How much muscle fatigue do you have with PMR?

Posted by reewhite @reewhite, Sep 11, 2023

I am taking prednisone for stiffness and pain but still have a lot of muscle fatigue. Is this normal?

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Hi @reewhite, welcome to Mayo Clinic Connect. I'd like to invite @pjnewm, @annettetompkins, @gagapapa, @bcarr54 who all discussed fatigue with PMR and also their experiences with fatigue when tapering prednisone in the discussion:

- Chronic Fatigue while tapering prednisone with PMR, https://connect.mayoclinic.org/discussion/chronic-fatiguewhile-tapering-prednisone-for-pmr/.

@reewhite, has your muscle fatigue improved or worsened at all? How about your pain and stiffness with the prednisone?

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I have been using prednisone for pmr & felt fatigue . lately I have taken a spoonful of honey few times a day & constant fatigue has diminished. still have limited stamina but no longer dragging myself around. not sure of connection. but so far so good.

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Yes its normal for me. There are days when I do moderate and limited amounts of work around the house and garden. I always pay for it with sore burning muscles and overall tiredness. Yesterday I really overdid it. In evening, I felt like I was getting the flu and I was exhausted and sore.

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@JustinMcClanahan

Hi @reewhite, welcome to Mayo Clinic Connect. I'd like to invite @pjnewm, @annettetompkins, @gagapapa, @bcarr54 who all discussed fatigue with PMR and also their experiences with fatigue when tapering prednisone in the discussion:

- Chronic Fatigue while tapering prednisone with PMR, https://connect.mayoclinic.org/discussion/chronic-fatiguewhile-tapering-prednisone-for-pmr/.

@reewhite, has your muscle fatigue improved or worsened at all? How about your pain and stiffness with the prednisone?

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The stiffness has improved greatly ,but I still get a lot of muscle fatigue and weakness .

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@ggustafson

Yes its normal for me. There are days when I do moderate and limited amounts of work around the house and garden. I always pay for it with sore burning muscles and overall tiredness. Yesterday I really overdid it. In evening, I felt like I was getting the flu and I was exhausted and sore.

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Thank you for that info. The same thing happens after I do the stretches PT gave me. The pain seems to settle back in and takes days to feel

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@ggustafson

Yes its normal for me. There are days when I do moderate and limited amounts of work around the house and garden. I always pay for it with sore burning muscles and overall tiredness. Yesterday I really overdid it. In evening, I felt like I was getting the flu and I was exhausted and sore.

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I am in agreement with you....and happy to hear that this isn't just me. Its ridiculous that a moderate amount of housework can cause pain and exhaustion, but very true with me as well. Last night after I did some routine stuff around the house, I could barely get a shower and fell into bed. Wish I had an answer to alleviate these awful auto immune symptoms.

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It certainly is for me. The "rubbery" leg feeling is very common.
I have found that it is best to exercise anyway, despite the pain, and as much as possible. Use real resistance in a gym to strengthen the muscles as much as possible. Follow with heat if you can.

At first I had bad reactions from "overdoing" but over time there has been much improvement.
It still hurts some when I walk and rubbery sort of cramped feeling most of the time, but I can walk up to a mile now and my legs are much stronger and hurt less. (still not zero except occasionally).
ps I have had PMR for many years undiagnosed until the past two. Still hopeful to be doing normal activities (dance, hike etc) in the next few months. Good Luck!

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