Can PMR be induced by Exercise

Posted by mcarso @mcarso, Oct 7, 2023

Just a theory; I been treated for PMR since April 2023. It began after I stated new exercises for my legs (which I haven’t done for years) mostly the consisted of sumo squats among other exercises. Right after I stated this routine I stated to develop pain in my leg which I just thought was muscle pain, mostly my adductor tendons between the legs were the major problem. This soon spread throughout my legs back shoulders, arms; yo know the symptoms. I was finally diagnosed with PMR in May by my rumo Doctor; placed on 15mg of prednisone and currently done to 7mg. I started my normal weight lifting routine around 4 months ago starting with lifts weights working up to my normal weight. Around a 2 weeks ago I started doing the leg routine again just doing the sumo squats very light weight (10 pounds) working up to 30 pounds. I stopped doing these due to my adductor tendons acting up again.
Could this be the reason why I got the PMR in the first place? Seem very coincidental. Now I run on the elliptical and walk hills all prior to doing these latest sumo squats.
Just throwing this there. I’m 70 years old never had RA or arthritis of any kind all X-rays on joints are normal. My only current pain is very mild in my fingers on both hands in the morning. Weird

Interested in more discussions like this? Go to the Polymyalgia Rheumatica (PMR) Support Group.

Yes to light exercise! And the stretching afterwards. I am convinced there are major psychological rewards as well as the more minor physical ones.

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Hello
Back in September 2023 I was in the gym ready to do a class at the UFC gym and began warmups. I was stretching doing a same type of stretch and felt a twinge in my hip flexor area. And continues class. It worsened in 2 days and ended up in the emergency room A shot of pain killers and went home
10 days later my back went out on that same side. Back to the emergency room. A shot of pain killer and 2 weeks later. Pain throughout my body namely my hands, couldn’t get my ring off. Ordered blood work and sure enough got diagnosed with PMR
Been 8 months now, from 30 mgs of prednisone and down to 10 mgs
Gonna start metbodextrate in 2 weeks to ween off the prednisone. Struggling. But I’m in the gym doing classes again 3 days a week with a healthy sweat
I’m 61 years old
Let’s connect

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Capt Mike keep it up. I’m off prednisone for a little over a month been a long road hopefully I won’t travel down it again. My rumo prescribe me hydroxychloroguine 200 mg a day, I only have minor pain in my finger joints. Thought I give it a try and if I get Covid it will help👍.

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Profile picture for katejaha @katejaha

I started drinking a collagen powder supplement in my coffee and after about 2 months my PMR began. I struggled and finally went to a rheumatologist who diagnosed it. But I had stopped all vitamins and collagen a week before seeing him and my symptoms had somewhat improved. So I added in slowly all but collagen with no changed then I added collagen in and my symptoms returned but at the time I didn’t put it together so I started prednisone and with in 4 hrs my symptoms disappeared. So my dr diagnosed PMR. I stopped all vitamins and supplements and continued to feel great no fatigue no pain. After a month I slowly added vitamins back and felt fine. One day I added collagen and within 3 days despite prednisone all my symptoms returned. Sooo… needless to say I have not taken any more collagen. My dr agrees the collagen could be aggravating the inflammation. I am now 2 months into prednisone and beginning to taper down with good results so far. I will be at 10 mg next week 10-10-23 for a month then hopefully to 5 mg in November, as I am having knee replacement in December. Hope this helps. I know we are all different with different outcomes.

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I'm at about 5 weeks into P.MR. I had to self diagnosed, cause my Doctor said I didn't have pmr even though I had all the symptoms. Fortunately, I had some prednisone left from a previous prescription that I did not use. So I started treating myself starting at 15 mg which miraculously stopped all my symptoms. I initially wanted to get off the prednisone. And did not do my research enough. And I was reducing very quickly, which caused me to flare so i went back upto 10 mg. And now reducing down more slowly..... But I too also was using collagen every day and sometimes twice a day. I had a funny feeling about this collagen being a possible cause of my PMR. It was very difficult to find a rheumatologist, but I finally was able to get one. And he said that if I had not started on my own, like I did, it would have spread down to my hips.

