worried : trying to be brief . Diagnosed with PMR... - PMRGCAuk

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Pastamama profile image
47 Replies

trying to be brief .

Diagnosed with PMR last week after approx 2 months of symptoms, ie really stiff in the morning , neck , shoulders , tops of arms and thighs . Understand this is typical , but can’t find info on other random issues like small pockets of pain in various parts of the body , tingling , weird feeling in middle toe like and electric shock , ache around groin on right hand side , itchy scalp , bit of toothache , bit of headache . Wondering if anyone out there has similar issues ? When I mentioned it to Dr’s they didn’t offer anything . I’ve been put on 15mg of Prednisolone , helped after a couple of days but back to aching in the morning, not as bad but present , normal ??? My main panic is GCA of course , can’t seem to focus on anything else at the moment . Would be grateful for any thoughts . Thank you .

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47 Replies
Wouldlovetorun profile image
Wouldlovetorun

Hello Pastamama!🙂Would like to give you a warm welcome to this forum☺️. I have found it a great place to be and hope you do too.

I'm not a gp but it sounds as if 15 mg isn't enough pred and possibly send a message to your gp requesting a higher dose. Did you have these symptoms before and explain them to the GP? If not then perhaps you should mention it soon: not because I think you have gca (I don't know)but you need clarification and support from your gp.

Try not to overly worry. 💐

There's plenty of friends here and I hope you will find much help and support from the dear folk here.

Sending a virtual hug.🤗

x

Pastamama profile image
Pastamama in reply to Wouldlovetorun

hello Wouldlovetorun , thank you for your welcome and support . I’ve never been involved in a forum before , don’t even do Facebook ! Gratitude to all of you out there that take time to read and respond , you’re all stars 🌟

Wouldlovetorun profile image
Wouldlovetorun in reply to Pastamama

Sweet of you to say that 💐I hope you begin to feel very much better soon.

x🤗

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

hi and welcome,

Some get a miraculous response from Pred-but for many it takes a few weeks and/or a slightly higher dose. So have patience - give it a bit more time, but if after 7-10 days you still feel it’s not working as well as it should then you need to speak to doctor.

Have you have the “unusual” symptoms all along -or just since taking the Pred?

Obviously the head issues could be GCA related, so do monitor them -and definitely contact doctor..

Have to say not sure about others

Have a look at this for general info-

healthunlocked.com/pmrgcauk...

Pastamama profile image
Pastamama in reply to DorsetLady

Many thanks , the random pain things have basically been all there all the time , the itchy scalp I would say since taking pred. Will discuss with GP this afternoon. Advice much appreciated.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to Pastamama

Just seen another post, which made me think that groin/leg/foot could be sciatica...maybe?.

Whatever do discuss with GP.. and let us know how you get on please.

Pastamama profile image
Pastamama in reply to DorsetLady

Will do !

proactive profile image
proactive in reply to DorsetLady

I had quite severe groin pain along with shoulders, hips, back, neck before I was diagnosed with PMR. I have experienced one flare while reducing form 20 mg downwards and the groin pain was the first symptom to reoccur. Followed the flare protocol and held for a bit before reducing further and will slow down my taper now that I am below 10 mg. The groin pain was the most annoying of all.

Wouldlovetorun profile image
Wouldlovetorun

Just reread your post and you have mentioned these other issues and she wasn't helpful. I'm sorry about this. I would ask for a phone appt and discuss it with her further. x

Pastamama profile image
Pastamama in reply to Wouldlovetorun

Thank you contacting me , have phone call with GP this afternoon, will discuss .

PMRpro profile image
PMRproAmbassador

As I said in your PM - it does all sound quite typical to me! I had a big improvement in 6 hours with the first dose but there were little bits all over that took a few weeks to settle - and the aching/stabbing hip pain was more like 4 months until the trochanteric bursitis that was causing it was all mopped up. The funny shooting pain were something I experienced too - and still do occasionally.

