A large proportion of elderly patients presenting to the clinic with complaints of persistent neck and shoulder discomfort, or lumbar and hip pain. No clear pathological signs are seen after a detailed physical examination, and although there are associated cervical metaplasia and lumbar metaplasia on the imaging films, their imaging presentation does not match the symptoms and does not explain all the conditions. Today we will tell you about a lesser known disease – rheumatic polymyalgia. Rheumatic polymyalgia is common in the elderly and is a syndrome characterized by persistent painful stiffness in the neck, scapular girdle, and pelvic girdle muscles. Rheumatic polymyalgia is a clinical syndrome that can be diagnosed based on its clinical manifestations after excluding other rheumatic diseases: 1. elderly people over 50 years old; 2. stiffness and pain in the neck, shoulder, low back or whole body for more than 4 weeks; 3. blood sedimentation >40mm/h; 4. good response to low-dose corticosteroid treatment. Disease interpretation: Firstly, the disease is a diagnosis of exclusion, the patient needs to exclude other similar diseases, and secondly, its diagnosis is mainly based on clinical manifestations, which requires the doctor to collect a detailed medical history and be able to apply the available knowledge to identify other diseases. The diseases that need to be distinguished are: rheumatoid; fibromyalgia syndrome; myofascial pain syndrome, etc. Prevention: 1, strengthen exercise, enhance physical fitness. 2, pay attention to keep warm and prevent cold. 3, combine work and rest, activity and rest should be moderate. Treatment: non-steroidal anti-inflammatory drugs; small doses of corticosteroids; physical therapy.