Worst part of PMR for me is my brain function (or... - PMRGCAuk

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Worst part of PMR for me is my brain function (or not?)

bunnymom profile image
64 Replies

I am close to 2 years on the PMR journey and the pain has diminished greatly, though still there. What I struggle with and the main cause of my retirement is my brain function. "Uncle Mark" wrote once that he felt physically and mentally he was at about 50%. His answer helped me to feel much better at the time. Then I was at 12 and now at 9 I guess I thought my brain would be feeling better just as my body is . Physically I would say I am at 60% and don't feel as weak as I did before. I am now lifting weights and exercising more. I no longer pull something everytime I try and do sometime physical. I know we are all different but does dosage cause any brain function improvement? For example, it took me 5 minutes to figure out how to post. I have no memory and carry notebooks around with me all day. I don't even try to do more than one thing at a time, which isn't necessarily a bad thing, but can also get very flustered if I have to try.

I dread my next Drs. appointment when I have to give a narrative about myself in a cohesive fashion. I don't know how you all do it and write such intelligent posts BTW! Sorting meds, vitamins, etc is very challenging.

Thanks for the rant. I know that many of you totally understand what I am talking about.

Wishing you well,

Bunnymom

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64 Replies
yogabonnie profile image
yogabonnie

OH Bunnymom I feel your pain. It is SHOCKING how many things I forget .. now if I can't find my keys or socks or letters to mail I have to look in the freezer or the laundry. who knows. what I am doing with things!!! It IS frustrating. I am just TELLING everyone I have prednisone Brain and to bear with me! I'm taking tap and Swedish which I think helps my brain... and hoping when the prednisone is less my brain will come back!!!

bunnymom profile image
bunnymom in reply to yogabonnie

I can't tap even without brain fog. Good for you!!

Hollyseden profile image
Hollyseden

Yup I can totally relate to what you say re brain fog. I sat today filling in some forms and it was a nightmare. I needed to find some documents to enclose with the forms and my brain would not help me!! It took ages to find what I was looking for and usually I'm quite organised. I'm still organised but just had forgotten where everything was 🙄😌 Ah the joys of pred head

bunnymom profile image
bunnymom in reply to Hollyseden

Yes I am totally refining myself as I was the organized one. I am going on a trip to Mexico in the fall which involves just showing up. That is the best I can do.

yogabonnie profile image
yogabonnie in reply to Hollyseden

A good thing for me is that I have ALWAYS been totally disorganized...so at least this is familiar to me. I cannot imagine what organized tidy work-aholics experience on this drug. What a change in life style!!!

Hollyseden profile image
Hollyseden in reply to yogabonnie

😂

Yes, I can so relate to your post! I prided myself on my cognitive skills and abilities to multi-task! After 34 years as a Project Manager, I knew some of my my strengths to be; planning and organising, problem-solving, strong analytical skills and a good eye for detail! Now? 🤣🤣🤣 Sometimes I find myself sitting here staring at the little green power button on the TV and have to question just how long I've been sitting there! Perhaps try to do something cognitive each day... I love to write (which is difficult because it's hard to stay focused) but I force myself to write each day. It's like doing mini mental weight training exercises! Embrace the change! ... or go kicking and screaming!

bunnymom profile image
bunnymom in reply to

I have turned in to a t v watcher because in the evening I am too tired to try and read which I love. Well for those who like to write we can make lots of lists, notes and calendars of symptoms and events. I pace out my whole week; work, laundry, shopping, appointments so I don't get overloaded on any one day. Usually it helps but not 100%.

Oh yes...pred head leaves me.......what was I saying?

markbenjamin57 profile image
markbenjamin57 in reply to

:-D

in reply to

Hahahahahahahahahaha! Perfect!

Zofitmogelijk profile image
Zofitmogelijk

Hi Bunnymom, Yes it is annoyant, my memory since Pred still is there but in a far away place. Answers to questions pop up but sometimes hours or even a day later. I work in a healthfood shop, a small one, and people tell me stories and events. And the next time I see them forgot completely what it was about; whas the pain in the knee the hip or the foot; where did they go for the holiday; what was the name of the newborn grandchild. Learned Some tricks, but hate it. Hoping for better times. 🌝

bunnymom profile image
bunnymom in reply to Zofitmogelijk

I catch myself repeating stories. I am afraid I might be coming a bore. Oh well.

