How did your PMR begin?

Posted by ctjpmarie @ctjpmarie, Apr 13, 2023

In trying to understand PMR-( my husband has it) …I’m curious to know -if any of you had anything specifically stressful, going on in your life, at the onset of PMR? You know-besides, the normal day-to-day stressors of life?

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

@mansplainer101

Somewhat similar for me...neither my primary care physician nor an orthopedic surgeon correctly identified it as PMR. Took them four months to figure it out. Within a day of starting Prednisone, my shoulder pain was gone.

Like you, I began on 15mg of Prednisone and, by happenstance, dropping the dosage 1 mg a month, I started on 3mg a day today.

IMHO, is not .5mg a month extremely slow withdrawal? It's going to take forever for you to wean yourself away and during all that time there are the side effects about which you have to be concerned. Are you taking Fosamax also, to guard against the bone loss which is, so I am told, the most common side effect of taking Prednisone?

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The reason I'm taking it very slowly is due to also getting GCA three months after diagnosis for PMR. We all know the consequence of GCA. It can cause sight loss quickly too. I know a few that have lost sight in one eye and one lady in both. So you can understand my concern. Many with PMR have been taking it for yrs and yrs due to flares. That could be due to the fact they have tapered too quickly by too much of a decrease. I was reducing by 1mg per month but still experienced flares, so decided to try it by 0.5mg and so far so good. So by this December hopefully, I will be on 1.5mg. Just hope my adrenals have started to produce the cortisol we all need as we taper. I will request the ACTH test on my next appt with Rheumy. I also think the slow taper helps the adrenals to wake up. That will be exactly three years for me. I was told between one and two years. Those that manage that period and earlier are very lucky.

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Yes, my husband was ill.

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How did your P.M.R. start? My P.M.R. started when my Doctor advised me to stop Arthrotec for arthritus with in 36hr my neck became very
Stiff shoulders became very sore, my hands and feet became very swollen, i could not grip even a coffee cup . I could not wear shoes or slipper on my feet they where very swollen.

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I think there is an connection PMR and the use of statins.

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At least, in my husband’s case there couldn’t possibly be a correlation because he’s not on any. Actually, until PMR showed up at age 65 he was in perfect health with not one drug.

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@sirmac

How did your P.M.R. start? My P.M.R. started when my Doctor advised me to stop Arthrotec for arthritus with in 36hr my neck became very
Stiff shoulders became very sore, my hands and feet became very swollen, i could not grip even a coffee cup . I could not wear shoes or slipper on my feet they where very swollen.

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Welcome @sirmac. The exact cause of polymyalgia rheumatica is unknown, but a combination of genetic and environmental factors is thought to be responsible. Conditions without a cause are frustrating.

@ctjpmarie asked the same question about how PMR started for members, so I moved your question to this existing discussion:
- How did your PMR begin? https://connect.mayoclinic.org/discussion/how-did-your-pmr-begin/

I did this so you can read the "start" storied of fellow PMR members and connect with them easily.

What treatment is your doctor suggesting?

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@pointer134

I think there is an connection PMR and the use of statins.

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Can you expand on that, provide a source? There are millions upon millions of people on statins and any connection, causative or associative, with taking statins would I believe be front page news. This is the first time I have seen this allegation.

Thanks!

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@colleenyoung

Welcome @sirmac. The exact cause of polymyalgia rheumatica is unknown, but a combination of genetic and environmental factors is thought to be responsible. Conditions without a cause are frustrating.

@ctjpmarie asked the same question about how PMR started for members, so I moved your question to this existing discussion:
- How did your PMR begin? https://connect.mayoclinic.org/discussion/how-did-your-pmr-begin/

I did this so you can read the "start" storied of fellow PMR members and connect with them easily.

What treatment is your doctor suggesting?

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Unfortunately, our doctors only answer is simply taking steroids with that said, a friend of mine, who actually works at the CDC forwarded to me a Dr., from New Zealand, who supports liberal supplements.

My husband, who is the one who has it has been taking them religiously.

We’re not sure if it’s helped at all but of course, being on steroids things like vitamin D, and all that kind of stuff is very important. So we’re sticking with it.

He’s tried to taper down a couple times but it didn’t work. He’s only had it since last October 22 of course but such a painful condition I’m not saying that lightly.

The good news is that his torso has definitely improved while his hands are still very swollen and painful-ridiculously south that even my cannabis THC infused coconut oil doesn’t seem to help him one single bit. 🫢☹️

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@maryo1952

I’m 71. In December 2020 I went to an orthopedic doctor because both my knees were bad. I needed replacement surgery. It was the height of Covid, no vaccine yet, hospitals jammed. He suggested Euflexxa gel shots to get me through until hospitals & rehabs were safe. 3 weeks later I could barely move. Most of January & February 2021 I was bedridden. The doctor said I must have lupus. My inflammation was crazy high. I went to a rheumatologist, she couldn’t figure it out but did suspect PMR. They only gave me low doses of prednisone which didn’t help. I changed rheumatologists & dabbled in methotrexate, a little prednisone, Dr could not give me a definitive diagnosis & still my SED rate & CRP were really high. In October 2021 I made an appointment with Mayo in Minnesota. I was finally seen by a wonderful doctor who correctly diagnosed PMR & Vasculitis/GCA. I started with 40 mg prednisone & a few weeks later Actemra infusion.
Almost immediately my inflammation dropped to normal. It’s been at normal levels since June 2022. I’m still on Actemra & doing well. We don’t know how long I have to stay on Actemra, but it sure is expensive. I have Medicare & a good secondary but our out of pocket each month is around $500-600! It’s been quite a journey but I truly believe those gel shots to the knees did this to me. I also think not treating the PMR correctly led me to the GCA complication. And I still need knee replacements.

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IMHO it is a disgrace to our medical system that you had to go to three different doctors to finally get your PMR diagnosed,

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I went to Mayo/Rochester in May 2022. That doctor knew it was PMR right away but thought to check on my runaway inflammation & diagnosed GCA the same day. I might have had an aneurysm or be dead today if it wasn’t for her.

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