Is it PMR

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I have been experiencing neck, shoulder pain, upper back, buttux pain, leg and both feet pain. The rheumatologist suspected RA and I have been taking Hydroxychloquine for about a year with really no relief. 6 days ago, I started on 10mm of a steroid and the first few days saw some relief, but just a couple of days ago, the symptoms were back full fledge. Any ideas on what it really is? I am 77.

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  • Posted

    You did not give much details on why you started steroids. Have you done blood tests to check inflammation markers? 10mg is very low dose for PMR, if that is what your doctor suspects. Usual starting dose is between 15 and 25mg, That might be a reason why you had some improvement, but it did not last too long.

  • Posted

    If it is PMR then 10mg is NOT an adequate dose to start on. The 2015 guidelines say the lowest effective dose in the range 12.5 - 25mg/day. 15-20mg is most common.

    And what did you do when you felt better? Did you try to catch up on the cleaning and going for a walk and, and ... ? The pred only relieves the inflammation, it does nothing for the underlying disorder, it continues in the background, leaving your muscles intolerant of acute exercise. And by exercise I mean any form of activity - including housework!!!!!! If I use a broom or a vacuum cleaner for more than a few minutes I suffer next day.

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