Now - when you felt so much better after starting the pred, did you then rush around like a mad thing catching up on what you hadn't been doing for a couple of months? Even a LITTLE bit???? Because being on pred and the inflammation being mopped up isn't a sign you can just go back to normal - the pred only deals with the symptoms, it does nothing significant for the actual underlying disease process and that chugs along in the background, attacking body tissues and making you feel as if you have flu. You are still a poorly person - and you do much better when you bear that in mind and give your poor PMR-ravaged body some rest and TLC.

Pastamama profile image
Pastamama in reply to PMRpro

Hello ,big thank you for getting in touch again . Have totally taken on board what you’ve said .Makes sense just needed putting in black and white for my worry wart brain to take in !I guess expecting far too much even though in my heart of hearts know there isn’t a miracle cure . Can’t tell you how much I appreciate you taking the time to contact me , best wishes .

piglette profile image
piglette

PMR is life changing and the mantra is rest, rest, rest. I think we all worry about GCA and every little headache can panic us. The chances of getting GCA are not that high. We have started up a gardening group for people with PMR and GCA you may like to visit. facebook.com/groups/6288051...

Pastamama profile image
Pastamama in reply to piglette

Hello Piglette , thanks for your response . Will check out your gardening group if I can navigate Facebook ! Great name by the way ..

piglette profile image
piglette in reply to Pastamama

Good luck Pastamama. Like your name too.

Rubha profile image
Rubha in reply to piglette

Hello Piglette. I always read your helpful and supportive responses to other members. I just wanted to ask you about a point yoy made about chances of getting GCA being not that high......like Pastamama, I worry about GCA. I started with the usual aches and pains as well as a dreadful headache. My GP put me on 20mg pred and within a day I was much improved. Took 4 days for the geadache to go.......I am now on 15mg but get the occasional stab in my head and teeth. Optician says eyes are clear of damage but I still worry. Inflammatory markers are now way down . Thanks for your input.

Pastamama profile image
Pastamama in reply to Rubha

Hello Rubha , very useful post thank you

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to Rubha

Although GCA and PMR commonly overlap. ..many patients only ever have one or the other.

Studies over the years have come up with this info -

PMR is observed in 40–60% of patients with GCA at diagnosis, and 15-20% of patients with PMR may develop GCA

The highest risk of GCA is not being aware of it…

Patients diagnosed with PMR should be advised about GCA and aware of symptoms, but I would say don’t be paranoid about it.. just watchful.

As we know not every little twinge or ache is down to PMR, GCA nor Pred. Even though we might think it is… 😉

Rubha profile image
Rubha in reply to DorsetLady

Many thanks Dorset Lady. I have seen several sets of figures re the ratio of GCA to PMR......your comments are really helpful. Much appreciated.

Pastamama profile image
Pastamama in reply to DorsetLady

Thank you DorsetLady , very good information 👍

piglette profile image
piglette in reply to Rubha

DorsetLady has done an excellent post on the chances of getting GCA. I was told by my optician that the headache for GCA is the worst headache I could imagine, so the average headache stopped worrying me after that.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to piglette

That’s very true…. Having suffered from headaches all my life, can categorically say the GCA ones are a million times worse..

Rubha profile image
Rubha in reply to piglette

Hello PigletteMy pre PMR headache was excrutiating.....I just wondered if any residual problem remained but was reassured by the 15% to 20% also opticians examination. It is too easy to think of every symptom as being a forerunner. I see the doc on Friday for bloods etc and discussion . It's the GP I have most faith in as she was the most clued up with PMR....

piglette profile image
piglette in reply to Rubha

You are lucky to have a good, understanding GP. I have not actually seen my GP face to face since 2016, just argued with him over the phone!!

Rubha profile image
Rubha in reply to piglette

In many ways here in the Outer Hebrides we are lucky....small population makes appointments easier. Sadly though any major hospital appointments are Inverness or Glasgow but we can't complain.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to Rubha

Which island?..

