For most people, shoulder pain is the first noticeable symptom of PMR. The discomfort typically affects both shoulders and worsens at night, making it difficult to sleep.
Common complaints include:
- Difficulty raising arms above the head (making simple tasks like putting on a shirt or reaching for objects painful).
- A deep, persistent ache in the upper arms.
- Pain that spreads from the shoulders to the upper back and chest.
The pain can come on suddenly or develop gradually over several days, which is why it’s often dismissed as a minor strain at first.
Hips, neck, buttocks, thighs, and upper arms:
While shoulder pain is the most common symptom, PMR also causes aching in other major muscle groups, including:
- Hips and thighs – Makes it difficult to walk, climb stairs, or get out of a chair.
- Neck stiffness – Turning the head is difficult.
- Upper arms and buttocks – Lifting objects or prolonged sitting is uncomfortable.
This deep, aching pain is not relieved by rest and often worsens after repetitive movements or long periods of inactivity.
Stiffness: The telltale sign:
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