miss diagnosed???

Posted by rma83 @rma83, 1 day ago

I was diagnosed w PMR years ago. My lab test, sed rate, did not support inflamation so Dr took me off predisone, been thru hell ever since. Nothing has helped. Is there another way to diagnose this disease??

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

Hi @rma83, You can have PMR with normal inflammatory markers. Here's more information:
-- Diagnostic difficulties in polymyalgia rheumatica cases with normal erythrocyte sedimentation rate and C-reactive protein values: https://journals.lww.com/md-journal/fulltext/2023/09290/diagnostic_difficulties_in_polymyalgia_rheumatica.48.aspx.

I'm not a doctor but I think just the fact that the prednisone gets rid of the pain is normally an indication of PMR. Have you been seen by a rheumatologist?

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@johnbishop

Hi @rma83, You can have PMR with normal inflammatory markers. Here's more information:
-- Diagnostic difficulties in polymyalgia rheumatica cases with normal erythrocyte sedimentation rate and C-reactive protein values: https://journals.lww.com/md-journal/fulltext/2023/09290/diagnostic_difficulties_in_polymyalgia_rheumatica.48.aspx.

I'm not a doctor but I think just the fact that the prednisone gets rid of the pain is normally an indication of PMR. Have you been seen by a rheumatologist?

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Agree with all your comments. For myself this applies. Also I’ve tapered off twice of prednisone only to get the temporal headaches and my hair hurts and scalp tender. So… I started actemra injections and I think I’m having some good results. My scalp has stopped being tender to touch no temporal pain yet less joint pain and will again begin taper of prednisone in about 2 weeks. 🤞🏻I am not yet at therapeutic level of dose so I’m hoping this new injection works to get me off prednisone and relief of PMRs multiple strange symptoms ( no more vaccines for me) and this site has helped me more than you all know. 🙏 Thanks

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@johnbishop

Hi @rma83, You can have PMR with normal inflammatory markers. Here's more information:
-- Diagnostic difficulties in polymyalgia rheumatica cases with normal erythrocyte sedimentation rate and C-reactive protein values: https://journals.lww.com/md-journal/fulltext/2023/09290/diagnostic_difficulties_in_polymyalgia_rheumatica.48.aspx.

I'm not a doctor but I think just the fact that the prednisone gets rid of the pain is normally an indication of PMR. Have you been seen by a rheumatologist?

Jump to this post

yes.at the time it was a rheumatologist that diagnosis but changed her mind when a PA started there and convinced her (the Dr) that it couldn't be PMR. That's over 5-6 years ago and I've been through hell since. That's the only RHEU group around here so I will see my ortho surgeon tomorrow and there is another RHEU at U CONN in CT that he can refer me to, hopefully. Thank you for your help, I will look that info up.

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@randersonccc

Agree with all your comments. For myself this applies. Also I’ve tapered off twice of prednisone only to get the temporal headaches and my hair hurts and scalp tender. So… I started actemra injections and I think I’m having some good results. My scalp has stopped being tender to touch no temporal pain yet less joint pain and will again begin taper of prednisone in about 2 weeks. 🤞🏻I am not yet at therapeutic level of dose so I’m hoping this new injection works to get me off prednisone and relief of PMRs multiple strange symptoms ( no more vaccines for me) and this site has helped me more than you all know. 🙏 Thanks

Jump to this post

Thanks so much for your reply. Both replies have given me the hope I so needed. I will see my ortho surgeon, had knee replacement a year ago, tomorrow and I will try to get my referral. I was starting to think I was alone and your replies have really helped, although it's sad there are more of us around. I will let you all know how this turns out. Thx again!

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Yes. It has been around but more prevalent since Covid and the Covid shot. In fact the Actemra I have started is for treatment of long Covid also. Now they got a name for that too. Good luck. I hope you can find a rheumatologist that has a little experience with PMR and is willing to take you through the process of treatment options. 🤞🏻

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You deserve the second opinion and there are other more advanced tests
to show inflammation in PMR. Affected joints can be checked with ultrasound
even when they have normal X-rays signs of inflammation may be documented.
The newer labs are IL-6, fibrinogen level, serum Amyloid A and a calculation
from your blood cell count SII ( systemic inflammatory index). Hs CRP and sed rate will be repeated.
The new rheumatologist should do a thorough joint physical and history
Bring all the old lab tests. Don’t be surprised if they try an appropriate dose
of prednisone therapy after the current lab testing..

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