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@abbeyc

Your comment: Inflammatory arthritis leads to osteoarthritis. I'm pretty sure PMR over time does the same but not overnight.I'm pretty sure PMR over time does the same but not overnight.

does PMR cause osteoarthritis even if the inflammation is being controlled by steroids?

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Replies to "Your comment: Inflammatory arthritis leads to osteoarthritis. I'm pretty sure PMR over time does the same..."

I don't think PMR "causes" osteoarthritis (OA) or inflammatory arthritis.

PMR might make arthritis worse if you already have arthritis. Given that people are older when they are diagnosed with PMR, I think most people with PMR have some arthritis.

I don't think prednisone prevents the progression of any type of arthritis.

Prednisone reduces the inflammation and eases the pain but I don't think prednisone prevents anything.

A sustained remission of PMR is difficult to achieve with prednisone. Some people say a "new batch of inflammatory substances are released every day" --- that doesn't sound like remission to me.

These are my opinions for what they are worth.
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Inflammatory arthritis is different compared to osteoarthritis (OA). The "damage" that is caused by both inflammatory arthritis and osteoarthritis will eventually look similar but maybe more severe in the case of inflammatory arthritis. However, osteoarthritis can be severe too.

PMR doesn't help inflammatory arthritis or osteoarthritis. Having any type of arthritis with PMR shouldn't be allowed in my opinion!