A question about your walking abilities? - PMRGCAuk

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A question about your walking abilities?

Mic67 profile image
150 Replies

Hi everyone, me again looking for some experiences if possible.

Although I am much more flexible on Pred and the stiffness has gone, my walking has not improved. (Almost 4 weeks on Pred and just reduced to 14mg today)

How I describe it is that it feels like my spine or spinal muscles cant support me. When I am on my feet for a longer period of time everything starts to hurt, neck, arms, hips, lower back. I even go pale.

I come home and rest for a while - and eat - and it improves but I am never pain free. It's awful and getting me down so much as I dont drive and walk everywhere.

I keep wondering if more is going on so thought I would ask what your walking capabilities are? I am 51, average weight.

Thanks for reading. Michaela

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Mic67 profile image
Mic67
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150 Replies
piglette profile image
piglette

I have never been completely pain free and find walking up and down a hill a problem.

Mic67 profile image
Mic67 in reply topiglette

im glad it's not just me, thanks for replying Piglette.

Daisychain12 profile image
Daisychain12 in reply toMic67

Mic I think I can safely promise you it’s definitely not just you. Xxx I am in that club for a start xxx

Daisychain12 profile image
Daisychain12 in reply topiglette

And you have four legs!!! ( sorry piggy. Not making light of your condition. It sucks bigtime and I’m sorry. Just couldn’t resist. Forgive me?) xxx

piglette profile image
piglette in reply toDaisychain12

Yes but the left two are shorter than the right two so I can run round hills and be balanced!

Daisychain12 profile image
Daisychain12 in reply topiglette

Oh gosh you are hilarious. I thought that was mountain goats! Do you use your curly tail as a rudder???? 🐷🐷🐷🐷🐽

piglette profile image
piglette in reply toDaisychain12

I don't have a tail. I just use my great aunt's fox fur.

Daisychain12 profile image
Daisychain12 in reply topiglette

Oh how frightfully glamorous! Xxx

Myosotis profile image
Myosotis in reply toDaisychain12

No, no no, it is haggises that have the legs shorter on one side than the other. See en.m.wikipedia.org/wiki/Wil...

Watch out, piglette, especially if you come to Scotland. We eat haggis here.

markbenjamin57 profile image
markbenjamin57 in reply toMyosotis

(sorry to interrupt..) but this is absolutely True. I wrote a Thesis on the topic of HROPB (Haggi Reverse Orientation Perambulatory Syndrome)for my GCE A-levelexams in 1974. Result? I got expelled by the Headmaster for (q.): Taking the P***.

piglette profile image
piglette in reply toMyosotis

It’s all right, I eat people!

Sailormo profile image
Sailormo in reply topiglette

Hi,I also try to walk a few times a week,play indoor bowls,but I also am not pain free,I often have to see how I am on the day and have missed out,on many planned days out,it can be a bit depressing, but I now think I'll do what I can.

PMRpro profile image
PMRproAmbassador

Depends - if it is flat I can walk for some time. Hills? Now there is another thing altogether! What I found was that I could walk for so long and if I then sat and rested, I could walk the same again. So we walked to a restaurant outside the village, 40 mins or so, and had a leisurely (sometimes 2 hour) lunch, and walked back. No problems. I could manage with a shorter rest mind!

But at 4 weeks you are really in the early stages and it almost certainly will improve more. It is also possible you have some myofascial pain syndrome affecting your back muscles - I do, and when it is bad I do feel a bit as you describe. And the pacing aspect to avoid the fatigue brick wall may also be a consideration. I still hit that once in a while - at your stage it was far too often if I wasn't careful.

healthunlocked.com/pmrgcauk......

Mic67 profile image
Mic67 in reply toPMRpro

Oh thank you thank you! Sorry to sound like a broken record on the walking thing. I guess I keep thinking the steroids should be working better than they are - but they are working a lot! I realise I am finding it hard to actually apply the fatigue/pacing theories rather than just agreeing with them on a head level!

I feel like my life or rather my mobility has been stolen from me!

PMRpro profile image
PMRproAmbassador in reply toMic67

Yes - everyone does and it is hard at first to adjust. But remember, the pred is only relieving the inflammation - that actual illness is still chugging away in the background, attacking your body with a similar effect to having flu. If you had flu you wouldn't be surprised would you?

AmberAliona profile image
AmberAliona in reply toMic67

At 4 weeks in, I could barely walk at all. It’s now 13 months since diagnosis, and I can walk quite well on the flat, but hills are nearly impossible. My legs just don’t work and the pain is bad. Given that I live at the top of a very steep hill, I walk to the town and get a taxi home. I’m now on 10mgs of pred.

Mic67 profile image
Mic67 in reply toAmberAliona

Thank you for replying, it is useful and encouraging to see people's timeframes!

stellafmdm profile image
stellafmdm in reply toPMRpro

I find I can do hills if I take 20 paces and stop and repeat as necessary. for steeper hills less paces as needed!

