Polymyalgia rheumatica (PMR) is an inflammatory condition causing severe pain and stiffness, primarily in the shoulders, neck, upper arms and hips. It typically affects people over 50 and can be severe enough to prevent any form of physical work — and in many cases, even desk-based roles due to the sustained discomfort.
Does PMR qualify for TPD?
PMR itself is treatable with corticosteroids, and many people achieve remission. However, for those with refractory PMR, frequent relapses, or significant complications — including the associated risk of giant cell arteritis (GCA) — the condition can cause permanent functional limitations that meet TPD criteria.
The key factors are:
- Whether your condition has been treatment-resistant or has relapsed repeatedly
- The level of functional limitation it causes on your ability to work
- Your rheumatologist's prognosis on long-term work capacity
Combined conditions
PMR commonly coexists with other conditions — GCA, osteoporosis (from corticosteroid use), cardiovascular disease. The combined picture may meet TPD criteria even where PMR alone would not.
Evidence to gather
- Rheumatologist reports covering diagnosis, treatment history and response
- Evidence of functional limitations in physical activity and work tasks
- GP records of time off work and ongoing care
Start with a free eligibility check.