It takes its name from the Greek word Πολυμυαλγία polymyalgia, which means "pain in many muscles". Signs and symptoms
A wide range of symptoms can indicate if a person has polymyalgia rheumatica. The classic symptoms include:
Pain and stiffness (moderate to severe) in the neck, shoulders, upper arms, thighs, and hips, which inhibits activity, especially in the morning/after sleeping. Pain can also occur in the groin area and in the buttocks. The pain can be limited to one of these areas as well. It is a disease of the "girdles" meaning shoulder girdle or pelvic girdle. Fatigue and lack of appetite (possibly leading to weight loss)
Anemia
An overall feeling of illness or flu-like symptoms. Low-grade (mild) fever or abnormal temperature is sometimes present. In most people, it is characterized by constant fatigue, weakness and sometimes exhaustion.About 15% of people who are diagnosed with polymyalgia rheumatica also have temporal arteritis, and about 50% of people with temporal arteritis have polymyalgia rheumatica. Some symptoms of temporal arteritis include headaches, scalp tenderness, jaw or facial soreness, distorted vision, or aching in the limbs caused by decreased blood flow, and fatigue. Causes
The cause of PMR is not well understood. The pain and stiffness result from the activity of inflammatory cells and proteins that are normally a part of the bodys disease-fighting immune system, and the inflammatory activity seems to be concentrated in tissues surrounding the affected joints. During this disorder, the white blood cells in the body attack the lining of the joints, causing inflammation.
The process is sometimes represented with the IPA [m͊] and [n͊], which simply places the IPA ◌͊ denasalization diacritic on [m] and [n] to show the underlying phoneme.In speech pathology, practice varies in whether ⟨m͊⟩ is a partially denasalized /m/, with ⟨b⟩ for full denasalization, or is a target /m/ whether partially denasalized or a fully denasalized [b]. See also
Nasalization
Hypernasal speech


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