PMRpro profile image
PMRproAmbassador in reply tostellafmdm

The cardiologist was saying the other week that with cardiac insufficiency for whatever reason the trick is to slow right down. You see it here all the time with people walking at altitude summer and winter on skis: they are moving almost in slow-motion at a steady and rhythmic pace. It really does work - it is remembering to do it even lower down that is the problem!!!

stellafmdm profile image
stellafmdm in reply toPMRpro

I must remember that PMR pro! I forget and try to speed up! Thanks for the reminder!

markbenjamin57 profile image
markbenjamin57

Greetings Michaela

My best (amateur) answer is that although the Preds often manage / control the worst of PMR symptoms (i.e. crippling Pain, Stiffness, Fatigue etc) and you can function more like 'normal', all-the-same you have a nasty underlying Auto Immune illness which affects your whole physiology from top to toe.

So (and as many of Us Lot here report), it's important to lower your sights a little re. exercise and activity levels even if feeling better (or, in some cases fantastic) when first on the Preds, and learn to pace yourself. Sorry, but this is how it often is with PMR - it was for me too at first.

I see that you're quite new on the PMR Journey. All I can say is: you're in good company here to share notes and experiences with others of Us Lot who have been through the same type of frustrations.. ;-). On the positive side: things can and often do improve once you get to know PMR better.

Try to be patient and keep positive in the meantime.

'Uncle' MB

Mic67 profile image
Mic67 in reply tomarkbenjamin57

Thank you Uncle MB! It is reassuring to read this in a way as I keep thinking the steroids should be sorting me out. In a way I think they may be giving me a kind of false energy and then the body says no. Or screams it sometimes!

markbenjamin57 profile image
markbenjamin57 in reply toMic67

No worry Mic - all part of the service ;-)

You're right: at the beginning of the PMR Journey / when on the 'magic' Preds and with sudden relief from worst of the symptoms, it's easy to believe that you are back to or even better than 'Normal'. And (from experience) the illusion of 'Normal again' often isn't helped by busy GPs / Rheumies who don't explain exactly what goes with PMR, the Preds, timescales for the illness, possible side-effects, coping strategies, etc. etc. I could go on and on....

Maybe the Medics don't want to un-necessarily scare us since PMR isn't a Life Threatening Illness (although it's undoubtedly Life Changing). So, I think their main agenda is usually to try to rule-out any more serious symptoms (e.g. GCA / other serious illnesses) and simply dish-out the (cheap and usually effective) Preds to get the Patient out of their consulting room. Am I sounding Cynical, or what..?! :-D

It's well-known that, when first on a high dose of Pred, 'Steroid Euphoria' can kick-in and make you feel artificially energetic - almost better than 'Normal'. Been there and got the T shirt! But, of course, that's when we are most likely to over-do things and suffer the consequences later.

Main (?) things to remember are:

1. Unfortunately, for many, PMR is a long-term AI-related disease usually managed relatively successfully by Preds. 2. The potential causes are often still a mystery to the medical profession (like it or not !). 3. The Psychological Journey (coming to terms with / adjusting Lifestyle) is as important to learn about as the Medical side. 4. For many, PMR can, and often does get better in the long-term - or even burn-out. 5. As mentioned: be patient, learn all you can from trusted sources (like here), try not to 'fight' PMR (it will only fight back with a vengeance!), and try Pace yourself / slow-down Physically and Mentally on the PMR Journey. Easier said than done, I know: but it can help a lot in the coping and recovery process. Take it from me.. ;-)

MB :-)

Daisychain12 profile image
Daisychain12 in reply tomarkbenjamin57

IF ONLY I had absorbed this information months ago 😭😭😭

markbenjamin57 profile image
markbenjamin57 in reply toDaisychain12

Yep Linda - and I'm sure many of Us Lot too, at the beginning of our PMR Journey.

Daisychain12 profile image
Daisychain12 in reply tomarkbenjamin57

Yes but Uncle dear. You have a very useful brain. Mine is stubbornly set to “ davka “. A Yiddish word meaning contrariness. 😳🤭🙄😷

markbenjamin57 profile image
markbenjamin57 in reply toDaisychain12

Thanks Linda, glad the Brain's working even if the Body is sometimes in 'Limp Mode'. Funny you should mention Yiddish: somewhere in my recent ancestry I have Jewish blood, for better or worse (any surprise with the surname 'Benjamin'? - ha!). But that's a long and intriguing story for another time. 'Oy Vey'..? ;-)

Daisychain12 profile image
Daisychain12 in reply tomarkbenjamin57

Aha I should have known. Meine kinde!! Shalom!!! Xxxx

Wraysbury profile image
Wraysbury in reply toDaisychain12

Yes. And me 😩

Daisychain12 profile image
Daisychain12 in reply toWraysbury

Oh that’s great always happy to meet a fellow Jew darling xxxxx

Mic67 profile image
Mic67 in reply tomarkbenjamin57

Better advice than any doc!

markbenjamin57 profile image
markbenjamin57 in reply toMic67

Ohhh.. thanks :-). But don't abandon or ignore the advice of a GOOD (i.e. informed and empathetic) Doc... ;-)

stellafmdm profile image
stellafmdm in reply tomarkbenjamin57

Today I was forced to slow down and rest! To my annoyance both body and brain were not functional! No chance of doing anything except rest!!

Daisychain12 profile image
Daisychain12 in reply tostellafmdm

Darling. See my new post I’m just about to write xxxx

Iloveholidays profile image
Iloveholidays in reply tomarkbenjamin57

I’m new to pmr, reading your post really makes sense. Some days I think i’m Back to ‘normal’ because I don’t have the pain but I know I’m not really. I’m so glad I found this forum, it’s my life line. Thank you all for all the support.