Zofitmogelijk profile image
Zofitmogelijk in reply to bunnymom

I am almost sure that is not happening, on the contrary it can be endearing. A hundred years ago😉my mother in law told the same stories over and over again and I could fill the facts in for her, but it never felt boring. S o please don’t worry, aletta

in reply to bunnymom

I spend a lot of time with 82 yr old friend and we are always on repeat. It's comforting sometimes and we have a lot more past to discuss. Let's face it who wants to think about the world today. Mind you I am 56 so maybe more concerning I am on repeat😂

pmrkitty profile image
pmrkitty in reply to Zofitmogelijk

I would forget they had been in! Pretty bad. My poor husband is so used to me being spot on. He's probably wondering "where is my wife and what happened to her brain". :)

bunnymom profile image
bunnymom in reply to pmrkitty

Exactly

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

Hi bunnymom,

Have sent you a link to a magazine aimed at people with arthritis specifically, but this article does cover auto immune illnesses and ‘brain fog’ , it may help, but even if it doesn’t, it confirms that you are not alone in having memory problems

portfolio.cpl.co.uk/inspire...

bunnymom profile image
bunnymom in reply to DorsetLady

Thank you. That's a very good article and very affirming. I am printing it off for my husband to see :)

karools16 profile image
karools16 in reply to DorsetLady

Thank you DL...a very good article. I have told my gp I am worried about my memory. He says I think about it too much? And I must carry on with my crosswords etc. It;s more than that, though. I stop mid-sentence, and, recently, have felt my mouth 'twitching' to the left. I have a diary in the lounge, and 1 in my bag. Recently, I started attending a social morning, in the next village, for people with memory problems, Alz, and carers.

We make jigsaw puzzles, play dominoes, other table games, have hot drinks and cake, and spend a good 2 hours with each other.

When I was 34, I had a nervous breakdown with depression and loss of memory. I wonder if there is any link?

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to karools16

Maybe. Plus I think in today’s world we are bombarded by some much information 24/7 (sorry..I hate that expression!) that no wonder our memory sometimes goes into meltdown.

If it’s any consolation, I’ve noticed that younger people get it as well...maybe not as bad as we do...but then their brains haven’t taken in as much as ours!

I agree with your GP don’t worry about, just keep doing what you’re doing. Engaging with others, whether face to face or on here is a must!

hiandri profile image
hiandri in reply to DorsetLady

Hi DL,

Pleased to see you have arrived home safe and sound, you have just missed our 35 degree heat wave!!!

Pleased I read this blog, here's me thinking forgetting people's names and the like was the creep of old age, what a relief, it is only my pred!! Must read that article.

Cheers John

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to hiandri

Hi John,

I’m not home yet....roasting in Methven along with everyone else.

Grandson just had op on knee, so am “acting staff nurse” at moment as Mum is back to work.

All good with us, hope it is for you.

Suedeshayes profile image
Suedeshayes in reply to DorsetLady

Hi DL,

Have you ever come across anyone with Achilles’ tendon pain because of pmr? I have strained my left one, very painful and having physio, but now right one is playing up. Now wondering if there is a connection.

Hope you are keeping well yourself?

Kind regards, Sue.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to Suedeshayes

Hi Sue,

No I haven’t, but for sure people seem to suffer from myofascial pain in all sorts of places when they have PMR. PMRpro is the expert on that, but It sounds as if you’ve got things in hand with the physio. Hope is sorts things out for you.

I’m good at the moment thanks, still enjoying the NZ summer!

Suedeshayes profile image
Suedeshayes in reply to DorsetLady

Thank you. I will ask PMRpro. Glad all well with you. I would love to visit NZ.

stellafmdm profile image
stellafmdm in reply to Suedeshayes

Hi Suedeshayes, yes I had it! I strained my tendon walking very slowly and with frequent stops up a long and not very steep hill!!! Ridiculous! and it took ages to heal even with Physio. However it does go away in the end so don't give up hope!

Suedeshayes profile image
Suedeshayes in reply to stellafmdm

Thank you for your reply. Did you increase steroid dosage or does that not help the tendon?

Suedeshayes profile image
Suedeshayes in reply to stellafmdm

How long? And did you increase steroid dosage?

stellafmdm profile image
stellafmdm in reply to Suedeshayes

At least 6 months! and It was before I got onto the steroids, I had the symptoms but not the diagnosis then. I'm not sure if the steroids would have helped, but as they are anti inflammatory they probably would. Ask the 'Aunties' who would most likely know better than me.

