Emotional Roller Coaster and PMR

Posted by jabrown0407 @jabrown0407, Dec 3 3:53pm

I am wanting to start an open discussion about the emotions we have experienced as a result of having PMR. I know I went a year before I was diagnosed. Once diagnosed I struggled with denial since my symptoms were 180 degrees away from those I read about. I struggled with taking prednisone. And now even after I am off the steroids I struggle. I found that many of my friends and family had never heard of PMR and thus did not understand how I could look and sound perfectly fine but was unable to do so much. I even struggled because some of my doctors didn't know how to help They too were less than candid - it seems many doctors do like the ego drag of not knowing how to help a patient. I struggled because I did not understand so much about what was happening to me. Even my Rheumy could not always fill in the blanks.

I seriously don't believe I am the only PMR patient who has felt lost in a sea of confusion. I thought we might share our feelings and those things that brought us comfort. I found comfort in having breakfast with my Breakfast Club even if I could not share my physical problems. They made me feel normal, if even for a short while a few mornings a week. I found comfort in the few doctors who even if they could not immediately help me wanted to follow me to see if they could step in at some point in the future and help me. I found an excellent physiologist who has led me to a path of really healthy self-talk. I also found services that could fill in those things that PMR no longer allowed me to do - like grocery shopping, preparing meals, cleaning up, etc. Coping with your body is one aspect of PMR but for me the biggest challenges came when I had to cope with my changing environment.

Please share your thoughts, experiences and accommodations you have made while on your PMR journey.

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

Good morning, jabrown. While my psychological symptoms weren't as bad as yours, I definitely experienced and continue to experience some. When I was first diagnosed, I discovered this support group and started reading the various things that can happen to a PMR patient. Some of them were so horrifying that it increased my anxiety and made me start feeling very depressed. I recall that three days after my diagnosis I had learned so many negative things, that I spent most of the day crying. But I soon began educating myself on ways to minimize my chances of becoming diabetic and having my osteoporosis worsening. Fortunately I have always been slim and fairly fit. I gave up most sugar (not all; I still need that bit of sweetness now and then), refined white flour, pre-packaged foods with preservatives, etc. I increased my protein, and even bought max protein Ensure, which has a slight sweetness that satisfies my sweet tooth for a dessert after dinner. I also found a YouTube that featured exercises especially for PMR patients. Once I viewed the YouTube, I realized I was already much more advanced than the exercises she was showing. My doctor had told me years ago to carry weights around to build my bone density. So I started a 20-minute "weighted walk" routine, which I try to do every day. I hold 5-pound weights in each hand and strap 1.5 pound weights to each ankle. After a couple of months, I increased the ankle weights to 3 pounds each. I also do push-ups against my kitchen counter, and jog in place for 100 steps at a time. These are all exercises that build bone density. Another thing for me is prayer. I am an unashamed Christian, and I have so many times experienced what I believe to be miracles, that I have a strong faith. Of course I question God also, i.e. "Why me, God? " But I believe He wants to make me stronger through adversity. So far I have not experienced any swelling, except a very slight puffiness in my cheeks, but definitely not "moonface." I have noticed an increased tendency to bruise, but my dermatologist recommended Arnicare, which is a cream that if applied right after a bump on the arm or leg, will prevent the bruise from appearing. My PC doc gave me some mild sleeping pills that help with the sleeplessness caused by prednisone. But overall, I believe I am doing better than most. I had recent labs, and they were all good. I just hope I can continue tapering my prednisone without any pain. Another psychological effect that still lingers, seems to be a lack of desire to participate in some of the organizations I formerly engaged in. I'm not sure why, but I still feel a bit stand-offish that way and find myself shutting people out sometimes. I finally found one acquaintance who had experienced PMR several years ago, so she and I were able to talk about it. Most of my friends have zero idea of the initial pain. I sincerely wish you the best. By the way, I am a 77-year old female.

