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3, crestor 5 mg equivalent4 PHN may include allodynia (nonpainful stimulus perceived as painful), hyperpathia (slightly painful stimulus perceived as very painful) or dysesthesia (abnormal sensation with no stimuli) and symptoms may be sufficiently intense to interfere with sleep and other normal daily activites. As patients with PMR are frequently elderly, many have mobility problems and have challenges with many aspects of their daily living. Polymyalgia rheumatica is usually associated with an elevated erythrocyte sedimentation rate. Fatigue: Fatigue is experienced as a deep exhaustion that can be brought on by low levels of activity or for no apparent reason.