** 1. polymyositis is a connective tissue diseases characterised by inflammation of muscles and have an autoimmune basis, and going by your symptoms it looks to be proximal myopathy [difficulty in walking/climbing] and since distal muscles are spared thus fine movement of hands are affected late in the course. 2. . Active/Passive Exercise to maintain muscular strength [physiotherapist and occupational therapist]. . speech and language therapist may help with difficulties of swallowing. . Monitor creatine kinase and clinical response. 3. In Ayurveda we usually treat the disease on the basis of Mansmedogat Vaat [Myopathy/Myalgia], you may consult an Ayurveda physician regarding use of Lauha Bhasma, Chandraprabha Vati, Navak guggulu, Panchskar Churan, trifla kwath.