How to address PMR pain while decreasing prednisone
I have been diagnosed w poly myalgia rheumatica (pmr). Am taking 5 mg of predisone, was taking 10mg.
Every time I go on a low dose, symptoms come back. I can't take pain meds, but do drink wine to ease pain, although I'm told no alcohol w prednisone. Anything you can share as far as info
Interested in more discussions like this? Go to the Polymyalgia Rheumatica (PMR) Support Group.
John, when I came out of the hospital on 8/13/18, I was put on 7 mg. Today I am on 5 mg and next week will drop to 4. I will continue to drop by 1 mg every 2 weeks. I trust my journey with my healer, massage therapist, chiropractor, food plan and breathing exercises. My great concern is my bones. Not sure, but I would like to hope that when off prednisone , we can stop the bones from getting worse. Has anyone experienced that?
Hi @rearea1, you are ahead of the game so to speak. I wasn't very informed during my first occurrence of PMR did not know about steroid induced osteoporosis or I think I could have done some things to help reduce the chances including more weight bearing exercises, calcium and vitamin D supplements, and watching the weight gain. It also makes it worse if you smoke or drink but I've never smoked and didn't use alcohol much then.
Osteoporosis and long-term prednisone: What is the risk?
-- https://www.mayoclinic.org/diseases-conditions/rheumatoid-arthritis/expert-answers/osteoporosis-prednisone/faq-20057843
Does anyone have sensitive teeth, thickening of the tissues inside the cheeks, and tightness around the TMJ’s as a side effect of prednisone? Dr. says there is no oral thrush. I was diagnosed with PMR 3 mos ago and been on prednisone (20-40mg) along with methotrexate. Curious to know if my mouth issues are related to PMR, a prednisone reaction, or an entirely different condition?
Hello @jayflo, welcome to Connect. There is another active discussion for polymyalgia rheumatica with the same name as your new discussion post where your post might receive better visibility. I'm tagging our moderator @kanaazpereira to see if she can move your post to the discussion here:
Groups > Autoimmune Diseases > Polymyalgia rheumatica
-- https://connect.mayoclinic.org/discussion/poly-myalgia-rheumatica/
I have no medical training or background but I do have PMR that is currently in remission. I have not heard of side effects you mentioned being associated with prednisone. Here is a fairly inclusive list of prednisone's side effects:
-- https://www.drugs.com/sfx/prednisone-side-effects.html
Also, Mayo Clinic has some information here on TMJ disorders that may be helpful. I've read that prednisone is sometimes used to treat TMJ when other treatments do not work.
-- https://www.mayoclinic.org/diseases-conditions/tmj/symptoms-causes/syc-20350941
John
Hello @jayflo. As @johnbishop mentioned, I moved your discussion and combined it with an existing discussing on polymyalgia rheumatica. If you are replying by email, I suggest clicking on VIEW & REPLY so that you will be brought to the new location of your discussion and so that you can read through the many posts by other members.
@rearea1 - From Tinkerbell - I am just off 1 1/2 years of Prednisone. Hopefully the calcium and vitamin D supplements will help with your bones. Also, I walked every other day 2-3 miles. I don’t know if you are well enough to walk on a regular basis. I will be having a Dexa scan in a few weeks. I had one just before I was diagnosed with Giant Cell Arteritis. If you have any problems with your taper, you may want to slow it down to 1/2 mg every 2 weeks. Good Luck
My teeth have become very sensitive to cold and I was wondering the same thing. Currently down to 17.5 prednisone from 60 per day, TMJ pain has gone away, probably because of Prednisone. I think that was related to giant cell arteritis.
Hi @rearea1, just read your note above and wonder what are the measurements of the drink incl pineapple, spinach, etc that you make each day. I’ve just been diagnosed with PMR and it’s a very confusing disease!! Am also on prednisone, but having a lot of pain!! Good luck to you.
Barb, I feel your pain. It’s not a pleasant journey. I just want to again mention that you’ll want to alter your entire diet to eliminate foods that cause inflammation. Even something such as a starch food..when digested, starch turns to sugar..and sugar is the first food to get rid of. One night I ate 1/2 sweet potato and the next morning I could not move. It’s that fast and that important.
Here is the anti-inflammation drink. In a blender put:
1/2 C coconut water
1 1/2 C fresh pineapple
1/2 inch freshly grated ginger
Handful of spinach
1tsp ground Termic
Dash (or less for me) cayenne pepper
1/2 ice cubes
Blend.....
A little update and question: as I mentioned above, I did faint & fall back in August. I hurt my back and had it treated by chiropractor and massage therapist. My inflammation levels went way down when working with a healer.
Now my mid back muscles (between waist and shoulder blades) and extending around to sides and ribs, are tight as a drum and go into spasms. Getting in and out of bed is difficult..as is the simple act of turning over in bed. I’ve been cutting back gradually from 7 mg Prednisone and now are on 4. Could the reduction in medication be the cause of this new muscle pain? Has anyone else experienced this?