Can anyone tell me if their PMR progressed to RA.

Posted , 7 users are following.

I have had PMR for about 8 years and probably several years before that but undiagnosed. I am now in the midst of a flair and several of my fingers recently may indicate the start of RA. My rhemy told me that it is basically the same disease but PMR involves the muscles and RA the joints. Has anyone else heard this or experienced it? Thanks in advance for any help.

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  • Posted

    I would proffer that you are tapering far far too fast, and significant percentage of your problems are related to the rapid deceleration of prednisone. You need to read up on all of the content through this form about tapering super slow. Everyone it seems the tapers quickly runs into a brick wall.

    I'm tapering presently at a rate of 1 mg per month, and often I slow this down. Whenever I have tried to speed it up I have suffered for it. I would further advise that you focus on managing prednisone rather than trying different drug and injection combinations.

    Eileen, please step in!

    • Posted

      I started to read off the slow method on this site to the nurse on the phone

      and we both got confused. So someone else suggested I go in

      with a calendar and explain it using the calendar. I'm not sure, but I think if I

      could make her understand the method that she would OK it. But I don't know

      that I quite understand it myself. I have to look at it with a calendar in front of me i guess

      to understand it.

      I already have ostiopenia (sp) so I'm not thrilled with taking pred. I'm also

      very over weight to begin with so gaining more weight is bad. Plus I have a

      bad back which has gotten worse then ever since I've been struck with PMR.

    • Posted

      Take a calendar, mark Day 1 as the first day of a new dose. Then:

      Count (say) 5 days and mark them as "Old dose".

      Mark the next day as "New dose"

      Count 4 days, and mark them "Old dose", 

      Mark one day New Dose

      Count 3 days, mark them old dose

      and so on until you get to alternate days new and old.

      Then:

      One day Old dose

      Count 2 days new dose

      One day old dose

      Three days new dose

      One day old dose

      Four days new dose

      And then you decide if you can fly all new...

      Does that help?

       

    • Posted

      PS - I also have osteopenia but it isn't far into the range. It has barely changed in the over 7 years I have been on pred and I am still slap in the middle of normal for my age. I have been at above 10mg pred for a large part of those 7 years and have only ever taken calcium and vit D supplements. I had a baseline done a couple of months after starting pred - it is believed that majority of bone density loss happens in the first 3 months - one was done after 3+ years and the most recent a few weeks ago. 

    • Posted

      Yes it helps alot. Thank you for the simple explanation.

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