Surprised and Uncertain: Should I get a second opinion?
After several months of pain and over a month waiting for an ultrasound, my doc says she sees little to no inflammation on the US and does not feel my diagnosis is PMR. I asked about the bi-lateral pain and she said possibly bursitis or tendonitis. She said to exercise. PT is OK. She did see some minor injury to right rotator cuff which I knew I had. I can't understand this. I should be very happy but I wonder what might be lurking underneath? Cancer? Vasculitis? I want to be happy but don't really know what do think.
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Thank you for sharing your story again. It is really helpful for others to learn that they are their own best advocates when it comes to finding an answer to difficult health conditions. I hope you decide to stay with the Connect community. It's really helpful when others are struggling and are able to read different experiences. Hoping you have a blessed 2025.
I got a huge runaround from PCP and rheumatologist and orthopedist because I didn't have the blood markers for PMR but there was no other explanation for what I had. Finally I got my PCP to agree that I had PMR and I began titrating up with prednisone from 1 mg over 3 months to 8. I'm now titrating down. There's so much good information from PMR specialists that I don't understand why rheumatologists are hesitant to diagnose it.
I think that they are hesitant because they know very little about the disease. The only treatment for PMR since it was diagnosed in 1957 is prednisone. No cure, No idea what causes it. Like many auto immunes it can vary by patient and treatment. They have data on prednisone and in this case the treatment has as many side effects as the disease. I believe they are reluctant to prescribe prednisone as the treatment knowing that treatment can last for years.
I agree. I think they are trying to correlate the data as to why this condition seems to have developed (suspicious of the Covid shot) because it’s not related to injury or trauma or lifestyle. 🤔 myself— mine is directly linked to Covid 19 shot.
Research is showing that the base of vaccines (called adjuvants) seem to spark PMR (whether flu, Covid, shingles, pneumonia). They don't know why.
I also had an ultrasound recently, in an effort to pin down my diagnosis. Both synovitis and synotendonitis showed up in my shoulders (which are usually found with PMR), as well as bone erosions (which do not occur with PMR but do with RA). I also have some labs which support inflammatory arthritis. So now my rheumatologist feels I have seronegative RA, probably in addition to PMR. I think both bursitis and tendonitis should have shown up on your ultrasound. Since it is not widely used as a diagnostic tool, I wonder if your doctor has a lot of experience interpreting ultrasound results, or whether a technician did.
My Mom had this condition.
Is a biopsy no longer used to determine cause?
She had PR plus Giant Cell Arteritis.
She was put on massive amounts of steroids. Was able to work during this process and had a full recovery.