PMR: Anyone have Stress Fractures while on prednisone?

Posted by susan63 @susan63, Jun 16 4:57pm

Anyone have any experience about having stress fractures while on prednisone? I was diagnosed with PMR almost 2 years ago. Started on 15 mgs. prednisone – had tapered down to 2 1/2 mgs of prednisone and boom – had a major flare that also seemed to involve my upper back. Went to rheumatologist today who upped my steroids back to 8 and is sending me for back xrays, mri and bone density scan. She is thinking that I have a stress fracture in T4 of my spine. Anyone have any experience with this? Thanks!

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

@susan63, My PMR is currently in remission but I've had flares twice and started on 20 mg of prednisone. I haven't had any experience with spine stress fractures but hopefully other members with PMR can share their experience with you. I do have degenerative disk disease along with an undiagnosed suspected condition of camptocormia which makes it difficult to walk standing straight up. I did find some information that sounds like it could be related to your symptoms.

"Can polymyalgia rheumatica affect the spine?
Introduction. Polymyalgia rheumatica (PMR) is a common inflammatory disease in older people characterized by shoulder and/or pelvic girdle, and cervical and, occasionally, lumbar pain. Interspinous bursitis has been suggested as a potential cause of spinal symptoms." — Interspinous bursitis is common in polymyalgia rheumatica, but is not associated with spinal pain: https://arthritis-research.biomedcentral.com/articles/10.1186/s13075-014-0492-2

Can you provide an update after your back X-rays, MRI and bone density scan?

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@johnbishop

@susan63, My PMR is currently in remission but I've had flares twice and started on 20 mg of prednisone. I haven't had any experience with spine stress fractures but hopefully other members with PMR can share their experience with you. I do have degenerative disk disease along with an undiagnosed suspected condition of camptocormia which makes it difficult to walk standing straight up. I did find some information that sounds like it could be related to your symptoms.

"Can polymyalgia rheumatica affect the spine?
Introduction. Polymyalgia rheumatica (PMR) is a common inflammatory disease in older people characterized by shoulder and/or pelvic girdle, and cervical and, occasionally, lumbar pain. Interspinous bursitis has been suggested as a potential cause of spinal symptoms." — Interspinous bursitis is common in polymyalgia rheumatica, but is not associated with spinal pain: https://arthritis-research.biomedcentral.com/articles/10.1186/s13075-014-0492-2

Can you provide an update after your back X-rays, MRI and bone density scan?

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Just scheduled my MRI – first available appointment is not until June 25th – will get the xray and the bone density scan done next Tuesday. Will definitely update as soon as I know – thanks!

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@susan63

Just scheduled my MRI – first available appointment is not until June 25th – will get the xray and the bone density scan done next Tuesday. Will definitely update as soon as I know – thanks!

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@susan63 you may also be interested in this related discussion that @dermnurse68 started
– PMR, prednisone and bone health: Anyone taking Prolia? https://connect.mayoclinic.org/discussion/prolia-2/

I also look forward to hearing what you learn after your tests.

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@colleenyoung

@susan63 you may also be interested in this related discussion that @dermnurse68 started
– PMR, prednisone and bone health: Anyone taking Prolia? https://connect.mayoclinic.org/discussion/prolia-2/

I also look forward to hearing what you learn after your tests.

Jump to this post

Thank you. Going in this morning for my dexa scan and my x-rays. Still hoping a cancellation comes up so I can get in earlier for the MRI.

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I haven't had stress factures, but I've had Avascular Necrosis and had to have a shoulder replacement. I'm having lots of hip pain lately and I'm down to 3 ml of Prednisone. I see my Rheumatologist next week. Hopefully numbers are okay and I won't have to increase Prednisone.

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