Polymyalgia Rheumatica (PMR): Meet others & Share Your Story

Welcome to the Polymyalgia Rheumatica (PMR) group on Mayo Clinic Connect.

Meet other members who are dealing with PMR. Let’s learn from each other and share stories about living well with PMR, coping with the challenges and offering tips.We look forward to welcoming you and introducing you to other members. Feel free to browse the topics or start a new one.

Grab a cup of coffee or beverage of choice and let’s chat. Why not start by introducing yourself? What's your experience with PMR? How are you doing today?

Interested in more discussions like this? Go to the Polymyalgia Rheumatica (PMR) Support Group.

My first day off prednisone! Hope I never have to be on it again!!🙏🏻

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Profile picture for caroljeand @caroljeand

My first day off prednisone! Hope I never have to be on it again!!🙏🏻

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@caroljeand Congratulations! I had some minor issues a couple of weeks after I stopped, but nothing too serious. I felt a little depressed and tired for a couple of weeks. A month after I stopped I noticed that my metabolism was back to normal. I could eat more and burn it off. I felt like the prednisone was completely out of my system after about 4 months. But maybe you will recover faster than that.

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Profile picture for caroljeand @caroljeand

My first day off prednisone! Hope I never have to be on it again!!🙏🏻

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@caroljeand

Let's hope so! I don't want to stop the celebration but the game isn't over just yet. Let's give it a few months and maybe a year before celebrating too much. It is okay to be happy with how things are currently going.

I remember when I was thrilled to be off prednisone for the first time in 12 years. I was probably too giddy. I was excited about the "leap of faith" I did when I stopped prednisone. The excitement was short-lived because within a couple of weeks something happened. I was utterly devastated when an ophthalmologist told me to take 60 mg of prednisone again. Actemra was working for PMR/GCA but my ophthalmologist said Actemra wasn't going to work for uveitis.
https://www.mayoclinic.org/diseases-conditions/uveitis/symptoms-causes/syc-20378734
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Fortunately it was only another 6 months until I tapered off Prednisone the second time. My ophthalmologist switched Actemra to Humira because it was supposed to be optimal treatment for uveitis. I had to be switched back to Actemra before I was able to taper off Prednisone the second time. My ophthalmologist is now saying that Actemra seems to work for my uveitis. These autoimmune disorders rarely respond in ways they are supposed to respond to treatment so cautious optimism is best.

For many autoimmune disorders ... treatment with long term Prednisone isn't optimal because prolonged corticosteroid use carries significant risks such as cataracts, glaucoma, and osteoporosis and other side effects that restrict long-term use. It seems like the memo wasn't sent for treating PMR/GCA. The belief that Prednisone is the "only option" for PMR/GCA is still entrenched.
https://www.mayoclinic.org/tests-procedures/cortisone-shots/in-depth/steroids/art-20045692

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Profile picture for jeff97 @jeff97

@caroljeand Congratulations! I had some minor issues a couple of weeks after I stopped, but nothing too serious. I felt a little depressed and tired for a couple of weeks. A month after I stopped I noticed that my metabolism was back to normal. I could eat more and burn it off. I felt like the prednisone was completely out of my system after about 4 months. But maybe you will recover faster than that.

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@jeff97
Possibly…I have a great appetite and haven’t felt too many physical issues. Mostly my normal joint pains and some fatigued and weak muscles. I expect it’s going to take several weeks for everything to get back to normal.

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Profile picture for Mike @dadcue

@caroljeand

Let's hope so! I don't want to stop the celebration but the game isn't over just yet. Let's give it a few months and maybe a year before celebrating too much. It is okay to be happy with how things are currently going.

I remember when I was thrilled to be off prednisone for the first time in 12 years. I was probably too giddy. I was excited about the "leap of faith" I did when I stopped prednisone. The excitement was short-lived because within a couple of weeks something happened. I was utterly devastated when an ophthalmologist told me to take 60 mg of prednisone again. Actemra was working for PMR/GCA but my ophthalmologist said Actemra wasn't going to work for uveitis.
https://www.mayoclinic.org/diseases-conditions/uveitis/symptoms-causes/syc-20378734
-------------------------------
Fortunately it was only another 6 months until I tapered off Prednisone the second time. My ophthalmologist switched Actemra to Humira because it was supposed to be optimal treatment for uveitis. I had to be switched back to Actemra before I was able to taper off Prednisone the second time. My ophthalmologist is now saying that Actemra seems to work for my uveitis. These autoimmune disorders rarely respond in ways they are supposed to respond to treatment so cautious optimism is best.

