New to this support group.
Hi,
I was diagnosed with PMR and GCA (biopsy) in 2020. Started at 60 mg prednisone (to prevent blindness!) and took me two years to taper off prednisone and Actemra. Been fine ever since until now. (But lost 7% bone density - even on Reclast)
Have had very sore, painful muscles recently for a couple of months hoping it would go away (has been a very cold, rainy Spring and is still raining!! Am in Philadelphia).
My rheumatologist suggested I start 5mg/day for three weeks and then begin taper if symptoms are relieved.
Started 5mg yesterday but I guess it
Takes a few days for the Pres to kick in.
Questions:
1. Does an anti-inflammatory diet help?
2. Does exercise help or can it make things worse?
3. Is there a suggested program for exercise or is that individual? Would love exercise resources.
Just looking for actions I can take to either prevent flare ups - and get stronger/increase stamina.
Thanks all for being here.
Kerry
Interested in more discussions like this? Go to the Polymyalgia Rheumatica (PMR) Support Group.
I had PMR for about a year before being diagnosed, and GCA for about 5 months. I blamed my symptoms on aging, a sinus infection, etc. I only sought treatment when I began having episodes of temporary vision loss in one eye (my eyes are ok now).
I have been taking Actemra injections for 10 months to treat the GCA. Actemra is similar to Kevzara in that both inhibit IL-6, and both have similar warnings about possible bowel issues. I have had diverticulosis, SIBO, and IBS-C previously. I haven't had any issues with the Actemra injections.
I am to bring down now, like you I also feel like I have a very mild case. Just was wondering if you can elaborate a little bit on your journey with PMR?
I started prednisone at 4 mg in dec 2024, and it took away my pain completely, which is why I believe my case was a mild one.
I have begun my taper gradually dropping 1 mg every few weeks. I am now at 2 mg with very, very mild symptoms and some days none at all.
I’m anxious to get off of it completely. I just was curious how your taper went and how long it took you to end prednisone. Any feedback would be welcome and thank you.
I’ve been on Kevzara. For 12 weeks. Most successful. Able to taper prednisone easily and quickly. Am at 3.5 mg now and able to taper .5 weekly. Might be able to do it quicker, but don’t want to go too fast.
No side effects.
I started at 10 mg. because that is what my doc recommended when I told him my symptoms. I only hurt while in bed! As soon as I got up. I was pain-free! It took about a year to taper off of it and I had one flare when I caught COVID. Then I took 2 mg. and tapered off in a few weeks.
Occasionally I do feel shoulder pain in my deltoids while in bed, which may be associated with using 5# weights in my exercise classes. It seems much better since I switched to 4# weights. Not sure if I would call it a flare up or not. I hope this helps.
It does help thank you.
I just am very anxious to end the prednisone, but I don’t want to do it too fast and end up with a flare and having to increase it instead of decrease it.
I just started yesterday on 1 mg of prednisone so I will alternate between the one and 2 mg every couple of days for at least a week before I scale down to 1 mg completely eliminating the 2 mg. I’m getting there. Thank you again for your response.