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Stiff, achy shoulders and hips, worst in the morning

Also called: Polymyalgia rheumatica

Stiff, achy shoulders and hips, worst in the morning, in adults over 50 can be polymyalgia rheumatica. It responds well to treatment.

Common causesPolymyalgia rheumatica
Usually serious?Can be
Get checked ifOver 50 with these symptoms
If you think it's an emergency, call 911.Thinking about suicide? Call or text 988.

Overview

It can occur with giant cell arteritis.

Steroids help quickly.

When to get medical care

Call 911Sudden vision loss.
Get care todayHeadache, jaw pain, or vision changes.
See a doctor soonShoulder and hip stiffness.

Causes

Cause is unknown.

OwieClear has pages on 1 condition that can cause stiff, achy shoulders and hips, worst in the morning. Each shows how soon to get care.

Common causes

  • Polymyalgia rheumaticaSee a doctor if it doesn't get better

    Aching and stiffness in both shoulders and hips, worst in the morning and often lasting more than an hour.

What you can do at home

  • Stay active.

Medicines

Low-dose steroids.

At the doctor

Blood tests help.

Questions you may be asked

  • Stiffness

The exam

A joint exam.

Tests

  • Inflammation markers

Prevention

Early care.

  • Get checked early

Check your symptoms

Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.

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Sources

Last updated 2026-11-13.