What is a key sign of polymyalgia rheumatica?

Polymyalgia rheumatica is characterized by specific symptoms, with neck and shoulder stiffness being a hallmark sign. This condition typically presents with bilateral pain and stiffness in the proximal muscle areas, particularly around the neck, shoulders, and hips. The stiffness is usually worse in the morning and may improve with activity throughout the day. Patients often describe the pain as a deep ache that limits their range of motion and functionality.

While other symptoms can accompany polymyalgia rheumatica, such as mild fever and elevated inflammatory markers, the distinctive neck and shoulder stiffness is essential for diagnosis. This symptom helps differentiate polymyalgia rheumatica from other musculoskeletal conditions, emphasizing the importance of recognizing it during patient assessments.