Could it be Polymyalgia?
Posted , 57 users are following.
Hello all, I am new here. I am really struggling at the moment with painful symptoms and am getting absolutely nowhere with my GP. I suspect I have some sort of inflammatory condition or disease, and wondered if perhaps someone who has PMR would read my story and tell me if they think I am on the right track.
About a month ago, completely out of the blue I woke up with incredibly painful and stiff shoulders and upper arms. (I knew it was not exercise induced lactic acid muscle pain - I know how that feels, and I had done absolutely no ecercise over the preceeding days - the pain just came out of nowhere.)I found I could hardly get out of bed, and I could not lift my left arm above my head. I felt like I had been hit by a lorry. However, by the time I was moving around the stiffness had gone within about ten minutes, and the pain had lessened but I was aware of soreness in the muscles all day when ever I moved or used my arms. I thought perhaps I was getting the flu, or had a virus, or had slept awkwardly. However, it did not go away, and I have woken with this pain every day since for a month. It seems to be getting worse, spreading into all the muscles of my upper back, shoulders and arms, but I feel it mostly in my biceps and deltoids.The other day I leaned back from the passenger seat in the car to reach something on the back seat - and the pain was enough to stop my breath for a moment - a terrible pain that shot through my upper shoulder. I feel it is the muscles and not the joints. I am taking maximum dose Paracetamol and Ibuprofen in the morning and this helps the nagging, constant pain. I am aware of extreme pain with most arm movements such as wrapping a towel round me, putting on and taking off anything with sleeves...driving (turning the wheel) carrying shoppping bags, holding the dog lead at arms length. I just cannot do the simplest things without feeling pain. Some days are more painful than others and although I am not in constant pain, I have found certain movements will cause me to experience sudden pain which is really excruciating. I have never felt pain like it before, it is unlike any strain, or exercise induced pain I have ever felt.
I went to my GP two weeks ago, who told me I am 'anxious', and that aches and pains are probably perimenopausal in origin (I am 50)he really does not seem to understand just how painful this is. I am not one to argue with the doctor (yet!) so I just took his advice about 'massage' and 'relaxation' and left. I went back yesterday to see a female doctor, and told her I was feeling much worse. She examined me thoroughly (sods law I was having a good day and my muscles although sore, were pliable enough) and gave me a prescription for Naproxyn.'Myalgia' of any sort was not mentioned. I just don't feel they are taking me seriously and I don't know what to ask them to do next
I have also been thinking back over the last year or so, and realise I have experienced a host of strange symptoms. I seem to have 'dried up'! I had painful inflamed skin on the inside of my nose for a long time - it was very irritated and dry and extremely sore - I used to rub on E5 with a cotton bud to try to get some relief. I never went to the doctor with it, as I thought it was fairly minor and was just an allergy. (This symptom has actually settled down now and I only get occasional flare ups.) However, my eyes are also very dry - especially when I open them in the morning - I get a slight ripping sensation as if the lids are stuck to my eyeball - which is probably exactly what is happening. I have been to my optician who did a little test with paper, and told me I did indeed have very dry eyes, but - because I am still producing tears - he did not refer me on to a anyone, , I was simply given Viscotears oily gel to place into the eye. Around January of this year I notoiced my mouth was also unusually dry.I find it hard to eat meals without water, and wake in the morning with my tongue stuck to the roof of my mouth. I also have a very strange 'taste' or sensation all the time. I find this very hard to describe as it is not really a 'taste'...more of a change in how my mouth feels. The inside of my lips and tongue feel irritated and almost tingly all the time. And this sounds comletely mad - but I have a genuine sensation of cool mint all the time, almost menthol, which I can feel on the surface of my eyeballs too. Almost like the sensation when you open a jar of menthol rub and breathe in the vaopur.
And lastly, I have a constant burning/tingling feeling on the skin of my face. It feels like mixture of sunburn, and that irritated nerve feeling when you are getting the flu.
I hope someone can identify with anything I have said and give me some advice. Thanks for reading.
4 likes, 147 replies
chris60215 Lesley998
Posted
Have you been tested for Lupus? I had many of the symptoms you described and either no one would believe me, or didn't know how to diagnose my symptoms. It took a while. I would recommend a good rheumatologist.
