Can PMR be induced by Exercise

Posted by mcarso @mcarso, Oct 7, 2023

Just a theory; I been treated for PMR since April 2023. It began after I stated new exercises for my legs (which I haven’t done for years) mostly the consisted of sumo squats among other exercises. Right after I stated this routine I stated to develop pain in my leg which I just thought was muscle pain, mostly my adductor tendons between the legs were the major problem. This soon spread throughout my legs back shoulders, arms; yo know the symptoms. I was finally diagnosed with PMR in May by my rumo Doctor; placed on 15mg of prednisone and currently done to 7mg. I started my normal weight lifting routine around 4 months ago starting with lifts weights working up to my normal weight. Around a 2 weeks ago I started doing the leg routine again just doing the sumo squats very light weight (10 pounds) working up to 30 pounds. I stopped doing these due to my adductor tendons acting up again.
Could this be the reason why I got the PMR in the first place? Seem very coincidental. Now I run on the elliptical and walk hills all prior to doing these latest sumo squats.
Just throwing this there. I’m 70 years old never had RA or arthritis of any kind all X-rays on joints are normal. My only current pain is very mild in my fingers on both hands in the morning. Weird

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Profile picture for Mike @dadcue

@stonewheel

Salmon is okay but I rather it is cooked. I remember salmon salad when I was younger and it was good but fried salmon patties were better.. Nothing has ever been wrong with tuna salad or tuna on a salad.

I like some sushi once in a while but I'm leery of anything that isn't rice.

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@dadcue the white rice is highly processed, thus inflammation. That’s why I prefer sashimi best of all.

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Profile picture for stonewheel @stonewheel

@stonewheel Whatever they had at the supermarket.

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Profile picture for sunshine4u @sunshine4u

I do find weightlifting makes my symptoms much worse. Swimming, yoga, dancing and walking seem to help. Like others have said, moderation is the key which is very difficult for many of us who have been very active our entire life.

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@sunshine4u I had a similar experience with light weights perhaps making my symptoms worse. I do yoga, pilates, dance, and swimming with no adverse effects, but when I went from 4# to 5# weights, I seemed to experience some additional pain at night not associated with lactic acid pain.

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@megz

There are many theories about what causes autoimmune disorders. Foreign proteins in the body was one I liked the best. There are many ways that these foreign proteins get into the body but infections are the more common way. I don't know why ingesting foreign proteins aren't believed to cause too many problems. It certainly seems possible. I will probably avoid marine collagen since the nearest ocean to me is more than 1,000 miles away. My body is not accustomed to seafood very often.

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I eat a lot of protein in its natural form without a problem, including the higher collagen cuts of beef and lamb, the slow cook cuts and ones that include bone marrow. Like you, I'm not keen on seafood and rarely eat it.

What makes hydrolysed collagen in supplements foreign is that they've been processed/hydrolysed to break collagen into smaller fragments before you take it. Natural collagen in food arrives in the body as complete collagen in a recognised form, along with the food which naturally contains it.

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Profile picture for megz @megz

I eat a lot of protein in its natural form without a problem, including the higher collagen cuts of beef and lamb, the slow cook cuts and ones that include bone marrow. Like you, I'm not keen on seafood and rarely eat it.

What makes hydrolysed collagen in supplements foreign is that they've been processed/hydrolysed to break collagen into smaller fragments before you take it. Natural collagen in food arrives in the body as complete collagen in a recognised form, along with the food which naturally contains it.

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@megz

It is a coincidence that you responded. I was trying to recall you because I was just chatting with @judith75 who is also from Australia.

I tried to let you know but @metz didn't work. I guess you are Meg.

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@megz

It is a coincidence that you responded. I was trying to recall you because I was just chatting with @judith75 who is also from Australia.

I tried to let you know but @metz didn't work. I guess you are Meg.

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@dadcue I've been a lot less active here in past months since being re-diagnosed from PMR to connective tissue disease and being told to stay put on 2mg pred for 6mths. Am trying to do more normal things while I have this period of relatively stable health.

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Reflecting on when I began this joy ride a year ago I remember a 4+ mile walk one evening in mid December 2024, Next day sore (unusual) and by January, 2025, daily growing pains moving to right wrist & elbow then left shoulder, bilateral hip areas. I continued to walk but much much less & do stretching class at the Y until I was too Miserable.
& it was so difficult to move. So just stayed home. By March (2025) began prednisone at 15 mgs. Overnight miracle. The methotrexate added in May. I’m still on both pills tho going down to 2.5 , from 3 mgs, I hope! of prednisone tomorrow . While on 3 mgs I have some low back pain, the front of my right thigh/hip (psoas muscle areas) & adductors pains when I do stretches. Pains Manageable but I’m still bummed. The back pain is the most uncomfortable & is irritated by driving , sitting!
Anyway it didn’t occur to me that the exercising might have triggered something? This occurred at age 71. I’m now 72. I still got some fighting to do! Not ready to waive the white flag.

Curious if rheumy would change me to the new biologics?

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Profile picture for ds1 @ds1

I'm at about 5 weeks into P.MR. I had to self diagnosed, cause my Doctor said I didn't have pmr even though I had all the symptoms. Fortunately, I had some prednisone left from a previous prescription that I did not use. So I started treating myself starting at 15 mg which miraculously stopped all my symptoms. I initially wanted to get off the prednisone. And did not do my research enough. And I was reducing very quickly, which caused me to flare so i went back upto 10 mg. And now reducing down more slowly..... But I too also was using collagen every day and sometimes twice a day. I had a funny feeling about this collagen being a possible cause of my PMR. It was very difficult to find a rheumatologist, but I finally was able to get one. And he said that if I had not started on my own, like I did, it would have spread down to my hips.

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@ds1 I exercise excessively I have my whole life and I am now 81 years old. Here is my story:
I was about 43 when I was diagnosed with PMR, which was 38 years ago and have been on and off prednisone, mostly on. I had classic symptoms. Pain in my shoulder girdle and hip girdle for no reason and fatigue. 10 mg of prednisone was a wonder drug. Within 6 hours of taking 10 mg I was a new man no pain. The problem was after tapering to zero about a year later the pain returned. Went through the cycle again. No pain for about a year then the pain again. This went on for years the the time between pain was getting less. Went on 2.5 mg prednisone and was without pain for about 4 years. Then the pain returned. Stayed on 2.5 for a while then went to 5 mg per day. During this time, about 30 years, I saw 4 different rheumatologists. The fifth rheumatologist thought I didn't have PMR due to my early diagnosis. He tried hydrochloroquine, but I had bad dreams, then he tried sulfa.... and it didn't help. Then Kevzara and had no problem reducing prednisone from 15 mg to 2.5 mg. When I went to 2mg had slight pain and when I went to 1 mg had lots of pain. Back to 2.5 mg prednisone and Kevzara. After being on prednisone for 38 years I am in the dark as to all the side effects. I do not notice any but thin skin. I bleed easily with only the slightest abrasion. I have had many bone density scans and they are all normal probably due to all the exercise I get. I have exercised excessively my whole life. My rheumatologist wanted to put me on Flosamax (sp) but I declined. I am 81 years old and still exercising excessively.

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Mine started with "squats" of a sort, playing pickleball, having to squat many times to pick balls off the floor. Age 71 at the time, I had been quite inactive previously, then enjoyed pickleball so much, I felt I was actually getting into shape.

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I going into depression without exercising, then one day I just got up decided to exercise by starting slow and working my way up. I still have slight symptoms (Both hands) but working through them. Good luck

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