GOOD_GRIEF profile image
GOOD_GRIEF in reply toMic67

Now you're catching on....

Daisychain12 profile image
Daisychain12 in reply tomarkbenjamin57

Fabulous Uncle xxxxx🏆

markbenjamin57 profile image
markbenjamin57 in reply toDaisychain12

Ha! Thanks Linda

I'm sorry but there's nothing Fabulous about shuffling around at The Mansions in my Slippers all day, having punch-ups with Tedski (which I invariably win), incessantly sucking on Werther's Originals, involuntarily dribbling down my shirt (Ralph Lauren 'Polo' of course), listening to BBC Radio 4 and complaining (mainly to myself - no-one else will listen to me nowadays) that 'The World was much better when I was a Lad' (i.e. in the 1920s - ha ha!). :-D

On the other hand... Life isn't so bad after all. Keep smiling... ;-)

Mic67 profile image
Mic67 in reply tomarkbenjamin57

Oh no. No one mentioned the dribbling. :)

markbenjamin57 profile image
markbenjamin57 in reply toMic67

Don't worry Mic. Dribbling runs in my family... :-D

Daisychain12 profile image
Daisychain12 in reply tomarkbenjamin57

Aha. You are related to the Hampshire Dribblers?

Daisychain12 profile image
Daisychain12 in reply toMic67

They never do til it’s too late 🤣🤣🤣

markbenjamin57 profile image
markbenjamin57 in reply toMic67

Yep, a legacy from my early days as a football player :-D

Daisychain12 profile image
Daisychain12 in reply tomarkbenjamin57

Oh wow who needs male pin ups with bared and tensile flesh when we have that image 🤣🤣🤣🤣. Believe it or not most women of a certain age WANT that in a man. I meant the Werthers of course. Not the dribble!!! A friend of mine recently single confided that his ageing had brought an almost non existent libido and he felt this excluded him from dating. I said “ are you kidding? That will have them queuing up round the block “. I am NOT making light of a sensitive subject. I hear from my women friends who are mature aged that THEIR lack of interest in sex deters THEM from dating.

I just believe in straight talking lol. Sorry.

Now back to Tedski. I know he is a little devil but I beg you...no more drop kicking him over the fence 🐻🐻

markbenjamin57 profile image
markbenjamin57 in reply toDaisychain12

A retired mate of mine says he's still enjoying sex at 78. Trouble is, he lives at no. 3 and with PMR it's a bit of a long walk to get there every day... :-D

coda123 profile image
coda123 in reply tomarkbenjamin57

maybe you could stop punching Tedski and instead tie him under your chin as a dribble bib... just a suggestion.

markbenjamin57 profile image
markbenjamin57 in reply tocoda123

It might raise a laugh at the fag counter in ASDA. Or get me chucked out by Security.. ;-/ :-D.

Ciar profile image
Ciar

I’m a longtime hiker...before PMR. Used to be about 5 miles daily. I have cut back to 2-3 miles (up from about 1 mile early in PMR). If I walk more I get very sore, but I can do it. I’m never pain free, but I walk anyway, as it make me feel so much better in other ways. Hills and stairs are usually fine, though sometimes the top front of my thighs get really painful, and going down stairs is too difficult With PMR, before I had prednisone, I was struggling to walk much at all.

Mic67 profile image
Mic67 in reply toCiar

Thank you for responding. I'm the same, its so important to me, I cant bear the thought of not being able to get out and walk.

PMRpro profile image
PMRproAmbassador in reply toMic67

Just do it in smaller bites - and you will build up to being able to do more. Patience!

markbenjamin57 profile image
markbenjamin57 in reply toPMRpro

Hear, hear... :-)

Daisychain12 profile image
Daisychain12 in reply toMic67

I hear that. Xxxx

Daisychain12 profile image
Daisychain12 in reply toCiar

You are doing amazingly well!!!!!

Ciar profile image
Ciar in reply toDaisychain12

I’m afraid it’s just that I’m stuborn, I’m shambling if I go too far.

Daisychain12 profile image
Daisychain12 in reply toCiar

Stubbornness is a good way of getting through xxx

Fifegran profile image
Fifegran

Hi Michaela, I am 8months into my PMR journey and currently at 7 pred. I remember between 15 and 20 I only managed along the street a short distance and felt it was enough, then gradually increased the daily walk to a few more streets in the village, we used to do a circular, with a seat next to the bowling club. Fatigue was the main problem, not pain of any sort, now, as the pred has decreased we walk for roughly 90mins to 2hrs a day, mainly on the level, but “gradual” hills/slopes not a problem. I was told the energy would return and that seems to be true, I found it difficult to get used to pacing myself, but it’s great advice

I wish you well.

Daisychain12 profile image
Daisychain12 in reply toFifegran

Oh my goodness you walk for that long????

Fifegran profile image
Fifegran in reply toDaisychain12

I do, I really love out for walks, luckily so does my OH. My ambition is to get well (eventually) and do some serious walks with my back-pack, a wee tot of whisky (medicinal of course) and a packed lunch of whatever takes my fancy (carbs, sugar whatever)

Ah well, I can dream!