Rubha profile image
Rubha in reply to DorsetLady

Isle of Lewid.x

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to Rubha

I lived on Benbecula in 80s -you can probably guess why..

Rubha profile image
Rubha in reply to DorsetLady

Beautiful island. It’s a bit *busier* here in Ness on Lewis.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to Rubha

Only trip to Lewis in those days was to Stornaway - Christmas shopping - and a doubt we’d get home again, weather as usual… but good old LoganAir got us there!

You’re a long way north, so you know all about the weather… 💨💨

Rubha profile image
Rubha in reply to DorsetLady

Oh yes....still causes hiccups but the freedom and community spirit makes up for it x

random901 profile image
random901 in reply to piglette

Hello Piglette! I have just joined facebook in order to join the gardening group. Looking forward to widening my currently limited horizons 🌻

piglette profile image
piglette in reply to random901

I hope you enjoy all the lovely photos.

Pastamama profile image
Pastamama in reply to piglette

Gardening club ??

piglette profile image
piglette in reply to Pastamama

We set it up for people diagnosed with PMR/GCA to cheer them up! facebook.com/groups/6288051...

S4ndy profile image
S4ndy

Hi PastamamaWelcome to the club no one wants to join. Here you will find good advice, friendly people and a whole lot of laughter at times too.

I started off at 30mg prednisolone in 2016 and then at 15mg for a couple of months. At those higher doses sleep for me was sporadic. I soon adapted to resting when I could and being gentle on myself. I think that acceptance and not beating yourself up for your inability "to do" is paramount with this fluctuating condition.

I am one of the people who the "2 years'' of treatment advocated by some in the medical profession was an impossible dream. So it's now 2024 and I am on 5mg a day long term. I haven't had a flare for a while now and I think this is because of the long term stable dose 5mg. I have accepted that I may be on prednisolone for a very long time but I no longer see that as a problem. It's allowed me to live my life reasonably well even through some major life events which could have triggered a big flare.

Life certainly changes when you have PMR but we all have it in our power to choose how we think about our condition(s). For me that mental strength has got me through lots of changes. I highly recommend some kind of activity for the mind as well as the body. In my case it's been meditation, only 15 mins a day but enough to reset the "worry box"😂

Pastamama profile image
Pastamama in reply to S4ndy

Hello S4ndy , thank you for your words of wisdom ! Taken on board . Can you buy mental strength on Amazon 😆

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to Pastamama

Don’t need buy it.

You already have it somewhere within yourself -it’s called resilience, and it just needs a nudge.

Resilience comprises of -

Optimism rather than negativity,

Self belief and self control,

Willingness to adapt and be flexible,

Ability to solve problems -and when you cannot then get support from others

Sense of humour - very important in my view

Not easy at the beginning of a new health issue we know… but it is achievable.

Pastamama profile image
Pastamama in reply to DorsetLady

😌

marionofnorwich profile image
marionofnorwich in reply to Pastamama

And think about what you can do, not about what you cant do! my top tip

Pastamama profile image
Pastamama in reply to marionofnorwich

Will do !

S4ndy profile image
S4ndy

Oh how I wish 😂😂😂

AtopicGuy profile image
AtopicGuy

How are your inflammatory markers: CRP & ESR especially? Before diagnosis and after treatment?

Pastamama profile image
Pastamama in reply to AtopicGuy

Will have to check those out ..

AtopicGuy profile image
AtopicGuy

They are crucial to understanding whether you have typical or atypical PMR.

PMRpro profile image
PMRproAmbassador in reply to AtopicGuy

There is a great deal more to PMR than the ESR and CRP. And actually, many patients are told they have "atypical" PMR and most of US would say they have very typical PMR!

AtopicGuy profile image
AtopicGuy in reply to PMRpro

Of course. But I thought it odd that no-one had asked Pastamama the obvious already.

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