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Exercise is so important

Polymyalgia Rheumatica (PMR) | Last Active: 2 days ago | Replies (27)

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@gmdb

I thought they suggest that DOMs does not respond to prednisolone. I envy the people on this post undertaking extensive exercise programs with PMR. It seems they don't experience any DOMs complications with their illness. Small amounts of exercise - especially repetitive - leave me with a high level of pain for more than a week. I walk 20 minutes a day and do 20 minutes of slow stretching exercises, (and that's about the current limit) and still run a small business which involves lots of repetitive steady movements of the small muscles (e.g. soldering). Initiall it took around 3 months after the onset of PMR for me to regain those skills. But none of the work involved can be done for more than 15 minutes at a time - or DOMs will hit for more than a week - and extra pred doesn't help. Sometimes paracetamol can be effective.

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Replies to "I thought they suggest that DOMs does not respond to prednisolone. I envy the people on..."

I believe DOMS is associated with inflammation but I'm not an exercise physiologist. It isn't that DOMS won't respond to Prednisone. It just isn't appropriate to treat DOMS with Prednisone. I don't think DOMS is a complication of PMR but it is a complication of inactivity or doing a new type of activity.

I might have misunderstood what they said. It just seemed like they were telling people to increase their prednisone dose when the reasons were not always clear that it was PMR. It might be DOMS, an injury or something else. They would give medical advice sight unseen and they weren't qualified to do that. It just undermines the relationship people have with their health care providers. I'm sure their intentions were good.