New to this support group.

Posted by kerrywp @kerrywp, 5 days ago

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.

@cyndiefromnc

Hello,
Glad to have found this group.

Recently diagnosed with PMR, I may have had it over a year. (Is that possible?) I had lots of pain in the morning but could exercise my way out of it. I kept asking people and doctors if it was common to experience so much pain in the morning at my age. (68)

In March, the pain suddenly became excruciating. I began 20mg of prednisone and had instant relief. In less than 24 hours, I felt better than I had in over a year.

I've weaned myself to 7mg but do have some pain. It is very manageable for me, much less than I've experienced in the past year. I'm extremely active. I run/walk/lift/and babysit my young granddaughter 3 days a week, so never sure if the pain is PMR or from overuse. This worries me because I don't want to discount the pain and cause the PMR to spike.

I have been gluten-free for 15 years and am somewhat on an anti-inflammatory diet now. I've lost 10 pounds. That's a lot for me. Not a bad problem to have but concerning.

More concerning is my doctor wants me to add injections of Kevzara. Anyone have these? I have had stomach issues all my life, including diverticulosis and irritable bowel. She said as long as I don't develop diverticulitis, I'm good taking Kevzara.

Any and all suggestions welcomed.

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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.

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@janiceem

HI Kerry,
I agree with John that an anti-inflammatory diet helps. I'm a registered dietitian and eat a primarily organic whole foods, plant-based diet, high in anti-inflammatory foods and fiber. Don't forget about fiber--it is probably the most important neglected nutrient in the ultra-processed American diet. Fiber feeds our gut microbiome and our microbes help protect us from diseases-- https://newsinhealth.nih.gov/2012/11/your-microbes-you
As far as exercise goes, I do aquatic fitness, pilates, and dance 6 days a week and the only thing that has ever bothered me is using 5# hand weights versus lighter weights. My shoulders seemed to ache at night after using 5# weights. Not sure why, but my symptoms seemed more like PMR pain than after-exercise pain. I've been in remission for a couple of years now, but only had a mild case to begin with. Hope this helps you in some way.
Hugs,
Janice

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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.

REPLY
@cyndiefromnc

Hello,
Glad to have found this group.

Recently diagnosed with PMR, I may have had it over a year. (Is that possible?) I had lots of pain in the morning but could exercise my way out of it. I kept asking people and doctors if it was common to experience so much pain in the morning at my age. (68)

In March, the pain suddenly became excruciating. I began 20mg of prednisone and had instant relief. In less than 24 hours, I felt better than I had in over a year.

I've weaned myself to 7mg but do have some pain. It is very manageable for me, much less than I've experienced in the past year. I'm extremely active. I run/walk/lift/and babysit my young granddaughter 3 days a week, so never sure if the pain is PMR or from overuse. This worries me because I don't want to discount the pain and cause the PMR to spike.

I have been gluten-free for 15 years and am somewhat on an anti-inflammatory diet now. I've lost 10 pounds. That's a lot for me. Not a bad problem to have but concerning.

More concerning is my doctor wants me to add injections of Kevzara. Anyone have these? I have had stomach issues all my life, including diverticulosis and irritable bowel. She said as long as I don't develop diverticulitis, I'm good taking Kevzara.

Any and all suggestions welcomed.

Jump to this post

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.

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@mimi1204

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.

Jump to this post

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.

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@janiceem

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.

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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.

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