jacqueline78580 Lesley998
Posted
janet91680 Lesley998
Posted
I've been reading your posts about your pain in hips and shoulders. I have been doctoring for the same thing since June 2016. I woke up one morning and had debilitating pain in the left hip. i made an appt. He said bursitis and gave me a cortizone shot. It didn't help a bit! A month later it was a little better, but then I felt some pain in right shoulder and groin. In the last three months pain spread across the pelvis to the right hip and top of leg (behind the thighs in both hips). I have been laid up for two months now. I've seen the GP twice the last two months. He gave me cortizone shot in left shoulder. It didn't help one bit. The second time he tested me for PMR which my dad had before he died. I told him straight out I would NOT take predizone; I'd be dead in two years. The PMR test was negative. I have continued floor exercises to keep muscles limber, but it has become more painful. I have been taking OTR meds which only take the edge off the pain. He says he doesn't give meds for symptoms until he knows the underlying cause. I said I need relief! He agreed to a script for muscle relaxer. It does not help. I take lasix every day. He said cut back on that. No difference after a week. He said cut out Niacin (for cholesterol) for a week. I did; no difference. So I am struggling. I wish I had asked me thyroid dr. if I could lower my does of levotyroxin to 112 instead of 125. I am seein a rheumatologist later this month. I have considered post polio syndrome which may father also had. I have learned a child could have had polic virus without knowing it. Perhaps I did. My dad had it and was at home during his illness. I could have had polio. I'm going to mention that to my new dr. Perhaps there is a test that could tell me if I had polio. I am grabbing for whatever straw may be out there. My grown daughter says it sounds like fibro myalgia. Whatever it is, it's debilitating and I am growing frustrated at not being able to move without excruiating pain.
So I hope to follow your progress and pray for the best.
Jan S in Illinois
EileenH janet91680
Posted
Prednisone does NOT kill you. I have been taking it for over 7 years and it gave me my life back - and I am very much alive as are all the members of this community who are all also on pred.
There are NO tests "for PMR" - approximately 1 in 5 of people who have PMR do not have raised ESR (sed rate) or CRP (a protein) both of which are indicators of inflammation in the body.
If you are grabbing for any straws I suggest you try a week of prednisone and see if it helps. It is still the only successful form of management for PMR and if it does help your symptoms it would suggest it could well be PMR. If it doesn't, then it is possibly fibromyalgia. But it is your choice - you try it or you don't.
RatherRetro Lesley998
Posted
About 6 weeks ago i awoke and could not raise my arms above my head or in back of me without excrutiating pain, every morning it got worse, i went to doc and she said i probably hurt a ligament at the gym and told me to not work my arms. I stopped going to the gym and the pain spread through my body, arms, legs, back, knees, glutes it was horrible. As the day went on i would feel much better except for my arms, i was getting really scared. Back to the doc, blood tests and nothing. I was pretty scared. I had to go out of town and stayed in a hotel for 5 nights and i awoke with much less pain thru my body. I came home and changed my firm mattress to a softer one and within 3 days most of my body pain was gone and i can lift and move my arms around. Unreal. I am so happy. I wonder if something that simple could help you, strange how it came out of the blue but it left just as quick. How are you? I know this is an old post......
rose55750 Lesley998
Posted
Hi Lesley
You sound exactly like I was, though my hips and lower limbs were worse affected first. My doctor also told me I was anxious, post menopausal and should expect arthritis at my age, 50 at the time I recall. The only way I got my diagnosis was by going private as I was so desperate and getting nowhere with my GP (my flare up at the end of September was diagnosed as a virus despite getting worse over many weeks)
You need blood tests to check your cpr and esr levels and white cell activity (reaction to infection) asap. If its PM they'll most likely be high but there won't be any sign of infection / white cell activity to explain. This being the case you should immediately push for a rheumatology referral. I had two lots of blood tests within a fortnight before seeing my specialist which showed increasing inflammatory activity with no cause, a clincher in getting your doc to do that referral.
I too had the hypersensitive skin pretty much all over though it started with my head. I have noticed an inexplicable 'minty' taste at times which couldn't be explained by recent tooth cleaning. I've had dry eyes and eye problems for a couple of years which could well have been precursors of all this. My optician asked me of I had joint issues as he thought that was causing me problems; a known link apparently. I also developed raging gingivitis despite fastidious dental hygiene. Like you say, lots of weird, apparently unconnected health problems easily put down to to being peri or post menopausal.
Look out for for symptoms of GCT; appalling one-sided head pain, sight loss / double vision, jaw pain, scalp hypersensitivity. My rheumatologist even missed it but luckily my husband trawling the NHS website recognised I'd had the symptoms. Emergency GP at my surgery immediately prescribed steroids even before rheumatology report came through as risk to eyesight so significant.
You must push to get this sorted. No-one should suffer as you are and be fobbed off with glib comments and silly suggestions. Exercise will become pretty much impossible till treatment kicks in. Up to till early September I was doing yoga pretty much every day till I simply couldn't get up off the floor any more. I have gone from being very active and fit to being compared yo a friend's 100 year old mum in terms of how I get in and out of the car. Pred for 2 days has already made a significant difference.
I wish you success in getting a diagnosis and a swift improvement with correct treatment.
