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PMR and Sciatica with Back Pain

Polymyalgia Rheumatica (PMR) | Last Active: Jun 8, 2023 | Replies (37)

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@cjh51

Hi - Yes, I had sciatica (in my left leg) while I had PMR. Not all the time, but typically was triggered by long periods of sitting (such as driving in car). As I slowly recovered from the PMR - I went from 40 mg Prednisone to 20, 15, 12, 10 for many weeks, and then tapered down 1 mg weekly for a total of 5 months - the sciatica also improved and eventually no reoccurrence (so far!). I never had sciatica prior to PMR.

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Replies to "Hi - Yes, I had sciatica (in my left leg) while I had PMR. Not all..."

Thank you for your response. I am anxious to see what my rheumatologist will say about the sciatica. I am so hoping to get off this prednisone but just can't quite make the break. I am so happy that you have recovered. Stay healthy!

Hi all, I also suffer from left leg sciatica, which started about the same time that I experienced PMR pain in my thighs and arms (March 2020). BTW, my PMR pains began shortly after my second COVID vaccination, which my physician doesn't think is a coincidence. Is there anyone else who contracted PMR following a COVID vaccination?
It took 4 months to diagnose my PMR since my pain was only experienced while lying down. I started taking Prednisone (10 mg) in July 2020 and my leg pain flared up in August, so much so, that I had to sleep in a Lazy-Boy to find any comfortable position at all. I also used a walking stick at one point, but can now walk without much discomfort, especially in the morning. As the day wears on, my pain usually gets worse. I was very active prior to my PMR (cardio dancing, yoga, and walking about 5 miles/day). Now I'm currently walking about 4 to 5 miles per day and using a stationary bike, just in case this pain is related to my osteoarthritis (as visible on my x-ray). My prior physician thought I had sciatica emanating from my L4 -L5 vertebrae, so I went to PT to get the appropriate stretches/exercises for this. These exercises/stretches seemed to make my pain worse, so I eventually stopped. My current physician thinks it could be pyriformis syndrome, so I've tried stretches and exercises for this, but my pain at night gets worse when I do them. I am still taking 1 mg. prednisone since July 2020 and when I recently tried to stop it, my shoulders starting aching again while in bed.