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Polymyalgia rheumatica — keeping shoulders and hips moving

Bone & joint disease · Polymyalgia rheumatica (aching, stiff shoulders and hips)

How to use this sheet. Do the exercises slowly. Stop before the pain builds — mild discomfort is fine, sharp pain is not. A little every day beats a lot once a week. The stiffness is usually worst in the morning: do the exercises once it has eased, later in the day. Take the tablets exactly as prescribed; never stop them suddenly.

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Table slide

Table slide

Sit at a table, slide the hand forward, letting the body follow.

  • 10 times
  • 3 times a day

Should feel: A stretch at the end of the range Should not feel: Pinching at the top

Wall climb

Wall climb

Face a wall, walk the fingers up as high as comfortable, hold, then walk down.

  • 5 times
  • 3 times a day

Should feel: A stretch overhead Should not feel: Shrugging to cheat height

Standing hip abduction

Standing hip abduction

Hold a chair. Lift the leg out to the side, keeping the body upright.

  • 10 times
  • Daily each side

Should feel: The side of the hip working Should not feel: Leaning over

Standing hip extension

Standing hip extension

Hold a chair. Take the leg backwards, keeping it straight.

  • 10 times
  • Daily each side

Should feel: The buttock working Should not feel: Arching the back

Knee to chest

Knee to chest

Lie on your back. Bring one knee up towards your chest, hold, then lower slowly.

  • Hold 15 seconds
  • 5 each side

Should feel: A stretch in the lower back and buttock Should not feel: Leg pain getting worse

Walking

Walking

Walk daily, building distance slowly.

  • 20 minutes
  • Most days

Should feel: Easier walking Should not feel: Limping heavily — use a stick

Stop and telephone us if

  • A new headache, tenderness of the scalp, jaw pain while chewing, or any change in your vision — go to the hospital the same day
  • The muscles become truly weak: you cannot lift the arms or get up from a chair, even once the stiffness has eased
  • The pain and stiffness are not clearly better after starting the tablets
  • Pain at night, fever, or weight loss you cannot explain

Ready when you are.

Call either clinic during consulting hours, or send a WhatsApp message any time.