Daisychain12 profile image
Daisychain12 in reply toFifegran

Och I envy you hen. My grandad used to take me on long hikes around Ben Lomond. It was heavenly. And a big bag of tablet on the way home!!! You will get there I just know you will. Xxxxx

MamaBeagle profile image
MamaBeagle in reply toDaisychain12

Tablet? I'm drooling at the thought......

Daisychain12 profile image
Daisychain12 in reply toMamaBeagle

Oh I know !!! Isn’t it THE YUMMIEST!!! I also love Scottish sausage the square patties that go in a floury bun. Salivating Xxx

MamaBeagle profile image
MamaBeagle in reply toDaisychain12

And haggis, I love haggis and MandS now sell McSweeny's. Well they do in ours. Yum yum xx

markbenjamin57 profile image
markbenjamin57 in reply toMamaBeagle

(..Sorry to interrupt.. but I couldn't resist): HAGGIS, Yep, one of my Favourites too. But only if the wild-roaming (only in the Scottish Highlands?) Haggi are reared in Humane Conditions, slaughtered with a minimum of suffering and served-up with Tatties and Neeps, and a Wee Dram or two. Och Aye, the Noo!

Best wishes from Moysha MacBenjamin (of the Scottish / Jewish Clan) :-D

Constance13 profile image
Constance13 in reply toFifegran

It’s really difficult for me as I have never liked walking - even when young. As I am now knocking 80 I think “s-d it”. I push myself sometimes but..........!!

markbenjamin57 profile image
markbenjamin57 in reply toConstance13

Nothing wrong with the S*D IT attitude - so long as it's in moderation..! ;-)

Constance13 profile image
Constance13 in reply tomarkbenjamin57

Of course it’s in moderation Mark. One didn’t swear in my youth!!!! Also my husband “doesn’t approve”!!!!!!!😀😀😀😀

JulianJ profile image
JulianJ

Before PMR I used to do a 3 mile walk during lunch, that slowly reduced to a few hundred meters befor improving, now I can do my 3 miles again, took about 2 years for me. Only fly in the ointment is that I feel that I'm going backwards again, but try to push, without over doing, myself. Tough, but it works. Sometimes I miss a day if I've over done it the day before.

Daisychain12 profile image
Daisychain12 in reply toJulianJ

It’s a minefield of decision making Julian. Scary part is, a wrong decision can do so much damage x

SheffieldJane profile image
SheffieldJane

I recognise that completely. I also find it hard to walk nicely, if you see what I mean? As if everything is off balance. I would stay at my dose or even go back to 15 though, until it all settles. Rushing, simply doesn’t work. Some people start at 25 mgs. You are still ahead of the game.!

Daisychain12 profile image
Daisychain12 in reply toSheffieldJane

I love that Jane. “ wall nicely “. I walk like a geriatric mongoose with piles and two wooden legs. With woodworm. Xx

Conundrum profile image
Conundrum in reply toDaisychain12

Tee hee! I can relate to that, you have all made me feel so much better. Thank you.

Daisychain12 profile image
Daisychain12 in reply toConundrum

Haha. You’re in good company lol

Cxx

Koalajane profile image
Koalajane in reply toDaisychain12

I walk like a penguin especially first thing in the morning

Conundrum profile image
Conundrum in reply toSheffieldJane

Oh that describes how I feel so well. I used to walk every morning but my body does not flow anymore and is so off balance (always falling off the kerb and bumping into people and embarrassingly, lamp-posts). I have become very disheartened but I was only dx in Jul-18 so early days really. This has been an encouraging thread!

Daisychain12 profile image
Daisychain12 in reply toConundrum

Yes darling it is early days. So glad you feel reassured. I think we all do we hold each other up. How’s your PMR journey!? Xxxx

Conundrum profile image
Conundrum in reply toDaisychain12

I feel it has been very tough so far, I am tapering pred from 45 to 40 during January and suffering awful 'something' (maybe withdrawal, hopefully not a flare). Also very stiff hips and lots of cramps in leaden arms and legs but GCA seems under control. My family think pred is affecting me mentally too! It is very comforting to read all your stories and try out your tips. Thank you for asking,you have been inspirational Dc x

SheffieldJane profile image
SheffieldJane in reply toConundrum

In the early days I participated in a Research Project that my Rheumatologist was involved in. Part of it was observing my walking, speed and how I negotiated obstacles. The trouble is no one tells you what to do about it? I am seeing a Physiotherapist soon and will pass on any tips I get. My husband has also arranged that we do Pilates together, just us and a teacher each week. He has trouble with his back going into spasm. It doesn’t seem much more expensive than joining a class, and preferable to me. I will also report back on this. Sometimes it is hard to know what to tackle first. Who knows, it may help the fatigue and low mood too.

bunnymom profile image
bunnymom in reply toSheffieldJane

I have started walking each day.. Very short walks gradually increasing..I want to then add a weighted vest for my bone health. Anyway I am walking to gain strength and can't believe how much my mood has improved. I am out 10 to 15 minutes. I plan to walk in all kinds of weather. I will dress for it and as I don't go far it will be ok. We are in the midst of an historic winter snow storm and I can't wait to go out later. I ❤️ being outside. ❄️❄️❄️❄️

SheffieldJane profile image
SheffieldJane in reply tobunnymom

That is really encouraging bunnymom. I have had that mindset earlier in this illness and would love to get back to it. I think it must be the Adrenal Insufficiency, I find it so difficult to get going. It has even become hard to wake up in the morning. This disease certainly doesn’t remain static, progress doesn’t seem linear either. Other things get involved like osteoarthritis. I will think of you Nanook of the North, battling the elements. You go girl!

