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I´m a little worried.

Posted , 4 users are following.

stella-dk
stella-dk

PMR and GCA nov 14, started on 50 mg prednisolone. Reliev within a day. Tapered to 5 mg in sep and oct 15 ( with some hiccups ) - end of oct 15 a flare and then up to 7 -8 -12 and ended on 15 mg. 3 weeks ago in hospital with high blodpressure and puls, headace and really unwell. My CPR was  28 and esr normal. They put me on 50 mg pred for 5 days - CRP stil high now 32, esr normal. They found I seemed to have gotten a pred induced disabetes, but did nothing about it.

Can diabetes make my CRP rise ?

After the new flare my pain is different. Now it is more of a sharp pain in the upper back, mostly over the right shoulderblade, and it comes and goes. Does this still sound like PMR or something else ? My stomace is also bad. I do worry about the whole thing,

Stella

0 likes, 8 replies

8 Replies

  • EileenH
    EileenH stella-dk

    Posted

    There is a link between raised CRP and raised HbA1c, this is the conclusion of a study:

    "In this study, the likelihood of elevated CRP concentrations increased with increasing HbA1c levels. These findings suggest an association between glycemic control and systemic inflammation in people with established diabetes."

    But I think you really need to see a diabetes specialist to discuss it. Yes, there's a link but I couldn't comment on it any further. (Google the bit I quoted and you'll get a link to the study abstract to take to your doctor if you need it).

    I don't think the pain you describe sounds like PMR, especially since you say it is one-sided, but never say never. However, it could be due to myofascial pain syndrome or something like that. Try googling it - I can't give you links here at the moment, it would have to be another post as a pm and I haven't time just now. 

    Do I assume you are in Denmark? i don't know a lot about your healthcare system but I do know in Germany I got very good therapy for myofascial pain syndrome. We got sports medicine standard massage included in our helthcare then - is that an option? It might help if they can mobilise the trigger points that cause MPS problems although it could well cause a flare in the PMR for a day or two. It should help in the longer term though.

    • stella-dk
      stella-dk EileenH

      Posted

      Yhank you for the reply. I will get the articel about the link between glycemic control and systemic inflammation to my doc . I have an app tomorrow.  I had a feeling that my new pain is not from PMR.

      Yes I´m in Denmark and any helthcare is free, but I`m not sure that massage is included.  But if not I´ll pay for it myself. Thanks.

    • EileenH
      EileenH stella-dk

      Posted

      Myofascial pain syndrome is often found alongide PMR - it is due to the same inflammatory substances as PMR, the difference is that in PMR they are all through your system but in MPS they are concentrated in these trigger points, in pairs on either side of your spine, in the shoulder muscles, about rib level and in the lower back, and can be felt as knots of hardened muscle fibres. A good therapist can feel them and use their fingers to mobilise the layers of muscle. In Germany, and northern Italy where I live, doctors will also give steroid injections locally which also does the trick, including GPs  - so maybe your doctor can also help?
    • stella-dk
      stella-dk EileenH

      Posted

      Can I Bowen therapeut help with this ? or is it better with at steroid inj. ?

      I can´t find the article you recommended about raised CRP and raised HbA1c....there are så many articles, but which is the right one to print out for my doctor ?

       

    • stella-dk
      stella-dk EileenH

      Posted

      maybe a sports massage and a Bowen massage is equally good.

      i tryed to send a link to an articel to hear if it was any good, but it did nok come through.

      thank you for your help. I´m glad if my new pain isn´n systemic but can be relieved with massage.

    • EileenH
      EileenH stella-dk

      Posted

      I've pm'd you the link to the full text - I'm fairly sure that's the one. I can't remember the search terms I used - blame old age!

      They work in different ways and it really is a bit of trial and error to find which works better for you - I use both, Bowen is much gentler but I do enjoy a good hard sports massage! Many people with PMR find it wakes up too many discomforts though which is why I often suggest Bowen - which has other uplifting effects for many people too. I certainly find it very relaxing! I never want to get up to go home!

    • stella-dk
      stella-dk EileenH

      Posted

      Thank you very much - I´ve got the articel. And I think I vill try some Bowen very soon. I´ve tryed massage some months ago, and that felt like a slight flare afterwards. So Bowen it is.
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