Have I got PMR?
Posted , 8 users are following.
Hi All
This is a really great site and has a lot of useful stuff for a newbie like me so many thanks to all the contributors and fellow sufferers.
I have lots of question I want answers to but the main one is have I got PMR? because my consultant and GP seem to disagree on the diagnosis or the treatment and I am feeling like piggy in the middle right now. I have outlined the progress of my complaint below and would be very interested in hearing how these fit the experience of others.
Background. I am 62 years old, been fit and active all my life and up to 4 months ago regularly ran 10 miles, went to the gym, played competitive bowls etc. At end July/Aug 09 I developed a severe chest infection and cough that lasted for most of August and September. In mid Sept the first signs of my current complaint started with a strained feeling in the inside of my left leg from the hip joint to the knee. This was so painful that I couldn't lift my leg off the floor and sleep was difficult. I hobbled around for a bit and then a week or so later my right leg started to play up and both legs felt as though I had just run a marathon. I saw my GP who said it was muscular and put me on a course of Ibuprufen. A week or so later my right shoulder started to hurt really bad and then another week later my left shoulder. The most recent development is my right wrist and hand which are so painful in the morning that I struggle to butter a slice of toast. I ache all day but nighttimes are especially bad and the aches and pains in my shoulders/arms and hands keep me awake. My legs though are still achy but much improved and whilst I still can't run I can walk 2 or 3 miles without too much problem which I don't understand given the state of the rest of me. In the morning especially I am like an old man and so weak I would loose in a fight with my 18 month old grandson.
My GP and consultant disagree with the diagnosis because my blood tests do not confirm it and my GP took me off the 15mg dose of steroids the consultant prescribed after a couple of weeks even though I was much improved. The past 3 weeks, since I stopped taking the steroids, have been really bad and my quality of life just above zero so I am seeing my GP later this week to sort it out because I can't go on like this.
Apologies for rambling on like this but any advice would be most welcomed.
Many thanks
Bob
0 likes, 44 replies
mrs_k
Posted
Do you need diagnostic procedures and guidelines for diagnostics and treatment guidelines to throw at your GP. If so, email me via this site.
Bob_the_Builder
Posted
Thanks for the offer Mrs K but I don't think my GP is in listening mode at the moment and isn't going to take any advice from me. When I tried to tell her as diplomatically as I could that 20% of PMR patients do not have significantly raised blood levels it was like a red rag to a bull and I knew was wasting my time arguing with her any further at that point.
I am having further blood tests on Tuesday before having an ultrasound scan on my groin/hip, that the consultant arranged before Xmas, and in preparation have stopped taking Ibuprufen or any other drugs just in case they affect the result. I feel terrible but am hoping it may provide a more positive result. The pleasure I would get out of telling my GP what she can do with her diagnosis would be worth every moment of pain.
One further question I would like answered is do others tend to feel better as the day goes on. In bed and first thing I am in reall pain (all over but mainly in both shoulders and my right hand) and feel about 100 years old and completely useless. I take 60-80 mg of Ibuprufen each morning with my breakfast and by lunchtime I feel like a different person. I still ache but I can face the world and do things I couldn't do earlier. It may simply be the Ibuprufen but in the mornings I desparately need steroids to releve the pain but by the afternoon I could just about manage without. Is this normal?
What happened to the snow.
Many thanks for all your contributions and kind words that I truely appreciate.
Bob
Lizzie_Ellen
Posted
I think your symptoms are classic, at least they're almost identical to mine. When PMR first hit I couldn't turn over in bed or get out of bed without help and without having a pathetic sobbing session. I could barely walk, I just shuffled along like a 90 year old. When I sat down I found it really difficult to get up from the chair and getting in and out of the car were really difficult. My shoulders, hips and arms were stiff, painful and weak and the first 2 to 3 hours of the day were hell. By about lunch time the symptoms would almost completely go and the rest of the day I felt reasonably OK. With or without Ibuprufen it didn't make a lot of difference. If I didn't take Ibuprufen I still felt better by lunch time. I've hardly ever had any of the stiffness in the afternoon or evening although I used to get very tired. I know of several people on this site however who have to endure the stiffness and pain right through the day. Without steroids I had to cancel mornings - nothing worked. Good luck with the tests. (And yipee regarding the lack of further snow, I have a knee well past its 'sell-by' date and daren't got out in the snow, I feel as though I've hibernated and was even reduced to cleaning skirting boards for amusement this afternoon!).
Lizzie Ellen
Mrs_G
Posted
MrsO-UK_Surrey
Posted
Mrs G - I'm so sorry you have had to increase back up again. My experience was that increasing back up to the previous dose never worked.......I had to go back up to 10 in the first couple of years to restore the blood tests back to normal and then gradually reduced over about 6 weeks back down to 5 where the rheumatologist made me stay for about 5 months! I agree you feel as if you are getting nowhere but I can only say that eventually you will get there - since following Ragnar's regime when reducing below 5, I am now almost (crossing everything!) down to 2. As you say, I'm sure this freezing weather is not helping us and I'm now fed up with hibernating (yet more snow last night) and becoming stiffer with the lack of my daily walk, but the risk of going out there and falling is too great. The other problem is that being stuck indoors I'm finding it difficult to resist eating!!!
MrsO
Bob_the_Builder
Posted
Lizzie - your latest e-mail was the final confirmation that I needed and your comment regarding getting in and out the car really hit the spot.
I feel that I have monopolised the site for far too long, and want to give others a chance, so I am going to end this thread but I will let you know in due course what the outcome is.
Here's hoping 2010 is going to be a good year for us all.
Thanks again
Bob
If I could only find out how to put one of those smiley faces here I would.
Lizzie_Ellen
Posted
MrsO-UK_Surrey
Posted
Lizzie_Ellen
Posted
Just click on any emoticon to the left of the page and hey presto, its in your text. Shows we still have a sense of humour.
jayeeh
Posted
Jayeeh
jayeeh
Posted
MrsO-UK_Surrey
Posted
Do you think we all need to get out more? :P :P :P !!!
MrsO
Bob_the_Builder
Posted
Bob
Mrs_Brown
Posted
Although a little late in this one I have found a lot of help in using this site and speaking to others but it gives me chance to look around for answers.
I am 44 and find myself with the usual concrete overcoat with painful left leg especially when walking but what I have found is no one is the same. Blood tests normally show a raised PMR in line with other tests, if this is the only raised level my doctor says if he tests everything else, refers me to rheumatology which takes forever, then the best way to fully diagnose is there's nothing else left. 15 mg of steriods once a day after brekkie will solve. Then others have no raised levels of any significance so it's one of those illness. Alot of these illness are related to auto immune illnesses something I'm ready alot about at the moment.
I'm fighting off the steriod issue listening to other problems about it but the greatest battle is getting the diagnosis and answer, it's been 2 years for me and I'm still going because I am `too young' to have this illness apparently although there's loads others on this site that due. Good luck, keep fighting and keep talking it does really help xx :D