Conundrum profile image
Conundrum in reply toSheffieldJane

I think Pilates would be helpful, look forward to hearing how it goes

SheffieldJane profile image
SheffieldJane

😏 you’ve seen me!

Wraysbury profile image
Wraysbury in reply toSheffieldJane

And me!! And those wooden legs don’t seem to be connected to my feet or any other part of me apart from the pain receptors so I tend to stagger around like a slightly drunk scarecrow!

Daisychain12 profile image
Daisychain12 in reply toWraysbury

You know what I look like? Did you see Kenneth More in REACH FOR THE SKY? When he gets his artificial legs and they tell him to flick each leg forward like a lasso. That’s me!! Attractive???? 🤣🤣🤣🤣🤣

SheffieldJane profile image
SheffieldJane in reply toDaisychain12

He was portraying Douglas Bader ( is it?) who went on to be a total hero,pilot in WW11. Musn’t Be disability unfriendly but we are being cheerful about our own difficulties, so I guess that’s ok.

CT-5012 profile image
CT-5012 in reply toSheffieldJane

My OH calls it flat footed penguin walk. 😫

Koalajane profile image
Koalajane in reply toCT-5012

I definitely do a penguin walk especially first thing in the morning

Daisychain12 profile image
Daisychain12 in reply toSheffieldJane

🤭

MamaBeagle profile image
MamaBeagle in reply toSheffieldJane

It was D B Jane, and didn't the Nazis even allow a new set of legs be parachuted into Coldiz where he was a POW?

SheffieldJane profile image
SheffieldJane in reply toMamaBeagle

It is years since I saw the film. 🙂

MamaBeagle profile image
MamaBeagle in reply toSheffieldJane

Me too, I checked with OH who, if left to his own devices will watch endless war films movies for men!

peace_lover profile image
peace_lover in reply toMamaBeagle

I believe they were also temporarily confiscated at one point ‘cos he kept trying to escape!

MamaBeagle profile image
MamaBeagle in reply topeace_lover

I think you are right!

Daisychain12 profile image
Daisychain12 in reply toWraysbury

Shall we call you WORZEL as in GUMMIDGE? I love the idea of a cheery scarecrow staggering about with a bottle of cheap sherry in a paper bag!

Wraysbury profile image
Wraysbury in reply toDaisychain12

!!!!! Excellent! Are you stalking me🤣😂😅x

Daisychain12 profile image
Daisychain12 in reply toSheffieldJane

🤣🤣🤣

nickm001 profile image
nickm001

I am not sure if it will work for you, but this is what I did at the beginning of the PMR journey. Pay close attention what muscles are tight and are giving you a problem. Based on your description, I imagine that you are walking very stiff, with tense muscles. In my case I could not make large steps. My instep (groin) area was too tight and because of that my whole body, back , legs were trying to compensate to keep me balanced ( upright). To correct for that I started to stretch muscles that were tight before and after each walk. For example, I would find steps with railing and keep one leg at the bottom and other on second (or 3rd) step, lean forward and stretch my legs. Gradually I would make that step longer. This helped me a lot in my walks. I do it even now that I walk 3x a day ( have large dog :) ) and I have been with PMR for 3+ years.

Daisychain12 profile image
Daisychain12 in reply tonickm001

Thank you so much !!! That is wonderful advice. You are obviously au fait with muscles etc and that gives you the ability to use logic to work through stuff. Very smart of you and very kind of you to help me and the group by sharing. Cxxxxxx

Marijo1951 profile image
Marijo1951

One of my weekly walks is from home to the library (and sometimes in reverse). According to Google it should take 12 minutes. Along the way there are 3 bus stops with benches, 2 other benches and 3 nice low walls. I've measured my walking progress over the last year by how many little sit downs I need on the way and whether I need the bus to get home. I've reached the stage when I can manage the journey out without any sit downs (although I might need a couple of standing rests) and - as long as I haven't any very heavy books or shopping) - can slowly walk home. This walk is on the flat. If I go in the other direction, it's more problematic as it is hilly, quite steeply up to start and then downhill. I can usually manage the outwards walk but usually have to take the bus home or else I end up completely exhausted.

Daisychain12 profile image
Daisychain12 in reply toMarijo1951

Oh BRAVO!!! Marijo I’ve been a fan of yours and now even more. That’s a great achievement. You must feel good when you see clearly the progress you’ve made. Very encouraged on reading this. Thank you xxxx

Marijo1951 profile image
Marijo1951 in reply toDaisychain12

Thank you Daisychain. I like you too. I've just been to my second Slimming World meeting and have pledged to increase my walking, but I know I mustn't be over-ambitious. I've really learned to be happy with small advances since I went down with these wretched ailments.

