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Morning misery: Is prednisone effective 24 hrs? PMR and hands
Polymyalgia Rheumatica (PMR) | Last Active: Dec 15, 2023 | Replies (58)Comment receiving replies
Thinking about our various symptoms with a diagnosis
of Polymyagia we should consider other possible causes
as well. Prednisone will alleviate pain and inflammation
regardless of any neat diagnostic category.
If a senior also has another form of arthritis it is likely to
respond for a time to prednisone as well. Prednisone
therapy could mask another coexisting condition and
delay diagnosis. We need to keep an open perspective
along with our physicians.
Very classical PMR responding nicely to tapering prednisone eventually allowed bilateral carpal tunnel
to become apparent for me. Eventually responding
wonderfully to Humira with psoriatic arthritis after two years. With minimal symptoms left they well could be just osteoarthritis at my age. Inflammation is the thread common to all rheumatic conditions.
Stay informed and consider that a good doctor should
welcome a second opinion and consider the possibilities.
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We are all different, and since prednisone relieves any inflammation, yes, it may be another form of arthritis. But it can be PMR affecting hands. I broke my right wrist in Jan so have X-rays that show very little bony arthritic change in my hands… totally expected in any 64 year old. However my hands are bilaterally painful in the morning, with mild swelling between the knuckles and no pain to palpation of the joints. My rheumatologist agreed it was part of my PMR presentation. And it is interesting, good days have minimal shoulder/ hand pain. Bad days affect both. This is round 2 for me, was classic presentation in round 1- bilateral shoulder/hips only. This one has had other interesting pains…. Bilateral behind the knees before I went back on meds. So I do think “non-classical” PMR exists, along with PMR plus osteoarthritis.