During my 20 month journey with PMR I have been tested for both ESR and CRP. Below are the readings over the past 12 months. First column is the dose of prednisone; second is the ESR/CRP readings respectively, and third is the date of the testing.
16.5 mg12/2.5Dec 4/14
16.5 mg13/3.5Jan 7/15
16 mg11/1.3Mar 20/15
15/14 mg11/6May 21/15
14.5/14 mg13/5July 7/15
12.5/12 mg7/22.3Oct 20/15
At the peak of PMR pain in March/14 the reading was 41/169.9.
Although I’m concerned about the elevated CRP this month, I really can’t say that my symptoms are any different than they’ve been over the previous 11 months. I have some return of bicep and triceps pain; however, I also recently got back to aqua exercising, which was stopped due to an unfortunate closure of the local pool for 8 months. Issues with my legs have been consistent and frustrating all along. Nothing has changed there. Hip and back issues have been dealt with by Bowen.
On the day of the test I had quite severe pain in my left shoulder. It resembled bursitis pain and settled down after a day or two on Tylenol and gentle exercising. It’s still a bit niggly, but getting better. Could this have caused the increase in CRP? Should I increase prednisone for a bit?
I have a new GP. He wasn’t concerned about the increase in CRP when I told him that I was in the early stages of a .5 drop to 12 mg. I didn’t think about the bursitis in my shoulder when we spoke.
Another question….my new GP has given me a standing lab requisition for all the required lab tests every three months. I only just notices that he will be monitoring CRP only, not ESR. Is this sufficient?