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Precursor symptoms to PMR?

Polymyalgia Rheumatica (PMR) | Last Active: 4 days ago | Replies (92)

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@jeff97

Maybe, but it was a strange injury that never made sense, since I wasn't doing anything unusual or different from my normal routine. That was my right knee. I also had significant issues with my left shoulder. I couldn't raise that arm higher than shoulder height, and I couldn't move that arm in certain ways, such as behind my back. Certain movements were extremely painful. In retrospect I felt like both of those problems were PMR-related.

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Replies to "Maybe, but it was a strange injury that never made sense, since I wasn't doing anything..."

My right knee pain made sense to me. I had 3 knee surgeries before I was 25 years old. It was an old sports injury. By the time I was 25 years they said I needed a knee replacement except I needed to wait until I was 60 years old to have a knee replacement. Knee surgery wasn't as good in the 1970's as it is now. My right knee was seriously deranged and had advanced arthritis. My right knee hurt my entire life after it was initially injured when I was 15 years old.

What didn't make sense was my left knee was my "good knee." When I had knee replacements I was still on a moderately high dose of Prednisone. The surgeon said both knees were bad and after both surgeries the surgeon said my left knee was worse and more deranged than my right knee. I have never injured my left knee and never had surgery on my left knee before it was replaced.

When I had knee replacements done there were many precautions taken. I was introduced to an endocrinologist who watched me like a hawk along with an entourage of residents and med students. I think that I disappointed them because I didn't have an adrenal crisis. I mostly remember hydrocortisone being infused continuously.

"Stress-dose glucocorticoid administration is required during the perioperative period because of the possibility of failure of cortisol secretion to cope with the increased cortisol requirement due to surgical stress, adrenal insufficiency, hemodynamic instability, and the possibility of adrenal crisis."
https://pmc.ncbi.nlm.nih.gov/articles/PMC7861897/#:~:text=Stress%2Ddose%20glucocorticoid%20administration%20is,the%20possibility%20of%20adrenal%20crisis.