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Autoimmune Diseases and Fatigue

Autoimmune Diseases | Last Active: Oct 4, 2023 | Replies (544)

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@ralphreetz

January 26, 2018 Ralph Reetz
My story has a similar beginning as to many others. It starts back to an unknown date sometime before 2011, at the age of 76, when I was finally diagnosed with what turned out to be SPORADIC Inclusion Body Myositis. Before 2011, I began to notice a very minor difficulty in arising from a chair and I suppose that was the actual beginning but it coincided with aging so it was dismissed. Also, in my case throughout the last 5 years the only pain is that which occurred after the more than two dozen falls. My good fortune is that I have no chronic pain. Most of my falls came from out of the blue and were instantaneous as a result of my knees buckling. It seems that the cause is a combination of weak muscles and balance issues. It also seems that when I fall it is the result of my not intensely concentrating on every step I take when walking and every individual stair that I place my foot upon. If I intensely concentrate, I believe that at this point in my IBM progression, I may be able to avoid the falls. It has been about 12 weeks since my last tumble. It is hard “mind” work but it beats falling.
I have just begun a light exercise program at the VA and at home and I find that there is a very thin line between over doing and not doing enough. As I see it and as it applies to IBM Exercise Therapy it is unscientific and seems to be almost blindly approached based on each individual’s ability. The Therapists simply cannot know the condition of our individual muscles. Therefore, there is a strong reliance on our feedback. The VA and I agreed that for me to begin using a walker (since my falls occur rarely when I am walking) would potentially result in an earlier dependence on a walker and a detriment to remaining mobile for a longer time. So there will be no walker for now. For me that is good news
I am able to drive with excellent reflexes (others that drive with me may suggest differently however they were suggesting that my driving was scary 30 years ago).
I have a permanent, moderately strange feeling (somewhat of a very slight numbness) in my leg muscles (calf and thigh) and my hands are noticeably weak.
Sorry for the many words. Thanks to all who post it helps me to keep my chin up!

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Replies to "January 26, 2018 Ralph Reetz My story has a similar beginning as to many others. It..."

Hello Ralph (@ralphreetz), welcome to Mayo Connect. Thank you so much for sharing your story in much detail. It is helpful for others reading through the discussions looking for their own answers. Connect is a great place to ask questions and learn what others with similar health problems are doing for treatments. I think you are spot on for the exercises. Each of us are different when it comes to therapy and I also don't believe one size fits all. I do think we have to do something to keep moving and help build up our core muscle strength. I'm wondering if the slight numbness may be peripheral neuropathy as it normally starts in the hands and feet. I have slipped and fallen a few times. I think I don't have the best balance and some of it's age related and some due to the neuropathy and weak muscles. The Foundation for Peripheral Neuropathy has some easy exercises to help with balance on their website here:
https://www.foundationforpn.org/living-well/lifestyle/exercise-and-physical-therapy/#balance
I also found some information related to peripheral neuropathy on the National Institutes of Health site that might interest you since it seems to describe the symptoms you are having with your sporadic inclusion body myositis.

Peripheral neuropathy associated with hereditary and sporadic inclusion body myositis: confirmation by electron microscopy and morphometry:
-- https://www.ncbi.nlm.nih.gov/pubmed/11054491

Thank you for being proactive and an advocate for yourself. It is the best thing we can do to help with our health problems.

John

@ralphreetz here are some more links that provide information on physical therapy for Myositis:

The Role of Physical Therapy in Myositis:
-- http://www.myositis.org/storage/documents/2011_Conference_Presentations/Myositis_and_Exercise_Part_1_-_PT_and_OT_Final.pdf

Physical Therapy and Myositis:
-- https://www.hss.edu/conditions_physical-therapy-and-myositis.asp

Journal of Clinical Neuromuscular Disease - "The Effectiveness of an Individualized, Home-Based Functional Exercise Program
for Patients With Sporadic Inclusion Body Myositis"
-- http://myositis.org.au/wp-content/uploads/2014/11/Johnson-L-home-exercise-program-in-IBM.pdf

John