A Bizarre Change in Condition

Posted by glinda47 @glinda47, Jul 2 11:54am

Something seems to be going on with my body. Since this all began in Jan with tight and painful thighs (quads, hams, abs, ads, groin, lower derriere), followed by the infamous massive upper arm and rot cuff pain. A few mths in, the Baker's Cysts joined the club and caused all manner of added pain and impaired my movements greatly.

I have taken nothing more than 1 200mg Advil per night for this for a variety of reasons. Have found a wonderful doc who will prescribe LDN for me and know many places to purchase CBD if I decide to try that. Every week or so I would have a day of respite where I felt like I was getting better. I thought, "Ah, this *has* been a weird reaction to over-exercising after all," only to be overcome with pain the next day. I learned not to become excited over these very temporary but very much appreciated days of much less pain and anguish.

Over the last few weeks, I have felt much more mobility in my arms, which are still extremely sore and movement impaired. I try to baby them, but they are arms after all and I feel I overuse them every day just doing regular household chores, nothing heavy duty.

Quads are nearly normal again. Still having trouble getting down on the floor as groin and upper legs are still stiff (which could be from underuse) and Bakers Cysts are still there but much less painful. I have an appt with an ortho to have them drained in a few wks. Maybe I'll ask him about my arms and submit to cortisone shots if he doesn't think they'll cause the side effects I can't tolerate.

Had an appt with a rheum a few wks ago and am still recovering from his borderline (a gift) abusive behavior. It was a NIGHTMARE.

Just wondering if anyone has had a similar experience and if this is just a vacation or am I really getting better. Still fatigued and lots of malaise. Had labs done within the last month and ESR and CRP were the lowest they've been since my symptoms started.
Had a CBC about a month ago which was normal. Some on the high side which I expected.

Thanks for any feedback.

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

@sandmason

I'm not sure what helps me, Plaquenil and LDN. Down to 3.5 mg after 16 months. My initial pain was completely disabling.
But I also had an abusive appt with a rheumatologist, then he wrote a secret note to my PCP, trying to make me look like a nutjob and lying about what he told me! He refused to even evaluate me for PMR, since I thought of the diagnosis myself. Mind you, I never needed a rheum, my husband and daughter are both Internists . It was my new PCP who has never seen PMR and refused to accept the diagnosis of my semi-retired husband.
Hiding notes from patients is flat out illegal and if they don't produce it within 60days, I will report him to HHS.

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I am so sorry this happened to you.
Very glad that you have the support and medical expertise of your family. That is a true gift.
Wishing you the best now and in the future with your health and well-being.
Glad the meds helped.

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@jlo2252

I’m so sorry for your awful experience you had with that rheumatologist!!
Sometimes you need to see what qualifications the doctor has and where he went to school,etc.
Over forty years ago I had a PCP, an internal medicine doctor who was getting close to retirement. He was educated at Loma Linda University and med school and was absolutely the smartest doctor I have ever had. He diagnosed my Reactive (formally known as Reiters syndrome) Arthritis before a rheumatologist saw me and confirmed it! It was a big deal then cause mostly men get this, only 2% women get it!
Another good trait of this doctor was that he listened to me—I was in the medical field and had a tendency to diagnose myself😂, but he listened and did all the appropriate tests and some of the time I was right, lol.
I do understand your frustration in finding a doctor who will really listen to you and make that extra effort to help you! I really hope you find a good one—maybe a specialist in auto immune disorders—maybe you can get a recommendation through the Mayo Clinic?
I also have osteoporosis and they have me on an IV infusion called Reclast. It is a 15 minute infusion you get once a year for about 5 years. They tried the oral medications on me and I had horrible GI problems with it. No bad effects from the IV. You might want to check into it after you get all your other stuff taken care of!
Good luck and best wishes!

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Thanks for sharing your story! I did check my doc's creds. The only thing I didn't like was his philosophy of never straying from the "science". I knew that was code for "cooky cutter" diagnosis and treatment. Been around the block.
You were very lucky to have such a great physician, willing to open his mind and actually consider other than RA, fibro, "bursitis", osteo-arth, etc.
The fact that you were in the med field always perks up their ears as well.
Thx for the info about your infusions. I do have to consider it and it helps that you didn't have side effects.
Are you on meds for your arth?
Be well and appreciate your sharing.

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@sandmason

I'm not sure what helps me, Plaquenil and LDN. Down to 3.5 mg after 16 months. My initial pain was completely disabling.
But I also had an abusive appt with a rheumatologist, then he wrote a secret note to my PCP, trying to make me look like a nutjob and lying about what he told me! He refused to even evaluate me for PMR, since I thought of the diagnosis myself. Mind you, I never needed a rheum, my husband and daughter are both Internists . It was my new PCP who has never seen PMR and refused to accept the diagnosis of my semi-retired husband.
Hiding notes from patients is flat out illegal and if they don't produce it within 60days, I will report him to HHS.

