Many people with polymyalgia rheumatica say that, in the early days, they are experiencing so much discomfort that any pressure or manipulation would be quite unpleasant for them. So, for example, people who have enjoyed massage in the past may find it uncomfortable. But a physiotherapist should be able to give advice on stretching and strengthening exercises that will improve mobility and keep you in good shape as you move towards recovery. After long-term steroid treatment there can be some damage to ligaments and tendons (e.g. ‘rotator cuff syndrome’), and if you are unlucky enough to have this, you may find that advice from a physiotherapist can be helpful.