Could a fall cause a PMR Flare?: I took a misstep... - PMRGCAuk

PMRGCAuk

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Could a fall cause a PMR Flare?

Purplecrow profile image
22 Replies

I took a misstep 10 days ago, falling with a sprained ankle, but no other injury. However, in the next few days, I began feeling my usual indicators of flare, shoulder pain, hip pain,etc. Not quite recognizing that I was beginning a flare, I just ignored and carried on. Then my spouse, wise she is…said…you’re having a flare…and…so I was. A few days of extra pred stopped the flare, but left me puzzled…. So I started looking for articles associated with “can a fall precipitate a PMR flare”.

I found that, yes, it and other environmental stressors, can cause the dreaded flare. If anyone is interested in the Document, I will try to post its cite.

something new every day.

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Purplecrow profile image
Purplecrow
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22 Replies
piglette profile image
piglette

A fall can often precipitate all sorts of other problems such as flares. The body gets shaken up and reacts.

PMRpro profile image
PMRproAmbassador

Yes - there is a case report saying a fall can trigger a flare! Some of it may be the stresses exerted on your back by wrenching them trying to save yourself can wake up myofascial pain syndrome! Does for me! Even a bus braking sharply can cause the same effect!

Purplecrow profile image
Purplecrow in reply to PMRpro

Dainty flowers, we 😂🌸😂

SheffieldJane profile image
SheffieldJane

Any shock to the system be it physical or emotional seems to tip you over. Sorry about your fall. I hope you recover quickly. Are you doing sick day rules dosing, or just a mg or two extra? X

Purplecrow profile image
Purplecrow in reply to SheffieldJane

Hi, thank you for reply. I did a few extra mg for several days, with ice to the sprained ankle and my recent surgery site (back). I’m feeling much better now, and back to lower dose as of 2 days ago. 💜J

19287Morty profile image
19287Morty

I would like that link if you have it please, as I am sure a bad fall triggered my PMR. Thanks

PMRpro profile image
PMRproAmbassador in reply to 19287Morty

pubmed.ncbi.nlm.nih.gov/293...

Purplecrow profile image
Purplecrow in reply to PMRpro

Thank you.

PMRpro profile image
PMRproAmbassador

Just put up the title/source/authors and I'll find it if you struggle with the link

Purplecrow profile image
Purplecrow in reply to PMRpro

Article titled “ relapse of polymyalgia rheumatica after a fall”. Thanks .J

PMRpro profile image
PMRproAmbassador in reply to Purplecrow

The link to the abstract of the paper mentioned is:

pubmed.ncbi.nlm.nih.gov/293...

19287Morty profile image
19287Morty in reply to PMRpro

Thank you

😀

Purplecrow profile image
Purplecrow in reply to PMRpro

🙏🏽

Bennijax profile image
Bennijax

Yes. I fell a year ago and broke the two main bones in my wrist. The flare was noted a month later as the shock of the break kept me from considering a flare and there was so much aching everywhere the flare was hidden. I hade to increase the Preds.

Missus835 profile image
Missus835

I think it could. I stupidly went "swimming" in the cold waters of the Atlantic last Thursday and got knocked about by some beautiful waves. As of today, I feel rotten. Backs of arms, tops and backs of thighs, between shoulder blades and extremely shaky this morning. Of course I overdid it. Due to drop to 11.5 mg. tomorrow (again), but think I may go up to 12.5 mg. for a few days. The girl across the hall (about 4 ft.) from me has Covid19, which I tested myself for yesterday and it was negative. It may be just residual muscle pain from the "swimming", but it feels an awful lot like my first real flare since January 2022. Le sigh.

Purplecrow profile image
Purplecrow in reply to Missus835

So sorry to hear that those wonderful experiences we enjoyed in our younger years, can now cause us problems. Aaaarrrrgggg! I hope you recover soon and don’t let the cold waves deny you joy of the ocean. I live several hundred miles from the open ocean, and miss it awfully. The bay where I live is a bathtub substitute for the real thing. 😕

Trulyscrumpious profile image
Trulyscrumpious

I’ve had PMR since 2016, and it came on suddenly a few months after l had a hip replacement which went badly wrong and l was in a lot of pain, as well as getting a chronic chest infection from the anaesthetic. My daughter has always wondered if there was a connection. I’ve got down to 5mg now and if l go further the aches come back, So my Rheumy is happy for me to stay on this maintenance dose. Still get the fatigue and try to pace myself. Hope you feel better soon.

Purplecrow profile image
Purplecrow in reply to Trulyscrumpious

Thanks, I am getting better…💜

MB2016 profile image
MB2016

I had a flare about five weeks after my femur broke. I didn't fall, It broke while I was standing and I lowered myself to the floor but it must have been the stress from the surgery that caused the flare. And my excellent surgeon said it was caused by Prolia.

MB2016 profile image
MB2016

Meant to say the break was caused by Prolia not that the PMR was caused by Prolia

Sorry to hear about your sprained ankle, Purplecrow. It seems that any sort of stress can precipitate a flare. Get better soon 😀

Purplecrow profile image
Purplecrow in reply to

💜🙏🏽💜

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