Pongo13 profile image
Pongo13

Walked has been my favourite activity. At beginning of PMR I couldn't walk the dogs. Once I started pred, I slowly restarted walking one dog walk a day. "I need a rest" was my mantra. Sometimes I missed a walk altogether. Pilates and a good osteo also helped. I continue with pilates but not osteo. Currently, with my new fit bit, I averaged 8,000 steps this week. Yesterday I felt awful so skipped a walk and had a sleep. For me that's the key, listen to the old bod, take learning from forum and slowly but surely move forward.

stellafmdm profile image
stellafmdm

My problem with walking is back pain, so I wear a back support and that helps a lot. Sometimes though, I'm fine without the support, but I always use either one or two sticks! Mind you I am 81 so old age may have a lot to do with it!

Mic67 profile image
Mic67

Oh thanks everyone. What a reassuring thread! When I wrote it I was anxious that my walking problems (I can relate to the 'wooden legs') were not PMR as there seems to be no improvement with steroids.

Judging by your experiences and journeys, this is not a quick fix and it seems the stiffness and laboured walking is definitely part of the illness, which is a huge relief.

PMRpro profile image
PMRproAmbassador in reply toMic67

No - no quick fixes in PMR I fear!

Andymurph profile image
Andymurph

Hi Michaela

I was diagnosed with PMR 14 months ago and my wife Jan was diagnosed 6 months prior to me.

Although our experiences of PMR have been similar our day to day tolerances vary enormously.

Currently Jan is on 7 mg of Pred, and despite some stiffness in her neck and hands, is able to take our two golden retrievers out daily and walks for miles.

conversely I have just gone back up to 13mg from 10mg and have trouble walking more than 50 metres.

the usual scenario for me is walk about 20 metres before both my arms start to ache. My eyes start to water and my breathing becomes laboured. I then start to experience deep seated pain just above both hips and have an overwhelming urge to sit down on the ground. I don't do this as I know I will struggle to get back up.

finally I start to sweat profusely, become totally out of breath, and grind to a halt.

Ah well, I suppose we just have to let some things run their course.

PMRpro profile image
PMRproAmbassador in reply toAndymurph

If you haven't already, I think that needs reporting to your doctor and investigating because it really isn't typical of PMR and, if anything, suggests some artery involvement in your trunk. Some cardiology input might not come amiss.

Andymurph profile image
Andymurph in reply toPMRpro

Saw the GP on friday . I had an echocardiogram before Christmas as my heart had gone into AF. No structural problems but he has referred me to a cardiologist for his input. Meanwhile, inflammatory markers have gone through the roof so he has upped my prednisolone dose.

Thanks for the good advice.

PMRpro profile image
PMRproAmbassador in reply toAndymurph

My a/f is thought by the cardiologists here to be due to the autoimmune part of PMR/GCA having damaged the electrical cell system in the heart that governs the heart beating.

If your markers have gone through the roof someone should be considering you have large vessel vasculitis as a matter of urgency - even emergency. Not a GP - they will be out of their depth. A PET scan would have been useful but you are probably now on too much pred for it to be meaningful - although if the markers are high that does suggest there will be inflammation to be found.

Where are you? -ish...

AmberAliona profile image
AmberAliona in reply toAndymurph

I too have this overwhelming urge to sit down, on the pavement, shop floor wherever I happen to be, and like you, I don’t because I wouldn’t be able to get up again. So good to hear it’s not just me. Horrible isn’t it?

Manchild profile image
Manchild

Hi,

I find that as my body gets used to my current dose, everything gets better. I am

finally realizing that a too fast taper is not good. Also, I am never totally pain free.

piglette profile image
piglette in reply toManchild

Sadly most people are never fully pain free although there are some lucky ones who are. The pred should sort out the pain by at least 70% though.

GerriMc profile image
GerriMc

It’s odd, I was a runner and actually completed a 10k race the week before I was diagnosed. When I went on Pred the pain and stiffness almost disappeared. My Rheumy told me to keep running if I could. But little by little, even though I was tapering, it got much harder to run. Like you, I felt weak and tired. I’m now at 5.5 and can hardly walk some days. No actual pain, except for lifting my feet on and off pedals for driving, but can’t walk more than a couple of kilometres. It exhausts me. No idea what to do but keep trying!

Wraysbury profile image
Wraysbury in reply toGerriMc

Do you rest at all. If I rest after any activity even if I don’t feel like it, I can generally carry on. Not always but I keep trying. Pacing is so very difficult especially for a previous energetic person, but I’ve found I can’t fight the PMR, just live and work around it

in reply toWraysbury

Always being active I was feeling that I wasn't doing much while dealing with PMR and wondered what I could do or should be doing. "Exercise as tolerated" says my rheumatologist. It seemed the most simple and sane advice. So that's what I do and gradually my exercise repertoire has increased without me giving myself a hard time over it.

GerriMc profile image
GerriMc in reply toWraysbury

I do try to rest as much as possible, sometimes I have no choice as I’m so tired. What I really miss is getting that rush of well-being following a good walk or run when you’ve had a load of oxygen in your lungs. I’m sure you know what I mean , walking your dogs etc.

That sounds familiar. I felt like I was made of jelly when walking when starting pred. I just did a bit at a time and rested a lot. Slowly it does gets better.

Mic67 profile image
Mic67 in reply to

Thank you. Definitely feeling more human today after limiting the walking!

Celebrant profile image
Celebrant

So happy to see it isn't just me--I have progressed though, I think. The extraordinary pain in the groin area has worked its way to my ankles, calf and Achilles Tendons. Perhaps it will work its way out of my feet and go away!