For many autoimmune disorders ... treatment with long term Prednisone isn't optimal because prolonged corticosteroid use carries significant risks such as cataracts, glaucoma, and osteoporosis and other side effects that restrict long-term use. It seems like the memo wasn't sent for treating PMR/GCA. The belief that Prednisone is the "only option" for PMR/GCA is still entrenched.
https://www.mayoclinic.org/tests-procedures/cortisone-shots/in-depth/steroids/art-20045692

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@dadcue
I’m just so happy to start a new chapter with PMR. I know how things can turn around on a dime but trying to remain optimistic. I almost feel like I’ve been let out of jail having to be a prisoner to that pill, making sure I remember to take it on time every day. Hopefully Kevzara does its job and I can feel more normal.

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Profile picture for jeff97 @jeff97

@dadcue I only dealt with neurologists when I was being diagnosed. Plus my B12 and D levels haven't been monitored. My rheumatologist strongly recommended a small daily aspirin for me because of the vision problems at the time of my diagnosis, and also because of the risk of stroke from the GCA. I have taken a PPI because of the combination of prednisone and the aspirin since the time I started treatment. I tried stopping the PPI after I finished the prednisone, but I still have issues from the aspirin. I'm going to try upping my doses of calcium, D3, K2, and B12. I'm tired of being tired.

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@jeff97 Never up your dose of any non-water soluble vitamin or mineral without using blood work and a Doctor. Both vitamin D and K2 are NOT water soluble and will do significant damage to organs if the levels are too high. Do not play games with what you think is a vitamin deficiency get a simple blood test from your doctor to be sure and get the correct dosage only if needed. A large number of Kidney, and Liver disease and failures come from people taking too many non water soluble vitamins and minerals.

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Profile picture for caroljeand @caroljeand

@thewitchdoctor
Thank you… I just tapered off prednisone yesterday and hoping that was the culprit for my stomach acid. We’ll see.
In addition I have been taking 5000 units of vitamin D for some time not realizing it was a mega dose and could be harmful. I have decreased the use to every other day.
I plan to wean off pantoprazole at some point and just stay on famotidine at night for my nighttime stomach growling issues.
I do get my vitamin D monitored and my doctor said it was at a high normal range. That makes me think I was on too high a dose so I feel good about lowering it.
I’ll be curious to see what my next labs indicate. I do not want to take unnecessary meds so hopefully I can get off some of these.

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@caroljeand Good Job using the blood test and doctor, my vitamins and minerals are checked every 6 months in my blood work. I am at 4,000 units and that for now keeps me right at the lower acceptable level. All vitamins and minerals that are not water soluble should never be taken without a doctors advice and blood labs for correct dosage.

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Profile picture for smj @smj

I developed PMR after my Pfizer booster shot for Covid. I had never reacted to immunisation before. I had instant results with 10 mg prednisone and decreased by 1 mg per month. I am down to 1 mg tomorrow and have to decide whether to get another Covid booster and/or flu shot. Any experiences to share out there? Thank you.

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@smj

I also had a PMR flareup after Pfizer Covid vaccine in October 2025. I’m still in flareup while on 2 doses daily, one dose 1 mg and one dose 2.5. Pain gets better mid-day but never completely gone. Fingers very swollen, had to have my ring cut off. Getting harder to dress myself in am, because symptoms are better in pm. I am 81 and female.

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Prednisone is pain reliever but be aware

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Profile picture for ruralgal76 @ruralgal76

Prednisone is pain reliever but be aware

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@ruralgal76

One time my rheumatologist tried to "reframe" the way I thought about Prednisone. She said Prednisone was only intended to control the inflammation caused by PMR. She said Prednisone wasn't intended to relieve any and all pain that was being caused by my other medical conditions.

What she said made me think about it. It was true that I was told distinctly that reactive arthritis and uveitis which are other autoimmune conditions weren't treated with long term Prednisone but it works great in the short term. My other autoimmune conditions had better treatment options that actually prevent flares and were safer than long term Prednisone. This is also generally true for people with RA and other autoimmune conditions as well.

I had another condition called trigeminal neuralgia that was NOT autoimmune related. A neurosurgeon told me prior to surgery that he usually saw a list of pain medications a "mile long" for people with trigeminal neuralgia. He didn't see any pain medications that I was taking. I pointed out that I only took Prednisone because it worked "reasonably well." The neurosurgeon didn't consider Prednisone an appropriate pain medication for trigeminal neuralgia. That was a short time after an emergency room doctor gave me IV steroids because I had the worst case of trigeminal neuralgia he ever saw.

I got quick relief from IV steroids however, I was referred to the neurosurgeon when an MRI scan revealed the cause of the problem. I was taking Prednisone whenever I have attacks of trigeminal neuralgia pain. The neurosurgeon told me after surgery that prednisone might have helped the pain but prednisone wasn't ever going to fix the problem.

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