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I have learned a lot about communicating with doctors in the course of my PMR, the first significant illness I have had at 74 so I have not had much practice. I diagnosed myself with PMR after my PCP said my pain was spine-related and sent me to Pain Management. I had all the classic symptoms but only one of my inflammatory markers was only mildly elevated. I went back to my PCP and didn't tell her my conclusion but just stated all the symptoms that were classic PMR and left off a few that I thought were probably spine-related and just confused the issue. She said, " You have PMR". Doctors like to come to their own conclusions. They also don't like to be given too much information at once. I try to keep it as simple as I can. She gave me a rheumatologist referral but I couldn't get in for 4 months and she did not want to start prednisone. I got worse and called in and left a message with the assistant: I have 3 issues: I can't see the rheumatologist for 4 months, I am spiking fevers, I have a headache at my temple. I got in the next week since they suspected GCA. I was pretty sure the headache was related to the fever and not GCA but I did what I had to do to get taken care of! It helps a lot to have a medical background but the internet can fill in quite a bit. Sandmason, this is not meant as a criticism of how you handled your doctor interaction just my 2 cents about avoiding negative doctor interactions and getting what I am pretty sure I need.

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@linda7

I have learned a lot about communicating with doctors in the course of my PMR, the first significant illness I have had at 74 so I have not had much practice. I diagnosed myself with PMR after my PCP said my pain was spine-related and sent me to Pain Management. I had all the classic symptoms but only one of my inflammatory markers was only mildly elevated. I went back to my PCP and didn't tell her my conclusion but just stated all the symptoms that were classic PMR and left off a few that I thought were probably spine-related and just confused the issue. She said, " You have PMR". Doctors like to come to their own conclusions. They also don't like to be given too much information at once. I try to keep it as simple as I can. She gave me a rheumatologist referral but I couldn't get in for 4 months and she did not want to start prednisone. I got worse and called in and left a message with the assistant: I have 3 issues: I can't see the rheumatologist for 4 months, I am spiking fevers, I have a headache at my temple. I got in the next week since they suspected GCA. I was pretty sure the headache was related to the fever and not GCA but I did what I had to do to get taken care of! It helps a lot to have a medical background but the internet can fill in quite a bit. Sandmason, this is not meant as a criticism of how you handled your doctor interaction just my 2 cents about avoiding negative doctor interactions and getting what I am pretty sure I need.

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First of all, lucky you that you have not had any real health problems. Awesome stuff.
I have been pretty lucky myself with a few bumps in the road, but mostly quite well and very active.
I have very much the same philosophy as your with docs. Give them the answer and they'll take it. Keep it simple. I hide my list of questions/information under my leg so they don't see it. Apparently, they don't like lists.
Tell me, did you have GCA? Also, what did they do for you? Steroids? How are you doing now?

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@glinda47

First of all, lucky you that you have not had any real health problems. Awesome stuff.
I have been pretty lucky myself with a few bumps in the road, but mostly quite well and very active.
I have very much the same philosophy as your with docs. Give them the answer and they'll take it. Keep it simple. I hide my list of questions/information under my leg so they don't see it. Apparently, they don't like lists.
Tell me, did you have GCA? Also, what did they do for you? Steroids? How are you doing now?

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They ordered the biopsy and I did not have GCA. I was put on prednisone 20 mg and could feel it working within 6 hours. I could actually life my arms in the air and wave them around! Wow. All symptoms were gone within 48 hrs. It's been almost 3 years on prednisone now, a trial of methotrexate and now Kevzara. I couldn't get below 8 mg prednisone for a long time but now tapering and at 5.5., soon to 5.I have some bad days but am hiking, riding my bike, gardening, just less than before PMR. I feel pretty good and if the Kevzara just helps me go lower on the prednisone I'll be happy. I have minimal prednisone side effects, will wait to see what the Kevzara is doing to me when labs are done next month. Hope you are doing well!

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Advil etc just doesn't work with GCA or PMR. Really, only Prednisone and Actemra work. Prednisone sucks big time but..... at least it takes away the pain above certain dosages. I was diagnosed about 9 months ago. Trying to deal with my complete life change

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@linda7

They ordered the biopsy and I did not have GCA. I was put on prednisone 20 mg and could feel it working within 6 hours. I could actually life my arms in the air and wave them around! Wow. All symptoms were gone within 48 hrs. It's been almost 3 years on prednisone now, a trial of methotrexate and now Kevzara. I couldn't get below 8 mg prednisone for a long time but now tapering and at 5.5., soon to 5.I have some bad days but am hiking, riding my bike, gardening, just less than before PMR. I feel pretty good and if the Kevzara just helps me go lower on the prednisone I'll be happy. I have minimal prednisone side effects, will wait to see what the Kevzara is doing to me when labs are done next month. Hope you are doing well!

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So glad you're doing well!! And thanks for filling me in. Glad you didn't have GCA and hope you never do.

Appreciate your kind words!

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@klmint

Advil etc just doesn't work with GCA or PMR. Really, only Prednisone and Actemra work. Prednisone sucks big time but..... at least it takes away the pain above certain dosages. I was diagnosed about 9 months ago. Trying to deal with my complete life change

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Glad pred is working for you...I know it's a major miracle for some.
Actually LDN has a great track record for helping with PMR pain.

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interesting. my PMR symptoms mostly disappeared with predinose until i relapsed at lower doses. sorry for my ignorance. what is LND?

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Sorry about the relapses. Hope you're able to get off soon if you haven't already.
Best to Google LDN and take your pick if info. You can even get as specific as LDN and PMR. I belong to an LDN group on FB that's very helpful and informative. You probably wouldn't be interested in that though.
LDN = low dose naltrexone.
Take care.

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