Suedeshayes profile image
Suedeshayes in reply to Suedeshayes

Thanks for your reply. Did you do exercises throughout your recovery? How was walking during that time? Would you be able to advise me as to how you worked through your 6 months? Thanks, Sue

stellafmdm profile image
stellafmdm in reply to Suedeshayes

I went for Physio for the first half and she really mangled it but it did help! Physio also strapped it up and gave me exercises to do, gently at first! such as standing with toes on step and gently lowering and raising heels. (I think there were others too, but steroid brain can't recall them!) Also non weight bearing, toes up and down. For a while I used a stick or elbow crutches for longer walks outside. As the pain diminished I could discard these. I continued with the Physio until she was satisfied, although the pain had not gone entirely. I tried to walk without limping and wore a tubigrip around it, using a stick for longer outings and keeping up the exercises. The pain gradually got better until I was able to walk normally and pain free with no stick. I was quite careful not to over use it for a while even when it was better. It was just a matter of being patient and not trying to go too fast. I hope this helps!

Suedeshayes profile image
Suedeshayes in reply to stellafmdm

Thank you so much.

Suet3942 profile image
Suet3942 in reply to Suedeshayes

Hi suedeshayes

Yes I got Achilles tendinitis in Oct 2016. I went for physio and did excersises at home. It has only just got better so hang in on there . It will get better albeit slowly.

Suedeshayes profile image
Suedeshayes in reply to Suet3942

Hi. Thanks for that, but would you please tell me a little bit more? Just the one ankle? The best exercise you found for it? That’s about 12 weeks? Is it still a bit vulnerable? Did you manage short walks? Any other advice? You can see that I’m desperate to get back out there, but I do understand the rest and taking it easy. Just not a pleasant experience when I seemed to be managing the polymyalgia fairly symptom free!! Thank you in advance. Sue

Suet3942 profile image
Suet3942 in reply to Suedeshayes

Hi, no it was 2016 , so over a year. The main exercise I did was to stand on tiptoe [both feet] then transfer weight to bad foot and hold for about 10 seconds. Lower feet and repeat about 5 times to start with. Also lunges with one foot against wall. I was told not to go for walks but I was naughty and used to walk through the pain. The pain used to wake me at night and I would have to get out of bed and walk around. Drove me mad. Found it better to wear shoes that were not flat. I bought some trainers with a deep heel drop. Also, ice it as much as poss. I am virtually pain free now. Good luck.

Suedeshayes profile image
Suedeshayes in reply to Suet3942

Thank you. But a year? That’s hellish.

Suet3942 profile image
Suet3942 in reply to Suedeshayes

I’m afraid it was. Hopefully you’ll heal quicker x

PMRpro profile image
PMRproAmbassador

Make yourself a crib sheet with bullet points of the main things you have to convey and then notes expanding each point if they need it. Take two copies, one for the doctor and one for you. The bullet points are imporant for doctors of lack of brain (yes, they suffer it too) and the details are imporant for their notes and the ones who "get" understanding a patient is important.

It will get better - honestly!! In the meantime, don't crucify yourself over it.

bunnymom profile image
bunnymom

I have started my list already. And "it will get better". That is the hope that soon my brain will follow my body. At least it doesn't shut down like it did at the beginning of all this.

1Purplecrow profile image
1Purplecrow

Hi Bunny,,, at 4+ years with PMR, I an beginning to regain my ability to plan, organize and follow through with tasks.

It was scarey, over the years, to recognize how much my executive function had declined. As an artist, I was unable to pursue the details necessary to start and finish projects...and the incomplete carcasses of several projects , still remain in my studio.

I found myself asking my spouse if I was losing my mind. (Horror of horrors). Fortunately she reassured me repeatedly, that my problems were PMR and Pred related, and I am getting better!

.....and...Drumroll...🥁🥁🥁. I am getting better!

So, to reassure you, your experience is shared with others, and you will get better! Through it all, I found easy crossword puzzles were pleasing to work, and helped me.

Kind regards, Jerri

markbenjamin57 profile image
markbenjamin57 in reply to 1Purplecrow

Well said Jerri ;-)

bunnymom profile image
bunnymom

Thank you for the encouragement. PMR is quite a journey.

markbenjamin57 profile image
markbenjamin57

Thanks for the mention about the '50%-of-usual' energy factor, bunnymom :-)

It reminds me of when I complained to my GP that I was having problems climbing the stairs at home since I've had PMR. He then reminded me that I live in a bungalow and asked me if I know the name of our current Prime Minister in the UK. I answered: "Do you mean as at today or in 6 months' time?" ;-) :-D

But on a serious note (unusual for me, I know..), the 50% factor (+/-) is my best effort at describing how it FEELS with PMR, compared to 'Normal' - and, I guess, with GCA too - even when the physical symptoms are adequately managed with the 'magic' steroids. Throughout my PMR Journey I've been aware of having far less mental and physical energy / stamina than before. It varies, but on average, noticeably less, and still, at 2 (+/-) mgpd Preds..

