Exercise questions

Posted , 10 users are following.

Wow, only a month ago I could not even use a "nu-step" machine for 5 minutes without cramping up. I walked out of the gym that day a very unhappy lady, and that is what inspired me to complain to my cardiologist, the one who came up with the PMR diagnosis.

The nu-step is a recumbent elliptical machine which is very popular with all the physical therapists in this area.  It does both legs and arms while one is sitting down.  Today I lasted a record 40 minutes on the machine- to cheerful Celtic music.  So my question is about "taking it easy with exercise".  I did build up to these 40 minutes and nothing is sudden.  But how cautious should we be? 

    My biggest surprise/slight worry is the improvement  in my knees.  3 years ago a top surgeon said he would replace my right knee as soon as I lost 20 pounds!  But I did not lose 20 pounds and still have that bad right knee.  But it is so much better now that I am both on prednisone and exercising that I am amazed.  I may soon be able to walk up steps without a rail to help me up.  I haven't done that in several years. That would be fantastic. Does anyone else have results like this?  (I still have to be extra careful with my shoulders however and exercise them far less.)

     I still don't like the prednisone "feeling" and I am really looking forward to getting used to it.  If you remember, I am the one who started on 5mg and have gone up to 7.5mg, which I know is different from most of you.  I can't imagine how you could tolerate a higher dose than that for any length of time.  For most of the last month I have felt unpleasantly wierd.

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  • Posted

    Yes, I can relate to the knees! Mine were in very poor shape until I tried some posture correcting exercises which put them right back to normal. I still do them slowly even with the PMR pain. I learnt them from a recommended book. I think careful exercise is important to function!
  • Posted

    Can you please explain what a "nu step" is.  Sounds great sitting down and exercising.
  • Posted

    I had been told I have osteoarthritis when the PMR symptoms first started - a really interested and concerned rheumy, NOT! And she was a colleague of my husband!

    After a few months of pred all the knee symptoms had disappeared - the pred reduces any inflammation in joints so the pain goes away. Some people find OA pain returns when they get to low doses, but for many the so-called OA was the PMR affecting joints.

    Exercise is fine as long as you don't overdo it - and that means an amount that doesn't leave feeling stiff and sore the next day. In the first few years of PMR I could barely manage a couple of short ski runs at the beginning of the season, I skied like that twice a week for the first few weeks, then moved up to more like 3 times a week. I also added an extra run every so often - occasionally finding myself half-way down that extra run and hitting the wall of fatigue! But by the middle of the season I was skiing steadily for a couple of hours with no problems before stopping for a hot chocolate. 

    With PMR Your muscles are intolerant of acute exercise - that means they don't recover as fast as normal. If you build up very gradually as you have done and have had no problems - great! 

  • Posted

    I find the problem is, I can do stuff one day without to much pain, then next day I am in agony and can't even brush my hair properly! This makes it very hard to Pace myself as I am still learning what feels fine actually isn't! Anyone else finding this?
    • Posted

      It is probably because you do too much on the days you feel well! That is because the reaction to overdoing something is delayed - you have to learn to pace yourself and remember how much you can do. When I was skiing I never skied on consecutive days at the beginning of the season so I always had a day to find out if I was OK. If I was I did a little bit more the next time. If I thought "I'm fine - I'll do another run" I often could barely get out of bed the next day.

      Keeping a diary helps remind you what you did that was fine and what you did that wasn't fine! And also current dose and how you are also helps know if the drop was OK. And if you have a flare you can look back and see what it was like good or bad the last time you were at this dose. 

    • Posted

      That's a great idea Eileen. I shall dig out a new notebook and start making lists (I love lists)! of what I do each day and how I feel the day after. Thank you.
  • Posted

    I can certainly relate to this.  I used to be an avid exerciser.  After going on prednisone and having the pain relief that it brings, I thought I could go back to exercise.  Well, not quite!

    Whereas I used to walk at a rigorous pace for 3 miles a day, up and down a mouintain road, now I can only do 2 miles at a much slower pace, and I had to build up to that by starting at 1/2 mile, then 1 mile, then 1 1/2 miles, etc -- and often I can't go up and down that hill.  I find that at the rigorous and strenuous pace, that's when my rib cage problems flare up (which is where I am right now).

    My muscles simply do not like strenuous activity right now! 

  • Posted

    Well done noninoni - very encougaging gives us all hope.  Best of luck with improving your mobility.
  • Posted

        First  a short note: One way to avoid typos and errors is to write the post on a word processor first, then copy and paste it to the website to post it.

         I mentioned the nustep machine which is made here in Michigan but, even here, it is terribly expensive: more than $3000.  The alternative to buying one is to drive to a good local gym- not a great idea when it snows, but after the roads are plowed I can do it.  

         I initially bought a recumbent bicycle (for $700) and used that for a couple of years, but then my bad knee couldn't be bent as much as the bicycle wanted to bend it.  The nustep, however, doesn't work like that- you can take short steps as well as long ones at different degrees of resistance.  So I plop something in front of me to read, put on cheerful music, and exercise.     

    My gym is state of the art and even has a warm water pool so it is frequented by all kinds of disabled and overweight people as well as the young and fit.  Warm water pools are a great way to meet people because one doesn't swim but stands to exercise, so that is conducive to chatting. (This is where I met the dwarf and the Usher's syndrome lady. )  However when I got Raynaud's syndrome,  I couldn't even take the warm water pool without my hands turning blue! The prednisone  seems to have cured that- another good thing.  But warm water pools are pretty rare, even here.  I know I am fortunate.  I do hope all of you can also find good places to go.

    • Posted

      I'm well aware of how to avoid typos by doing that - but unless you use two computers it is irritating to read previous posts and answer them together! I'm sure everyone can make sense of the few typos I miss ;-)
    • Posted

      You're a Michgander - me too. Where - I' m in Saginaw.
    • Posted

      Yep we all seem to get the drift not matter how bad the typos
  • Posted

    We don't mind typos!!!!!

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