Rose
Riverdog Lesley998
Posted
Lesley,
I was shocked to read your post. Shocked because I have many if not most of the symptoms you do and I was ascribing it to the same things. I never even thought about the dryness being related but at the same time this mystery pain came I had to start using eye drops. Never in my life up to now have I had to use them regularly. I to wondered if it was inflammation. I am just in the beginning of it. You see, I just had a knee replacement and I initially thought that misuse of the crutches may have been the cause of my left shoulder pain... until I started having pain in the right shoulder also! Made NO sense. And the pain is not actuall in my joints, I also used the lactic acid example to try to explain it to my wife but like you I hadn't been working out so it could not be that.
We are probably about the same age give or take a few years, I am 52 year old male in the United States. Please share more with me about your pain, when it started and if you had any surgeries prior to the pain. I'm grabbing at straws here but I am afraid to go to the doctor and be told I have something that cannot be dealt with or that has a catch all diagnosis like fibro myalgia. I know it's a real thing but in the US I think I lazy doctors also use it to put a label on something they can't figure out.
What are your recommendations? By the way, the skin irritation issues I have not had, just the eyes.
jean1948 Lesley998
Posted
Hi Lesley,
Have you asked your doctor if you can have a trial of HRT? It sounds to me as if a lot of your sympTom's could be menopausal. I had some of the same when I wa
s approaching the menopause, especially the eye and nose dryness, a short trial will not do you any harm. As for it being PMR, it could be, and apparently one of the best tests for it is a course of prednisilone, PMR is supposed to respond within 3 days to steroids. I would definitely go back to your doctor. I do hope you can get it sorted out.
jacqueline98870 Lesley998
Posted
Oh my God- Leslie this EXACTLY describes what has been happening to me the last month. I nearly cried when I read your post, I've never read anything so identical to my weird symptoms. I also have back pain/ stiffness. I've been scared to death. My doctors have no idea and are no help and I've been referred to a neurologist. Have you made any progress?? This is so stressful and terrifying.
EileenH jacqueline98870
Posted
If you had looked at the thread you would have seen that Lesley hasn't replied to the more recent posts and the original was "over a year ago", which could mean up to 4 years or more ago!
If you have similar symptoms to Lesley I doubt it is a neurologist you need, they are all signs and symptoms of a probably autoimmune disorder and they are generally looked after by a rheumatologist so I suggest you ask your GP to refer you to your local rheumatology department if you are in the UK, a rheumatologist if you are in the USA.
Riverdog EileenH
Posted
Thank you Eileen, I was really more interested in your symptoms and what you are doing to treat them or what you perceive to be the cause. I assume based upon your reply that you are seeing a rheumatologist. I never intended to see a neurologist. I must really have missed quite a bit of detail from Lesley's post (in addition to the date).
Nevertheless I was interested in hearing from whomever would answer that suffered from this constellation of symptoms. I thought my condition was brought about by medication (too much/wrong kind). The GP ruled out heart trouble which was on the table initiallly because of the pitting edema in my legs. But my heart/lungs are fine. So I am left with very little to go on except that while recovering from knee surgery I was in bed for 3 days. No food and no drugs except for pain Ned's and my leg swelling and pain was gone (except for the knee of course).
I will probably see a rheumatologist as you said.
Regards, John
EileenH Riverdog
Posted
Riverdog: I hadn't seen your post - my above response was to jaqueline and I responded rather than leave her hanging waiting for response that was unlikely to appear. I got to your post much later!
Me? I don't see a rheumatologist. I had PMR for 5 years and the GP was hopeless! Eventually I worked out for myself what it probably was - and was referred to a rheumatologist who was also useless - he didn't want to hear about how I had responded to the first dose of 15mg pred (a miracle in 6 hours) of a 6 weeks taper he had given me. He was entirely sure it was another arthritis and wanted me to take sulphasalzine, a drug where you have to avoid the sun and I was about to move to Italy! Luckily, he also wouldn't start it until I had a rheumatologist here to monitor me - and the doctors here are quite happy that what I have is PMR, just I am one of the 25% for whom it last a LONG time!
PMR and GCA are both forms of autoimmune vasculitis but are traditionally cared for by rheumatologists - as are most autoimmune disorders. You will find a lot of information via the links in this post:
https://patient.info/forums/discuss/pmr-gca-website-addresses-and-resources-35316
The pitting oedema may be RS3PE syndrome - but it and pitting oedema are sometimes found in PMR.
It isn't uncommon for surgery to be the final straw that makes the immune system go haywire and cause various autoimmune disorders. On any PMR/GCA forum you will find a lot of people with ahistory of stress, many of them with surgery in the history.
Persicoanne Lesley998
Posted
leisa87981 Lesley998
Posted
EileenH leisa87981
Posted
I honestly don't think Lesley is still following as she hasn't replied. But if you start a new post with a description of your problems lots of people will reply and discuss them with you.