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How to address PMR pain while decreasing prednisone

Polymyalgia Rheumatica (PMR) | Last Active: Nov 6, 2023 | Replies (747)
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@ambershe

Hi, I wondered if we were considered young to have PMR. I was told it can start when you hit 50. Mine started 8 months ago, and I am 52 yrs old. I agree that stress will play a big part in this. I just got back from a week long vacation to Mexico and a day before I left lowered the prednisone to 5.5mg. I had no issues at all lowering the meds, which makes me think that having no work stress etc is what caused a lot of this in the first place. I am wondering now if I should lower the prednisone again or if it is too fast, as last time I got done to 4.5mg but was in a fair amount of pain.

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Replies to "Hi, I wondered if we were considered young to have PMR. I was told it can..."
anniegal | @anniegal | Mar 24, 2019

I think early onset may be more common than is reported but is misdiagnosed as the more common pattern is 70+. I am 73 and recently dx’ed. Going through medical history with my med team, it is obvious I had a much earlier onset.

IMHO, nothing is gained from a quick reduction in dose that 2 weeks later still leaves you in pain. You have to adjust doses to your every day life, everyday stress and all.

For me, I journal daily in an app that allows me to track exercise, nutrition, rx dosing and notes on pain level, stress or anything else noteworthy.

Doctors rely on data points to guide decision making.

I found this article helpful:
https://www.practicalpainmanagement.com/amp/16020

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