Could pain in hips and legs be due to reduction i... - PMRGCAuk

PMRGCAuk

21,319 members40,426 posts

Could pain in hips and legs be due to reduction in pred?

PenelopeVita-Finzi profile image

I had good news last Friday from the consultant: that my blood test was normal and also showed no side-effects from Methotrexate. He therefore reduced my daily pred dose from 20mg to 15mg. Since then the pain in one hip and leg when I walk has become much worse not to mention the muscle weakness. Could this increase in pain be due to the reduction in pred? Has anyone else experiened this?

Written by
PenelopeVita-Finzi profile image
PenelopeVita-Finzi
To view profiles and participate in discussions please or .
Read more about...
6 Replies
piglette profile image
piglette

The rule of thumb is not to reduce more than ten per cent at any one time. It sounds very much as if you may have reduced too much in one go. Normally you would have bilateral pain for PMR pain though. My rheumy got me to do the same reduction originally and my blood tests shot up and I felt dreadful so had to go back to 20mg and come down more slowly. Can you contact the consultant or GP? Are you having a blood test soon?

PenelopeVita-Finzi profile image
PenelopeVita-Finzi in reply topiglette

I have just been today to see the registrar for my regular appointment. She agrees with the consultant that I should reduce from 20 to 15 mg Pred. My recent blood test showed both markers for GCA were now normal. She thought the pain in my hips and legs could be because such pain might have been suppressed by the higher dose of pred and was normal for someone of my age (76). She suggested physio.

Thank you piglette and Celtic for your thoughtful responses.

piglette profile image
piglette in reply toPenelopeVita-Finzi

I do hope things get better. If you do have a flare up make a fuss. Doctors seem only too keen you to cut down on pred, when they don't have to put up with the pain!

Celtic profile image
CelticPMRGCAuk volunteer

Penelope, as Piglette has said, the recommendation is not to reduce by more than 10% at any one time, although your rheumy is probably hoping for a faster reduction due to the MTX. I would still have thought 20% to 17.5mg may have been a better option though. The body may not have reacted so to a smaller reduction, if in fact the leg and hip pain is as a result of the reduction. Why not return quickly to 17.5mg for a few days - that might give you the answer.

PenelopeVita-Finzi profile image
PenelopeVita-Finzi in reply toCeltic

I feel nervous at disobeying both the registrar and consultant! I will visit the physio as soon as possible to see what he says.

Thank you.

PenelopeVita-Finzi profile image
PenelopeVita-Finzi in reply toCeltic

I have just read my Alendronic Acid leaflet again and see that the only Very Common side-effect is bone, muscle and/or joint pain. Could this be the reason for my pain which certainly increased lately but is not new. Have others experienced this with AA? I have just had a DEXA scan which showed some derioration in bone density so I know how important AA is. I have been taking it for about 9 months.

Not what you're looking for?

You may also like...

Feeling jittery and anxious could this be due to Pred reduction

Hello this is the first I've asked anything but I want you all to know I've learnt a lot from you...

Could these be Pred symptoms?

I have read a few things which have all been really helpful and has made me wonder if some of the...
Sophiestree profile image

Knee pain leading to sciatica - pred reduction due

Slowly, over just a few weeks, my left knee has become more and more painful on the inner side with...
Miserere profile image

Pain in hips.

Hi everyone, this is my first post on here, but I've been following posts for some time, and...
Lyndab62 profile image

Methotrexate and pred reduction

I have just reduced pred to 3 mg. I had a clinic appointment this week which I had to reschedule...

Moderation team

SophieMB profile image
SophieMBPartner

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.