Is it PMR or muscle soreness from overuse

Posted by fudge08 @fudge08, Jul 19 4:02pm

Six weeks ago the muscles in my hamstrings, hips and behind my knees became intensely sore especially first thing in the morning. For several weeks before I had been doing an increase amount of bending, lifting and climbing stairs associated with a renovation project. I had been less physically active prior to that so I suspected I had pulled muscles. However the soreness and stiffness remained so I went to my GP 2 weeks ago. The inflammatory labs, CK, CRP, sed rate all normal. Dr also did X-rays of 1 side of hip and knee. Started PT. I have had 3 sessions and they think it is muscle related in hamstring and piriformis but some of the exercises are making my arms sore so I wonder if this could be PMR. I have a GP follow up in a few days. I would appreciate any insights if my symptoms are similar to your early symptoms. Should I ask Dr to start a low dose trial of prednisone? Thanks so much

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Profile picture for fudge08 @fudge08

You bring up very good points. I am 62. However the few times I have been given prednisone, for bronchitis flare up, it really wiped me out so I am torn about rushing into taking it. If I had not over exerted myself prior to the hip, hamstring and knee pain I would be very suspicious that I have some inflammatory condition. So far the pain has not migrated other muscles other than some bicep soreness after the PT stretches and they are minimal. Was your pain debilitating? So you could not walk? Or constant and dull? Maybe pain level runs a spectrum of intensity. Thank you for the insights

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pain became debilitating. eventually I could barely get out of bed. It took quite an effort to just get around. I finally diagnosed myself thru an AI search.

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Profile picture for tuckerp @tuckerp

pain became debilitating. eventually I could barely get out of bed. It took quite an effort to just get around. I finally diagnosed myself thru an AI search.

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I am doing a lot of research as well. We must advocate for ourselves. Thank you for the insights.

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Profile picture for fudge08 @fudge08

Yes these are the same thoughts I have been having. I plan to ask my doctor to re-run the inflammatory labs. 3 weeks ago they were all normal. Do you have a formal PMR diagnosis? Or did your doctor put you on the prednisone to see if you get relief? I suppose what is most important is getting out of pain, soreness and stiffness. I look forward to getting back to normal! Thanks so much

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I'm in the UK and thankfully I had a doctor who has experience in PMR diagnosis. But initially she was pretty certain but would not prescribe anything until blood tests were done and analysed. So for me that was 3 days of suffering with it and then the diagnosis was confirmed... In fairness there does not appear to be a test that says... Yes you have PMR.. In theory this could be something else as the symptoms are related to various other health issues but in reality how the process starts and how it doesn't bother smaller joints I am led to believe all signs point to PMR. Also it appears that the medication is helping so that again makes me feel like I have the correct diagnosis.

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Profile picture for ckfitness @ckfitness

I'm in the UK and thankfully I had a doctor who has experience in PMR diagnosis. But initially she was pretty certain but would not prescribe anything until blood tests were done and analysed. So for me that was 3 days of suffering with it and then the diagnosis was confirmed... In fairness there does not appear to be a test that says... Yes you have PMR.. In theory this could be something else as the symptoms are related to various other health issues but in reality how the process starts and how it doesn't bother smaller joints I am led to believe all signs point to PMR. Also it appears that the medication is helping so that again makes me feel like I have the correct diagnosis.

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Your experience was better than mine when I was diagnosed with PMR. My first rheumatologist was sure it was something else that wasn't treated with prednisone. I waited 6 months while I insisted that I needed prednisone. I didn't do my research because I didn't know anything about PMR until it was diagnosed. That was when prednisone was formally prescribed. Until then a sympathetic GP occasionally prescribed small amounts of prednisone to me.

I acquired other things that went wrong after taking prednisone for 12 years. I finally tapered off prednisone about 5 years ago. Everything has improved since then.

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Profile picture for Mike @dadcue

Your experience was better than mine when I was diagnosed with PMR. My first rheumatologist was sure it was something else that wasn't treated with prednisone. I waited 6 months while I insisted that I needed prednisone. I didn't do my research because I didn't know anything about PMR until it was diagnosed. That was when prednisone was formally prescribed. Until then a sympathetic GP occasionally prescribed small amounts of prednisone to me.

I acquired other things that went wrong after taking prednisone for 12 years. I finally tapered off prednisone about 5 years ago. Everything has improved since then.

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What a terrible ordeal. I am glad to hear that things have improved since then.

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Profile picture for ckfitness @ckfitness

I'm in the UK and thankfully I had a doctor who has experience in PMR diagnosis. But initially she was pretty certain but would not prescribe anything until blood tests were done and analysed. So for me that was 3 days of suffering with it and then the diagnosis was confirmed... In fairness there does not appear to be a test that says... Yes you have PMR.. In theory this could be something else as the symptoms are related to various other health issues but in reality how the process starts and how it doesn't bother smaller joints I am led to believe all signs point to PMR. Also it appears that the medication is helping so that again makes me feel like I have the correct diagnosis.

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Very good news that your doctor felt confident to prescribe prednisone based on lab results. And it is helping you!

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