Has anyone had steroid shots in their shoulders for PMR?

Posted by 2mary @2mary, 1 day ago

Has anyone had steroid shots in their shoulders for PMR? I was diagnosed with PMR in February of this year. I started out at 40 mg and now on 1 mg. My doctor said to come back in July for annual check up and to start physical therapy. My right shoulder was hurting so bad that I decided to had an x-Ray before starting therapy, which showed arthritis, so I had a shot and it has helped for part of the shoulder. I saw my doctor last week for the first time since diagnosis and now she has me starting methotrexate as my pain continues to consume my entire body. I do not see a rheumatologist until October. Has anyone had success with steroid shots?

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Profile picture for tuckerp @tuckerp

@pmrsuzie I had x-rays and an MRI of my right shoulder. This was at the start of PMR. I was convinced I had an orthopedic problem. The tests showed that I had some osteoarthritis and small slap tear in my right shoulder. But he said for 70 yrs old , that was not my problem. Testing also showed some bursitis. He gave me cortisone-steroid shot and said that he would only do the one. His comment was the shots would eventually deteriorate the joint and tendons. He would do plasma injections at $500 shot. By then the PMR had moved everywhere else. All my joints were sore. 4 hours after my first prednisone I was a new man. To answer your question, they might be able to tell from an x-ray but I would say an MRI is better. Particularly as we age and try to be active it doesnt take much to tweak a muscle and those muscles take forever to get better.

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@tuckerp
Thank you, my doctor has never suggested an MRI so I hope when I meet with a Rheumatologist in October they will recommend. How long did your cot

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Profile picture for pmrsuzie @pmrsuzie

@tuckerp
Do you know exactly what was wrong with your shoulder?
I am having a shoulder problem and it is not pmr. I recently really aggravated whatever is wrong when I twisted a plant trying to get it out of a pot. How much can they tell is wrong from an xray? I am trying the rest and activity modification treatment for now. Have not seen a Dr yet.

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@pmrsuzie
The x-Ray on right shoulder showed arthritis and the pain is as bad on my left. Hope you get better soon

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Profile picture for kjoed53 @kjoed53

I had three cortisone injections before my PMR diagnosis. Two were near my left shoulder blade for what they thought was a pinched nerve, and one was in the area of my back closest to my left hip. Each only lasted about 7-10 days. After my PMR diagnosis I started 25mg prednisone and it was like magic.

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@kjoed53
Thank you. Prednisone has not been working for me and now on methotrexate since Sunday.

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Profile picture for 2mary @2mary

@kjoed53
Thank you. Prednisone has not been working for me and now on methotrexate since Sunday.

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@2mary
Is the methotrexate working for you? I just started kevzara July 24.

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Yes, still on predisone (although trying to step down). I'm not sure rheumatologist would give me additional shots in the same joints if I started having pain again but he may if different joints. He did prescribe PT but I haven't started it (and won't unless I start having pain again). Hope this info helps.

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Profile picture for kjoed53 @kjoed53

@2mary
Is the methotrexate working for you? I just started kevzara July 24.

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@kjoed53
Not sure as I just started three days ago with a low 2.5 mg.

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