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Prednisone and Pain

Polymyalgia Rheumatica (PMR) | Last Active: Feb 1, 2023 | Replies (111)

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@cramsey

I'm 60 years old.
I was first diagnosed with PMR when I was 50. Prednisone was my savior.
For years I took a daily dose (forget how much) and also Hydrocodone. I was able to live a fairly normal life with mild to moderate pain a normal, expected daily accomplice.
I eventually got off the pain meds and slowly weaned completely off the Prednisone.
This last Thanksgiving, one day after, I suffered a massive flare-up. In addition to PMR, Alpha Gal, and a lifetime of injuries, I am inflamed and in pain from my neck to my toes.
Severe neuropathy in my wrists and hands wake me up repeatedly all night.
My new Physician is a PA with her own Clinic. She's very smart and steers toward natural remedies. She hates Prednisone!
I understand why, but I begged her for a prescription: I'm on 1 MG a day and also some expensive Turmeric and MSM supplements.
I don't recognize any benefit.
This has been the worst month of my life. I can barely walk, but I still operate my Furniture Repair business every day, although my productivity is vastly limited.
In my opinion, a larger daily dose of Prednisone is my only hope.
Does anyone have advice?

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Replies to "I'm 60 years old. I was first diagnosed with PMR when I was 50. Prednisone was..."

Hello @cramsey, Welcome to Connect. Sorry to hear you are having to deal with the PMR pain. I'm not a medical professional but I've had 2 occurrences of PMR and the treatment for both was starting at 20 mg prednisone slowly tapering off as my pain would allow. The first time it took 3-1/2 years to taper off. The second time it took me 1-1/2 years to taper off. If my PA would not prescribe the prednisone and it were me, I would seek a second opinion from a rheumatologist and not a GP with little to no experience with PMR (just my opinion). I also would recommend keeping a daily log with your level of pain when you wake up along with the dosage of prednisone for that day.

Here's some treatment information that you might find helpful.
-- Polymyalgia rheumatica: An updated review:
https://www.ccjm.org/content/87/9/549
Are you able to get a referral to see a rheumatologist?

With a severe flare you need to be on 20 mgs of prednisone in order to get relief

A larger dose of prednisone is needed. I would also make an appointment with a rheumatologist.