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I am not sure that PMR causes that much emotional distress? It is painful but can be controlled and managed. It is like a really bad bad case of arthritis but once controlled and managed life should be OK? I wonder if your emotional distress comes from a lack of compassion from others? Perfectly normal
Continue with your breakfast meetings and I do agree with you about many doctors not feeling the need or having the time to display some EQ

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I could write a long piece about emotions and physical limitations from PMR, but I will say your words definitely resonated with me. I am no longer taking prednisone (after 14 months) and feel OK. I say only ok because at my age (78) other stuff just crops up. Arthritis from shoulder surgery (you are not alone), osteoarthritis in my hip joints, knee issues (bakers cysts) and whatever else is lurking, as yet undetected, in my aging body. I look pretty normal so I don’t complain but unless you have experienced PMR you cannot know how frustrating the condition is. Advil is my usual go to med and exercise and PT are helping me to stay strong. Carpe Diem Liz Ward

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I understand exactly what you were saying. PMR is absolutely no fun it does what it does and that’s the bottom line! You’re absolutely right about it being like a roller coaster!!! each one of us is unique and we will all have different situation’s with the medication‘s and everything else that goes along with PMR!!! I am trying to go day by day and it’s very very difficult!!!

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@centralflorida

Good morning, jabrown. While my psychological symptoms weren't as bad as yours, I definitely experienced and continue to experience some. When I was first diagnosed, I discovered this support group and started reading the various things that can happen to a PMR patient. Some of them were so horrifying that it increased my anxiety and made me start feeling very depressed. I recall that three days after my diagnosis I had learned so many negative things, that I spent most of the day crying. But I soon began educating myself on ways to minimize my chances of becoming diabetic and having my osteoporosis worsening. Fortunately I have always been slim and fairly fit. I gave up most sugar (not all; I still need that bit of sweetness now and then), refined white flour, pre-packaged foods with preservatives, etc. I increased my protein, and even bought max protein Ensure, which has a slight sweetness that satisfies my sweet tooth for a dessert after dinner. I also found a YouTube that featured exercises especially for PMR patients. Once I viewed the YouTube, I realized I was already much more advanced than the exercises she was showing. My doctor had told me years ago to carry weights around to build my bone density. So I started a 20-minute "weighted walk" routine, which I try to do every day. I hold 5-pound weights in each hand and strap 1.5 pound weights to each ankle. After a couple of months, I increased the ankle weights to 3 pounds each. I also do push-ups against my kitchen counter, and jog in place for 100 steps at a time. These are all exercises that build bone density. Another thing for me is prayer. I am an unashamed Christian, and I have so many times experienced what I believe to be miracles, that I have a strong faith. Of course I question God also, i.e. "Why me, God? " But I believe He wants to make me stronger through adversity. So far I have not experienced any swelling, except a very slight puffiness in my cheeks, but definitely not "moonface." I have noticed an increased tendency to bruise, but my dermatologist recommended Arnicare, which is a cream that if applied right after a bump on the arm or leg, will prevent the bruise from appearing. My PC doc gave me some mild sleeping pills that help with the sleeplessness caused by prednisone. But overall, I believe I am doing better than most. I had recent labs, and they were all good. I just hope I can continue tapering my prednisone without any pain. Another psychological effect that still lingers, seems to be a lack of desire to participate in some of the organizations I formerly engaged in. I'm not sure why, but I still feel a bit stand-offish that way and find myself shutting people out sometimes. I finally found one acquaintance who had experienced PMR several years ago, so she and I were able to talk about it. Most of my friends have zero idea of the initial pain. I sincerely wish you the best. By the way, I am a 77-year old female.

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Thank you for your comments. One of the many challenges with PMR is that everyone's journey is so different. Literally, no two are alike. It has been difficult for me to set expectations for myself. As badly as I would like to be as I was before PMR, I intellectually I know that may never happen. I would just like to know when I have reached peak recovery. My body was good to me for many, many years and I am trying to live with the hand I was delt, unfortunately from my perspective there is not a PMR for Dummies. I find myself somewhat where you are, no one has even heard of it, people want to move past it and we are stuck in the middle of finding our way out. I applaud anyone and everyone who can say they have achieved optimal quality of life post PMR. I think PMR changes our perspective and values in ways we don't recognize immediately. I would not have chosen this journey. Now that I find myself on it, I find it challenging and rewarding, depressing and exhilarating all at once. I too am female and a mere 80 years old.

