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Prednisolone reactions

Polymyalgia Rheumatica (PMR) | Last Active: Dec 20, 2023 | Replies (13)

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@pb50

I would say it dials down the flare to kind of an everyday level. I resist Prednisone because I don’t want the side effects and I want to continue to tolerate background pain. In this case I had a really bad tendon trap on my middle finger. He didn’t think it was a typical trigger finger and I don’t think it is Dupuytren’s contracture. So he gave me a low dose and quick taper. Interestingly it only barely improved the finger (and I have appt soon with hand surgeon) but… but it magically eliminated my rib and diaphragm pain from my lobectomy in May. Not improved… eliminated! I was so happy. But once I got below 12 mg the benefit went away too.
I felt like Cinderella at midnight.

What inflammation markers do they check for you? Like Sed rate?

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Replies to "I would say it dials down the flare to kind of an everyday level. I resist..."

ESR and CRP ... they were always high until I started taking Actemra. When they were first checked after I started Actemra my markers were really low. I asked my rheumatologist if they were too low because I had never seen them that low before.

I don't know why my ESR and CRP are checked anymore. Supposedly those markers aren't a reliable indication of disease activity when people are on Actemra. My symptoms are "tolerable background pain" like you say.

I have had so many trigger fingers in the past --- too many to count. Sometimes I could release them myself but not always.

I also had a "spontaneous" tendon rupture when I pushed a button with my thumb. They were able to reattach my thumb so it works now.