Dewdrop456 profile image
Dewdrop456

Hello,Mic67,I was just wondering if you were taking enough Prednisone.

I’m currently tapering from 7 to 6 and a half mgs.I feel I need to go back to 7 mgs tomorrow though as the base of my skull is sore again.It seems that we all have different symptoms when we are not taking sufficient.I wish you well.

Mic67 profile image
Mic67 in reply toDewdrop456

Hi Dewdrop, well I would much rather be on 20mg but have been pushed to reduce to 14mg. I am going to speak to them about my legs though!

Dewdrop456 profile image
Dewdrop456 in reply toMic67

Its always good to tell them what’s going on so I’m glad that you are going too.At first like most people I was determined to reduce as fast as possible but now I am more scared of letting any inflammation go unchecked due to the damage it might cause.It is really hard to strike a proper balance isn’t it ? I am currently being disobedient as I was told to reduce 1mg a month but I have started a new job and PMRpro advised against reducing until I’d settled in.So I’m not ,in any case when I resume, I will follow DSNS and reduce by half a mg.Sorry to go on ,it’s probably nothing to do with your dose at all ..!Very best wishes.

Ozark profile image
Ozark

Like you, and all others who have commented, my walking has been impeded. In the beginning it was extremely difficult to walk even on flat surfaces and hills or an impossibility. As someone else commented you are still in the early stages of this ailment and it is my assumption that with time things will improve. I have now had PRM for a little over a year and I can walk comfortably on flat surfaces though hills are still a bit of a challenge. The feeling that I have is stiffness in the back of my legs from my hamstring muscles down towards my knee joint. But overall things have improved so I would hold out hope that your trajectory will be similar. I have also experienced periods of depression resulting from my reflection on my relative immobility in comparison to the past. So you are not alone in this and there is hope that you will regain more mobility as time goes on and this disease goes further into regression. My best to you with hope for the future.

Mic67 profile image
Mic67 in reply toOzark

Thank you Ozark, yes I also have the hamstring stiffness at times too! I relate to the depression about it. I feel fine when I am at home but as soon as I go out for an extended period, I start to feel depressed about it when I realise my limitations.

Valnvaughan profile image
Valnvaughan

I have had walking difficulties since PMR onset 3 & 1/2 years ago. After a few frustrating weeks I did an experiment. I found pushing a supermarket trolley easier than straight walking. So I used my ‘g’mas pushchair ready for infrequent grandchild visits’ and pushed it empty, yes that helped too, but then people asked if there was a new baby. So bit the bullet, and borrowed a wheeled walker. First time used it with tears in my eyes as I came to terms with labelling myself old and disabled. Over years my condition got complicated by osteoarthritis of hips and I ended up in a wheelchair. One year on and I’ve had 2 hip replacements and am learning to walk again.......even a few unaided steps now feels like heaven! My physio says my muscles are very weak, but no reason not to recover completely as hips are fine. I use a mobility scooter for distance, a walker for more than 100 m and my 2 “ getting stronger every day” legs for short distances.

I still have PMR. I reduced to 2.5 mg Pred last December, but a fall and extra busy end of year, means I’m back up to 5 mg Pred per day.

My advise......get something to push and keep moving to encourage the muscles. You will get stronger. Valerie

Mic67 profile image
Mic67 in reply toValnvaughan

Hi Valerie and thanks so much. Yes, I relate! I must admit the only thing I enjoy about going to the supermarket is that lovely stretch over the trolley as I walk round! I'm not quite ready to get a walker yet (psychologically) but physically I feel I am at times!

Constance13 profile image
Constance13 in reply toMic67

If you don’t mind me asking “how old are you” Mic? I was 72 when PMR ‘hit’ me big time. I also couldn’t see myself with a walker, so after about 6 months I bought a walking stick, later I tried crutches, but boy was I glad when I swallowed my pride and bought a walker. It gave me “freedom” as I was able to go out on my own with more confidence. The marvellous thing about it is, if you just can’t make it further (ie you hit a “brick wall”) you can just sit down and rest. Now I have an Electric Scooter. All this over the last 7 years.

Mic67 profile image
Mic67 in reply toConstance13

Hi Constance, thank you for your reply. I have just turned 51. Up until 2 years ago I was back and forth to the Middle East for my work so the seizing up has taken its toll mentally and physically. If I carry on at this rate, I am not going to have any choice other than to get some kind of aid!

PMRpro profile image
PMRproAmbassador in reply toMic67

I'm really far from convinced you are on the right dose of pred. And have you tried Pilates?

Mic67 profile image
Mic67 in reply toPMRpro

I have tried Pilates once. It was a class for bad backs but it put me off as I found it very complicated. It sounds so stupid but I am currently scared to do any exercise. I bought a yoga mat recently and even some basic stretches gave me a lumbar spasm. I think I might need 1:1 instruction!

I know what you mean about the Pred, today day 5 on 14mg and I finally feel a bit more human but I am bloomin well not dropping any lower without a fight!

PMRpro profile image
PMRproAmbassador in reply toMic67

I remember saying to someone some time ago who said something similar that we happily accept the use of specs when we can't see - why not the use of a walking aid when we struggle to walk? It probably won't be forever - but if it keeps you mobile that is a very good thing. Not just for getting out but also for your muscles.

piglette profile image
piglette in reply toPMRpro

I know a lot of people who should wear glasses and stumble round the place without them. I always take my specs off if having my photo taken! I still use my stick though as I have discovered I can use the disabled changing room at the swimming pool. It is much nicer than the normal ones! I felt that the stick gives me an excuse.

