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DiscussionSed Rate still elevated, but pain much improved
Polymyalgia Rheumatica (PMR) | Last Active: Oct 27, 2024 | Replies (18)Comment receiving replies
Replies to "Exactly, rule of thumb number one : treat the painful PMR symptoms regardless of which way..."
"Sounds maybe like your rhumo doesn’t entirely trust patients symptom reporting, puts more emphasis on blood results?"
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Maybe for the first year or so but later on my inflammation markers were rarely checked. I think she was just surprised that my inflammation markers were still elevated on 25 mg of prednisone. Supposedly PMR responds to "low dose" prednisone.
Initially, I was told to find a "stable dose" of prednisone that controlled my symptoms. My rheumatologist wasn't overly concerned about what the dose was but 35 mg was a "moderately high" dose and not really a low dose. We eventually settled on 40 mg as my starting dose.
When I was still on 10 mg of prednisone 10 years after being diagnosed with PMR, I asked if my diagnosis was correct. My theumatologist said PMR was my "primary diagnosis" but there were other things going on in addition to PMR.