Hypothyroidism [top]

  • Weight gain
  • Coarse skin
  • Constipation, change in bowel habit
  • Bradycardia
  • Hoarseness, menorrhagia muscle stiffness

Myositis [top]

  • Progressive onset of muscle stiffness and weakness muscle stiffness muscle weakness
  • May cause proximal muscle weakness - difficulty sitting from standing
  • Elevated CK

Fibromyalgia [top]

  • Chronic widespread pain
  • Fatigue
  • Sleep disturbance
  • Increased pain in response to tactile pressure

Polymyalgia rheumatica [top]

  • Gradual onset of pain and stiffness of proximal muscles usually in the elderly
  • Fatigue, fever, greatly elevated ESR
  • A manifestation of Giant cell arteritis, associated with Temporal arteritis

Exercise [top]

  • History of preceding strenuous exercise