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@jenbillig

I am not sure that PMR causes that much emotional distress? It is painful but can be controlled and managed. It is like a really bad bad case of arthritis but once controlled and managed life should be OK? I wonder if your emotional distress comes from a lack of compassion from others? Perfectly normal
Continue with your breakfast meetings and I do agree with you about many doctors not feeling the need or having the time to display some EQ

Jump to this post

Thank you for taking the time to comment. I have been at this for some time and I can honestly say that I have not successfully gotten to the management stage. I still feel that PMR is lurking in a conner and does jump out to surprise me from time to time. As for being normal, I believe I am, regardless of the core reason(s) for my struggles.

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@lizward46

I could write a long piece about emotions and physical limitations from PMR, but I will say your words definitely resonated with me. I am no longer taking prednisone (after 14 months) and feel OK. I say only ok because at my age (78) other stuff just crops up. Arthritis from shoulder surgery (you are not alone), osteoarthritis in my hip joints, knee issues (bakers cysts) and whatever else is lurking, as yet undetected, in my aging body. I look pretty normal so I don’t complain but unless you have experienced PMR you cannot know how frustrating the condition is. Advil is my usual go to med and exercise and PT are helping me to stay strong. Carpe Diem Liz Ward

Jump to this post

Thanks for your input - I agree with the perspective about not being able to know how frustrating PMR is. I certainly had no clue - and now I am living it. I find that I have a lot more acceptance of my friends with problems like Lupus and other autoimmune issues. Carpe Diem is the perfect phrase!

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@centralflorida

Good morning, jabrown. While my psychological symptoms weren't as bad as yours, I definitely experienced and continue to experience some. When I was first diagnosed, I discovered this support group and started reading the various things that can happen to a PMR patient. Some of them were so horrifying that it increased my anxiety and made me start feeling very depressed. I recall that three days after my diagnosis I had learned so many negative things, that I spent most of the day crying. But I soon began educating myself on ways to minimize my chances of becoming diabetic and having my osteoporosis worsening. Fortunately I have always been slim and fairly fit. I gave up most sugar (not all; I still need that bit of sweetness now and then), refined white flour, pre-packaged foods with preservatives, etc. I increased my protein, and even bought max protein Ensure, which has a slight sweetness that satisfies my sweet tooth for a dessert after dinner. I also found a YouTube that featured exercises especially for PMR patients. Once I viewed the YouTube, I realized I was already much more advanced than the exercises she was showing. My doctor had told me years ago to carry weights around to build my bone density. So I started a 20-minute "weighted walk" routine, which I try to do every day. I hold 5-pound weights in each hand and strap 1.5 pound weights to each ankle. After a couple of months, I increased the ankle weights to 3 pounds each. I also do push-ups against my kitchen counter, and jog in place for 100 steps at a time. These are all exercises that build bone density. Another thing for me is prayer. I am an unashamed Christian, and I have so many times experienced what I believe to be miracles, that I have a strong faith. Of course I question God also, i.e. "Why me, God? " But I believe He wants to make me stronger through adversity. So far I have not experienced any swelling, except a very slight puffiness in my cheeks, but definitely not "moonface." I have noticed an increased tendency to bruise, but my dermatologist recommended Arnicare, which is a cream that if applied right after a bump on the arm or leg, will prevent the bruise from appearing. My PC doc gave me some mild sleeping pills that help with the sleeplessness caused by prednisone. But overall, I believe I am doing better than most. I had recent labs, and they were all good. I just hope I can continue tapering my prednisone without any pain. Another psychological effect that still lingers, seems to be a lack of desire to participate in some of the organizations I formerly engaged in. I'm not sure why, but I still feel a bit stand-offish that way and find myself shutting people out sometimes. I finally found one acquaintance who had experienced PMR several years ago, so she and I were able to talk about it. Most of my friends have zero idea of the initial pain. I sincerely wish you the best. By the way, I am a 77-year old female.

Jump to this post

Omg you sound like me when you said Why me Lord? I am a Christian also & would pray for God to take the pain from me. And like you I feel I am stronger because of what I went through. No one who has never experienced PMR can understand how debilitating it is.

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I do not talk pmr to people. I stick with this Mayo group and literature review This is one mysterious dx. And the answers can be a lot of rabbit holes from doctors because they do not have answers. Mayo is the most reliable that I have found. Open to suggestions

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