← Return to Tapering and Dealing with a Flareup

Discussion

Tapering and Dealing with a Flareup

Polymyalgia Rheumatica (PMR) | Last Active: May 30 12:11pm | Replies (32)

Comment receiving replies
@dadcue

Good question ... what a flare is to one person isn't a flare to another person. This stems from the misconception that we should be "pain free." Nobody ever promised me that my life would be pain free just because I took Prednisone. It isn't helpful when people increase their Prednisone dose for "niggles" of pain when another intervention would be better.

Another problem is when something hurts for "no apparent reason." People like to call it a PMR flare or somehow related to PMR. Prednisone is very effective at relieving all kinds of pain and not just PMR pain. When the pain is relieved with Prednisone, it reinforces the idea that it must be a "PMR flare" or somehow caused by PMR. I did this even though the pain was not at all similar to the pain I felt when PMR was diagnosed.

I would increase my Prednisone dose and say it was PMR related. I did this even when I was presented with evidence to the contrary. I had osteoarthritis everywhere they looked and I still think it is autoimmune related. I miss prednisone because it made my osteoarthritis feel better than it does now. I won't take prednisone again because I now accept the fact that I have osteoarthritis.

Jump to this post


Replies to "Good question ... what a flare is to one person isn't a flare to another person...."

Thanks @dadcue - that really helps me as it sounds familiar. I saw lots of people increasing their dose or going back on for a week or two and I worried about that for two reasons. First, you have to get the inflammation down but second, if it is nothing like full blown PMR then that’s dangerous territory. It’s a very dangerous drug but of course is the only thing that works for the real PMR. As noted, we are nearly all getting on in years when we get this so it’s hard to separate aging stiffness from what might be a flare. I’ve avoided taking anything other than Panadol 3 times in the last six months when it was needed to move without fear of aches and stiffness at a funeral and when travelling. Otherwise I’ve found that as hard as it is to get going some days exercise is the best medicine, if you can manage it. It helps osteoarthritis, which I have, although mildly. I guess it’s a personal choice but I listen to my GP. Markers are completely normal. When I was in agony they weren’t. So, for me, blood markers are the key. My husbands aunt had it in her 70’s and lived to 100. That was even after they gave her a ridiculously high dose at first of 60mg (now the standard is 15mg) and caused her to have a mini heart attack. As I say, it’s not a drug to play with at all.

I’m so thankful for all the responses as I can now trust my own instincts, as others have done.