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PMR's effect on my hands

Polymyalgia Rheumatica (PMR) | Last Active: Jun 12 7:29am | Replies (49)

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Profile picture for gwl @gwl

68 year-old male now experiencing bad hand pain. I began taking 15 mg of Prednisone in Nov 2025 for PMR. Both shoulders and both hips were painful. Hip and shoulder pain went away within a couple days. I tried an aggressive tapering schedule and was down to 10 mg by 9 Feb, 7.5 mg by 24 Feb, and 5 mg by 4 March. On March 21, the pain in my shoulders was back along with severe pain in my hands and fingers so I took 5 mg in the morning and 5 mg before bedtime. Within a week (at 10 mg) everything felt much better. On 4 Apr i went from 10 mg to 7. On 1 May, I went to 5 mg. By 6 May, I really felt like I had rounded the corner and was down to 3 mg by 15 May. Shoulders were still pretty good but hands hurt in the mornings. I went to 2.5 mg on 29 May. By 5 June, morning pain in my hands was unbearable and continued for several days. It hurt to pick up a cup of coffee. Finally, on 7 June, I went back to 5 mg. We'll see how this works. I really want off the Prednisone and my doc does as well. I have to admit, I'm a little frustrated with the two major setbacks I've had. Throughout the tapering process, I"ve become fatigued as well. In summary, my aggressive tapering has been hit and miss. Ironically, my shoulders are doing well but hand and finger pain are often unbearable.

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Replies to "68 year-old male now experiencing bad hand pain. I began taking 15 mg of Prednisone in..."

@gwl
I thought I was reading something that I had written. Same time frame, same pains and same age.
I’m not increasing my prednisone because of my hands, I’m at 3.5 mg/day.
Best wishes.
Keep us informed.

@gwl
First, I'm very sorry to hear about your hand pain. I'm on 20 MG a day for about two months now. Shoulders and arms as good as new. But hand pain is constant. I've described it as an ache, rather than "pain." It feels as if I spent the day using lawn clippers on thick branches - that kind of overuse ache. Pain subsides as the day goes on. Pain is at its worst in the morning.

I'm curious: Are you trying an manual methods to ease the pain. I've hear icing one's hands can help. My wife has moderate arthritis and uses microwave "mittens" to loosen her fingers up. Have you tried that? I'm worried, because I think heat might actually increase the inflammation.

All told, the prednisone has been great, but my hands seem to be getting worse. Such a strange illness.

Again, I hope you get some relief and feel better.