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Profile picture for ds1 @ds1

I'm at about 5 weeks into P.MR. I had to self diagnosed, cause my Doctor said I didn't have pmr even though I had all the symptoms. Fortunately, I had some prednisone left from a previous prescription that I did not use. So I started treating myself starting at 15 mg which miraculously stopped all my symptoms. I initially wanted to get off the prednisone. And did not do my research enough. And I was reducing very quickly, which caused me to flare so i went back upto 10 mg. And now reducing down more slowly..... But I too also was using collagen every day and sometimes twice a day. I had a funny feeling about this collagen being a possible cause of my PMR. It was very difficult to find a rheumatologist, but I finally was able to get one. And he said that if I had not started on my own, like I did, it would have spread down to my hips.

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@ds1 I'm certain my sudden onset PMR - which was later diagnosed as connective tissue disease - was caused by the expensive hydrolysed marine collagen I started taking five days before symptoms started. Hydrolysed collagen is structurally altered collagen. It makes sense to me that some of us react to altered collagen. Our bodies attack the alien collagen, then broaden that attack to include our own similar collagen, as happens in PMR and connective tissue disease.

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Wow, excellent conversation here! No collagen for me, thanks!

Regarding exercise, yoga is the best route accompanied by light weights and biking or walking. As far as I’m concerned you can’t do enough stretching. I also believe that eating clean and staying as close to your perfect weight is key to living somewhat comfortably with PMR. My worst issue is fatigue. I’m still working so it’s a problem when I’m doing trade shows, seminars etc. but naps do help me make it through the day. On 20 mg of pres now but hoping to drop that down this week, we’ll see.

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Profile picture for tyman23 @tyman23

Wow, excellent conversation here! No collagen for me, thanks!

Regarding exercise, yoga is the best route accompanied by light weights and biking or walking. As far as I’m concerned you can’t do enough stretching. I also believe that eating clean and staying as close to your perfect weight is key to living somewhat comfortably with PMR. My worst issue is fatigue. I’m still working so it’s a problem when I’m doing trade shows, seminars etc. but naps do help me make it through the day. On 20 mg of pres now but hoping to drop that down this week, we’ll see.

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@tyman23 There's another interesting conversation on PMR fatigue if you haven't already seen the discussion:
-- PMR and Fatigue. Interesting study: https://connect.mayoclinic.org/discussion/pmr-and-fatigue-interesting-study/

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I don’t know if PMR is induced by exercise but interesting discussion. Might be the straw that breaks the camels back? My PMR I had initially thought was triggered by an endurance bike ride where I pushed myself hard. I don’t know if there were other things going on, like getting Covid and flu vaccines….e.g. multiple triggers to my immune system prior to the race? Exercise does trigger inflammation…normally in a good way. For those of you exercising now with PMR, I’d recommend watching your heart rate. PMR attacks all muscles and your heart is a muscle. When I would exercise with PMR my heart rate would go berserk….i had to moderate and watch it.

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Profile picture for megz @megz

@ds1 I'm certain my sudden onset PMR - which was later diagnosed as connective tissue disease - was caused by the expensive hydrolysed marine collagen I started taking five days before symptoms started. Hydrolysed collagen is structurally altered collagen. It makes sense to me that some of us react to altered collagen. Our bodies attack the alien collagen, then broaden that attack to include our own similar collagen, as happens in PMR and connective tissue disease.

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@megz wow! I started taking hydrolysed marine collagen about 4 months ago. I was diagnosed with PMR 10 weeks ago.
I had started to feel strange hip joint area pain before that though, that got progressively worse. It was off-and-on at first, then steady, then horrible. I thought it was a new exercise or new stretching
That I had added to my routine (8 months ago.)
I had a total shoulder replacement so my exercise and PT rehab had to be altered a bit.) I wondered, now do again, if the hydrolysed marine collagen supplement enhanced and hurried the PMR. I wondered if the shoulder replacement triggered something also.
Thanks for the share.

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Profile picture for ds1 @ds1

I'm at about 5 weeks into P.MR. I had to self diagnosed, cause my Doctor said I didn't have pmr even though I had all the symptoms. Fortunately, I had some prednisone left from a previous prescription that I did not use. So I started treating myself starting at 15 mg which miraculously stopped all my symptoms. I initially wanted to get off the prednisone. And did not do my research enough. And I was reducing very quickly, which caused me to flare so i went back upto 10 mg. And now reducing down more slowly..... But I too also was using collagen every day and sometimes twice a day. I had a funny feeling about this collagen being a possible cause of my PMR. It was very difficult to find a rheumatologist, but I finally was able to get one. And he said that if I had not started on my own, like I did, it would have spread down to my hips.

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@ds1 similar to me, I commented below.

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