&Polymyalgia Rheumatica=Polymyalgia rheumatica is classically characterized by a subacute or chronic onset of aching and morning stiffness in the shoulders, hip girdles, neck and torso in patients over the age of 50. The symptoms are usually symmetric, but asymmetric pain can occur. Difficulty with activities related to the shoulder and hip stiffness may be described by the patient as trouble dressing. Some patients also complain of malaise, fatigue, anorexia, weight loss, and fever, but the high spiking fever that can occur in GCA is rare in patients who have only PMR. ESR is usually elevated in both conditions. Synovitis and bursitis are considered to be the causes of the discomfort and stiffness found among patients with PMR.