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A wide range of symptoms can indicate if a person has polymyalgia rheumatica. The classic symptoms include: [2] [11] Pain and stiffness (moderate to severe) in the neck, shoulders, upper arms, thighs, and hips, which inhibits activity, especially in the morning, but which usually persists to some degree throughout the day.
The left image shows the wall push test, right image shows attempted shoulder flexion. After the facial weakness, weakness usually develops in the muscles of the chest and those that span from the scapula to the thorax. Symptoms involving the shoulder, such as difficulty working with the arms overhead, are the initial complaint in 80% of cases.
This syndrome can begin with severe shoulder or arm pain followed by weakness and numbness. [5] Those with Parsonage–Turner experience acute, sudden-onset pain radiating from the shoulder to the upper arm. Affected muscles become weak and atrophied, and in advanced cases, paralyzed. Occasionally, there will be no pain and just paralysis, and ...
Face, shoulders, upper arms, progressing to other muscles Causes progressive weakness, initially in the muscles of the face, shoulders, and upper arms. Additional muscles are often affected. [20] Affected individuals can become severely disabled, with 20% requiring a wheelchair by age 50. [21] 30% of cases involve spontaneous mutations. [21]
Weakness comes on slowly (over months to years) in an asymmetric manner and progresses steadily, leading to severe weakness and wasting of arm and leg muscles. IBM is more common in men than women. [10] Patients may become unable to perform activities of daily living and most require assistive devices within 5 to 10 years of symptom onset.
Explicitly, LGMD preferentially affects muscles of the hip girdle, thigh, shoulder girdle, and/or upper arm. [8] [6] The muscle weakness is generally symmetric. [11] Usually, the hip girdle is the first area to exhibit weakness, [2] manifesting as difficulty walking, going up and/or downstairs, rising from a chair, bending at the waist, or ...
The condition is more common in women than in men (70% of patients are women aged 40–60). People with diabetes, stroke, lung disease, rheumatoid arthritis, or heart disease are at a higher risk for frozen shoulder. Symptoms in people with diabetes may be more protracted than in the non-diabetic population. [31]
A study of 1,188 ALS cases in London between 1993 and 2007, and 432 in Melbourne, classified cases as flail arm syndrome when in the first 12 months only a weakness of upper limbs was reported. [8] Based on this criterium, 135 cases or 11% were classified as flail arm syndrome. At later stages, weakening of lower limbs and other ALS symptoms ...