PMRpro profile image
PMRproAmbassador in reply topiglette

The previous owner of our house in the NE wouldn't wear her specs out of pride - you could tell! I'd cleaned as the furniture was moved - she'd not done much. And we swapped houses. I was decidedly t-d off...

piglette profile image
piglette in reply toPMRpro

It is the ones who should wear specs to drive that frighten me!

PMRpro profile image
PMRproAmbassador in reply topiglette

Definitely - here we have to do a sight test to get our licence renewed (every 5 years for everyone, every 3 after 70) and it says on our licence if we require "sight aids". And you don't get the licence if you don't pass it.

markbenjamin57 profile image
markbenjamin57 in reply toPMRpro

I usually just wear a monacle when pottering around at the Mansions. But when I go out I wear one in each eye. Not to improve my vision - more because I like to make a spectacle of myself... :-D

PMRpro profile image
PMRproAmbassador in reply tomarkbenjamin57

Just don't try a Michael Gove submissive expression...

markbenjamin57 profile image
markbenjamin57 in reply toPMRpro

What, Me? Submissive? And / or Impersonate Michael Gove? Perish the thought. Even I have Principles.. ;-) :-D

Mic67 profile image
Mic67 in reply toPMRpro

I've been terrible for this! For around 10 years I wouldnt carry my glasses in my bag and only wear them in the house.

My daughter says 'mum you'd look far better in your glasses than squinting and doing the trombone with your phone!'

PMRpro profile image
PMRproAmbassador in reply toMic67

I can't see the person sitting opposite me without - never likely to find me without my specs! Take them off to read now though.

Daisyroo profile image
Daisyroo

So sorry to tell you that I have just started my third year exactly as you describe. Have just reduced to 15 from 20 for the umpteinth time. On 20 l feel much better. I have PMR , RA and lupus plus others.

Valnvaughan profile image
Valnvaughan in reply toDaisyroo

Try a slower reduction. Use DSNS method to go from 20 to 19 mg Pred. Stic there for a while then if no return of symptoms go down to 18mg. Dr should prescribe 1mg tablets. Good luck. Let us know how you get on. Valerie

Hello everyone

Hope you are all are as well as can be. I was diagnosed with fibromyalgia 18months ago but my symptoms seem so much like what all of you have. Any advice would be appreciated

Thank you . Love and hugs Lynne xxxx

piglette profile image
piglette in reply to

Hi Lynne, do you find that the painkillers you have been given for fibromyalgia work OK? It is just that only steroids really work for PMR. Fibromyalgia and PMR symptoms are quite similar.

in reply topiglette

No, they don't work, hence why I'm still awake!! Take care. Love and hugs Lynne xxxx

piglette profile image
piglette in reply to

Quite possibly it is PMR then. You really need to have a week’s trial of steroids if you could get your doctor to do that??

in reply topiglette

Thank you, I will ask her when I next see her xxxx

Linnetbird profile image
Linnetbird

Diagnosed with PMR 3 years ago, put onto a 2 year research trial. Given 15mg prednisolone, and had muscle strength tests. Even after a year of no excercise pre PMR diagnosis my muscle strength was 85. After 6 months on prednisolone aches and pains had declined but muscle strength now down to 35. Two years later I am down to 4mg of Pred. Have tried to reduce below to 3mg but all tiredness symptoms come back, so back to 4mg. I can potter around most of the day, visit galleries, meet friends. But I cannot sustain a walk. A 10 min walk takes me 30 painful minutes very slowly. I need frequent stops and rests. My legs still feel heavy, I have chronic back pain, and even with limited excercise and Pilates once a week, I cannot manage to rebuild my muscle strength. Before PMR I could have done 15 miles and play tennis twice a week.

No PMR medic has yet explained this link between steroids, muscle strength reduction, and the inability to rebuild it, nor provided a solution to overcome it.

Linnetbird

ShellyC23 profile image
ShellyC23

My 79 year old mother was fit and independent until she developed PMR three years ago. She now struggles to walk with a three wheeled stroller and is unable to go out alone. Rheumatologist does not think her balance problems are related to her PMR but reading this thread has lead me to believe otherwise. Maybe I need to find her a new Rheumatologist?

piglette profile image
piglette in reply toShellyC23

I must admit I am not so sure of myself balance wise nowadays. I am not sure if it is PMR or not. I find that all the rheumatologists I have seen have not been that brilliant. I am not sure if I really need to see one anyway.

Noosat profile image
Noosat

I was diagnosed with PMR about 3 months ago. Started on heavy dose of prednisone, but have actually weaned myself off it as it is detrimental to my eyes and heart. Pain has returned but with taking Tylenol and watching my diet very carefully, sugar is the #1 cause of inflammation, I have got to stage where pain is manageable (here, I have to say we all different and have varying pain toleration levels) With Prednisone my walking was awkward and still is now I am off it. On level ground I tell myself, " concentrate on good posture." Hills are a problem. I do believe mental attitude has a lot to do with how well we cope with the pain. I hope you have a good support group.

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