Is it advisable to do exercise when affected by Polymyalgia Rheumatica? Which activities would you suggest and how intense should they be?

Polymyalgia Rheumatica (PMR) is a condition characterized by pain and stiffness in the muscles, typically in the shoulders, neck, and hips. It primarily affects individuals over the age of 50. While exercise may seem counterintuitive when dealing with pain and inflammation, it can actually be beneficial for managing PMR symptoms and improving overall well-being.

Engaging in regular exercise can help alleviate stiffness, increase flexibility, and improve muscle strength. However, it is important to approach exercise with caution and tailor it to your individual capabilities and limitations. Here are some recommended activities for individuals with PMR:

1. Low-impact aerobic exercises: Activities such as walking, swimming, and cycling are gentle on the joints and can help improve cardiovascular health without putting excessive strain on the muscles.


2. Range-of-motion exercises: These exercises aim to maintain or improve joint flexibility. Gentle stretching, yoga, and tai chi can be beneficial in reducing stiffness and increasing mobility.


3. Strength training: Light resistance exercises using weights or resistance bands can help improve muscle strength and support joint stability. It is important to start with low weights and gradually increase intensity to avoid overexertion.


4. Balance exercises: Incorporating exercises that improve balance, such as standing on one leg or using a balance board, can help prevent falls and maintain stability.

When starting an exercise routine with PMR, it is crucial to listen to your body and not push yourself beyond your limits. Begin with shorter durations and lower intensities, gradually increasing as your body adapts. It is recommended to consult with a healthcare professional or a physical therapist who can provide personalized guidance and create an exercise plan tailored to your specific needs.

Additionally, it is important to warm up before exercising and cool down afterward to prevent injury and reduce muscle soreness. Applying heat or cold packs to affected areas before and after exercise can also help alleviate pain and inflammation.

Remember to pace yourself and take breaks when needed. Overexertion can lead to increased pain and fatigue. If you experience severe pain or any unusual symptoms during or after exercise, it is essential to stop and seek medical advice.

In conclusion, exercise can be beneficial for individuals with PMR, helping to manage symptoms, improve mobility, and enhance overall well-being. However, it is crucial to approach exercise with caution, start slowly, and gradually increase intensity. Consulting with a healthcare professional is highly recommended to ensure a safe and effective exercise routine.