contributed to the development of this information sheet. The Australian Government has provided funding to support this project.

What is a Rheumatologist?

A Rheumatologist is a specialist physician who has expertise in diagnosing and treating diseases of the joints, muscles and bones. Sometimes the term rheumatic disease or ‘rheumatism’ is used to describe this group of diseases.

There are also a number of rarer rheumatic conditions that can affect other parts of the body including the skin, hair and internal organs. These include “lupus”, myositis, vasculitis and scleroderma.

The more common rheumatic diseases include:

Rheumatoid Arthritis
Psoriatic Arthritis
Ankylosing Spondylitis
Gout
Back and neck pain
Osteoarthritis
Muscle and tendon injury/tear
Tendonitis
Fibromyalgia
Polymyalgia Rheumatica
Bone Disease
Osteoporosis
Paget’s disease

What do you charge for consultations?

Initial Consultation Fees

Our full private rate for an initial appointment is $380 (which comes down to $145 after your Medicare Rebate of $234.85 is refunded to you)
Our Health Care Card/Full-time Student/COVID rate is $320 ( (which comes down to $85 after your Medicare Rebate of $234.85 is refunded to you)
Our Pension rate is $290 ( (which comes down to $55 after your Medicare Rebate of $234.85 is refunded to you)

Follow-up/Review Appointment Fees

Our full private rate for a review appointment is $140 (which comes down to $145 after your Medicare Rebate of $67.20 is refunded to you)
Our Health Care Card/Full-time Student/COVID rate for a review appointment is $140 (which comes down to $53 after your Medicare Rebate of $67.20 is refunded to you)
Our Pension rate for a review appointment is $100 (which comes down to $33 after your Medicare Rebate of $67.20 is refunded to you)

Do you Bulk Bill?

We don't bulk bill for appointments with our Rheumatologists. However, we do offer a once-a-week option for you to be seen by a Rheumatology Registrar (a doctor who is close to completing his/her advanced training to become a Rheumatologist). You can be seen by the Registrar, and Dr Peter Landsberg will also meet with you for part of that appointment in his role of supervising the Registrar and to check in on your management plan.

Do you offer Telehealth Appointments?

We definitely do offer Telehealth or online video consultation appointments. Especially in these times of COVID-19 disrupting our ability to set up face-to-face meetings for our immune-suppressed patients. But, we do very much prefer to see you in person for your first appointment.

We believe that this is critical to ensure that we are able to most accurately diagnose and map out the best management plan for your condition. Some things just can't be done well online and we pride ourselves on looking after you as best as we can.

After that initial appointment, once we have met with you and we understand you and your condition, we then feel confident that we can move to Telehealth appointments and offer optimal quality for your ongoing personal care plan.