I'm certain that one of the most insidious / quietly-wearing elements of these types of chronic AI illnesses is that they affect the ability of the Body and Mind's energy battery capacity to 're-charge' itself - and keep itself charged-up. My amateur 'take' on things is that, with the constant (even if relatively well-controlled by Preds) inflammation, pain / stiffness and often resulting DF (Deathly Fatigue), the entire Physiological and Psychological system is out of balance - and struggling.

My Conclusions?

1. No wonder many of Us Lot complain about often 'feeling' mentally / cognitively wiped-out with PMR and GCA despite our best efforts at the sometimes unpredictable Art of Pred tapering, adjusting Lifestyles, healthy Diet, trying to keep a PMA (Positive Mental Attitude), etc. etc. And, of course, this unresolved dilemma between the Rational and Emotional Self can bring Anxiety, Stress, Confusion, and possibly Self-doubt. In other words, we might ask: "What am I doing wrong? / what did I do to bring this on? / am I doing enough to assist in my recovery, etc" when, in reality, we might simply / still be struggling to accept that we're in the grips of a nasty and Life Changing (albeit not Life-threatening) illness after a couple of years-or-so of hoping to defiantly kick it into touch and join the elusive Club Zero. Hummppphhh :-(.

2. And, yes: despite the playing-down by some research studies around the potential side-effects and risks of taking the Preds, this is a powerful drug after all - and for some of us, a real Catch-22 when we're free from significant pain / stiffness / immobility etc: but feeling in a cognitive Twilight world as a result. Double Hummmpphhhh... :-(

3. As I've suggested before, Trying to 'Roll with it' and not over-analysing or looking for elusive answers can help, at least in part, to Cope with PMR and GCA symptoms. Not a magic solution, but a Survival Strategy maybe? As The Aunties and other experts here say, excessive Stress / Anxiety are all part of the equation of PMR symptoms - and possibly the cause too..?

As always, this comes with the Disclaimer that mine isn't a professional opinion - but I'll repeat this answer a New Post in case anyone else is interested.

Try to keep smiling on the Journey - and remember the wise words 'You are not Alone'.

Now, where's my Dinner? Ah, yes, in the wardrobe of course! :-) :-D

'Uncle' MB :-)

in reply to markbenjamin57

Love your overall response... but the bit that REALLY resonated with me was,

"... struggling to accept that we're in the grips of a nasty and Life Changing (albeit not Life-threatening) illness after a couple of years-or-so of hoping to defiantly kick it into touch and join the elusive Club Zero."

THAT'S ME IN A NUTSHELL!

Actually I'm waiting to be told it's not PMR/GCA..... it's just a virus! : )

Grants148 profile image
Grants148

I thought l had better start doing some crosswords to help with my brain fog,but oh dear l had to keep looking at some of the answers in the back of the book.....

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to Grants148

Think most of us have to do that sometimes! Plus it takes some time to get used to certain compilers (especially if it’s cryptic) - once you do, it gets easier! Then there’s no excuse!

stellafmdm profile image
stellafmdm in reply to Grants148

Hi Grants148 Try doing Lumosity brain training. It is fun to do and they score you. It is interesting to see how the scores drop when the PMR fog is at its worst. I started before the PMR, having been diagnosed with mild cognitive impairment! It certainly isn't mild any more!!!

Ohhhhhhh, Thanks for the reminder!!!! I used to regularly use the puzzles and games on Lumosity to stimulate my cognitive abilities! I'm an "on-line" kind of gal, and loved that I could play the games & puzzles I enjoyed and perhaps had scored low in!

I'm back in as a subscriber and they now offer even more!!!!!

Cognitive Training

Speed

Memory

Attention

Flexibility

Problem Solving

New Skills

Language

Math

Mindfulness

>>>>>>>> www-shop.lumosity.com/app/v...

