Fall & sick day rules

[Pawscat11]

On Saturday I had a major fall faceplanting the floor after tripping over a pipe and unable to brace myself. Obviously I am battered and bruised but this morning I have woken with pain in all the usual PMR muscles of arms and legs and hips and had to roll out of bed. Has any one experienced this and is it just shock which will settle down or should I implement sick day rules for a couple of days. I am on 15mg of prednisone down from 17.5 and until this week have had 2 very good weeks.

[PMRpro Ambassador]

There is a publication suggesting that a fall is plenty to trigger a flare of PMR. However - sometimes when you fall the pain next day is due to the physical reaction you had at the time trying to prevent the fall - unless you are drunk you rarely fall in a relaxed way!

Have you tried taking ordinary painkillers? But I would try a bit more pred too.

[Pawscat11 in reply to PMRpro]

Thank you. I have tried pain killers both paracetamol and ibruprofen today and they havnt touched the aches at all. I am also wiped out which is not that usual for me. If I am the same tomorrow which is 3 days later I will up pred by 5 to 20 for 3 days.

[PMRpro Ambassador in reply to Pawscat11]

Sounds fair enough to me!

[Nextoneplease]

How are you Pawscat? Sounds like you had a very nasty fall. I’m hoping you feel better (a fall can make you ache all over), but if not, upping your pred to 20mg for three days sounds reasonable to me.

All the best 😊x

[Pawscat11 in reply to Nextoneplease]

Thank you I am on day 2 of up to 20mg and the thigh & arm aches have gone, not so the rest but as I fell hard its not surprising. I have some wonderful bruises coming out