HeronNS profile image
HeronNS in reply to

I know the games are fun. But there is some question whether they really help cognitive ability. More effective is supposed to be getting the blood flowing through exercise, and most effective of all dancing! Dancing is exercise, plus it's social. Both these things are supposed to help our brains more than puzzles and games. I have been able to get the exercise but the social aspect is a real conundrum for me.

in reply to HeronNS

I agree wholeheartedly! .... but sometimes I just don't have the energy to off the couch! I normally LOVE socialising, but I need to have energy. I am hibernating right now. So on-line games are good. ❤️

PMRpro profile image
PMRproAmbassador in reply to HeronNS

Puzzles and games teach your brain to do puzzles and games...

arcr profile image
arcr

Oh yes! I totally understand as well. The first 8 months after diagnosis were a true challenge at work. But I think demanding my brain to function bc of work has improved its function. It still takes me forever to remember my students' names and I often call them the wrong name. High schoolers can be unforgiving...but chin up, shoulders back, and forward 😄 Right?

yogabonnie profile image
yogabonnie

There is also the explanation that at this age our BRAINS are full of wonderful information and useless information and OF Course we have so much to sift through to find the right answer we naturally forget things. I also have recently decided that if I forget what I'm saying in mid sentence maybe it wasn't so important anyway! The only thing to remember..and I now set the alarm for it.. is to take those pills!!! I think of this PMR journey a little like I think of traveling to a new city for a visit!! Enjoy the new sights and experiences. And eventually. going home again will be delightful

Kath567 profile image
Kath567

Your post came at the perfect time, Yesterday my husband said again I answered a question stupidly either because I couldn’t hear him (I have hearing aids but can’t find them!) or just not paying attention. It was upsetting. Some days, I am just too worn out to be bothered listening, trying to figure out how I can get through the day. I play brain games on the computer, jig saw puzzles, read. Some days,my brain is tired and doesn’t want to think anymore! I tell my husband if you could spend a day in my body you’d be the same. On top of it, returning to work this week. Hang in there, yes, we understand.

HeronNS profile image
HeronNS in reply to Kath567

If you can get physical exercise it will do you far more good than any sedentary "brain" exercises can. And apparently not all that much needs to be done in order to be helpful. Something as little as an hour and a half a week, (not all on the same day) although I'm not sure. I enjoy sudoku and crossword puzzles myself, and last year I took part in a university study which was a lot of fun. They were studying whether doing brain games could help people improve their hearing. Of course I have no idea what they found out, but for six weeks I played Lumosity brain games for free!

Grants148 profile image
Grants148

Thank you,everyone,l will try out some of the things you have suggested .

Zebedee44 profile image
Zebedee44

Hi Bunnymom,

I'm glad you raised this subject because I've also been very worried about my inability to remember, think, concentrate, find things, read and manage stressful situations, so much so that I was beginning to think I have onset of vascular dementia.

Is there any possibility of a Connection between PMR and vascular or any other type of dementia? Before I was diagnosed with PMR just twelve months ago I suffered with severe neck pain and could not tip my head backwards without feeling like the blood had been cut off to my brain. But my mental faculty was uneffected and I prided myself on being organised and efficient. How much has changed!!

Good article, Dorset Lady, Thank you,

Chrissie

PMRpro profile image
PMRproAmbassador in reply to Zebedee44

If PMR tends to the other GCA end of the spectrum and certain arteries are affected so certain parts of the brain aren't getting a good oxygen supply - poor function is inevitable in the long run if it isn't treated. But it isn't a link unless those criteria are fulfilled.

Zebedee44 profile image
Zebedee44 in reply to PMRpro

I have always wondered whether migraines and the medicine I take for them are compromising the oxygen supply to my brain, that's how it feels sometimes.

PMRpro profile image
PMRproAmbassador in reply to Zebedee44

This is interesting:

americanmigrainefoundation....

Zebedee44 profile image
Zebedee44 in reply to PMRpro

Thank you PMRPro, it is interesting and slightly alarming in confirming my suspicions.

pmrkitty profile image
pmrkitty

I'm having memory issues as well. I am constantly looking for things I've set down, I have had the same vacuum for over 10 years and could not figure out how to attach the hose and nozzle, which I use every time. That really got to me. My Sister and I have the same issues so we are always comparing notes and laugh about our latest forgetfulness. Best to laugh than cry. Thank you Ladies for all your input, it helps so very much!

bunnymom profile image
bunnymom in reply to pmrkitty

I went out and bought replacement sunglasses yesterday because mine were lost and I looked everywhere. Bothered me because I was being very careful to remember where they were. I lost another pair last month. Well I just found them on top of a fern by the garden shed.... So I am back to a pair for the yard and the car.

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