Lack of understanding by friends
Posted , 19 users are following.
First some background. I am 75 years old and I initially started experiencing PMR toward the end of December, 2017 and was diagnosed in January of 2018. I was started on 15mg/day of pred but after three days I had a panic attack that caused me to immediately reduce the dose to 7.5. I'm currently at 6mg of pred after vacillating between 5 and 6mg. My doctor (an very good internist) prefers that I stay below 7.5mg--what she calls replacement value--in order to avoid as much as possible the deleterious side effects of pred. This dose does not completely relieve me of pain and stiffness in the morning but it is not terrible, and within about five hours of taking the pred first thing in the morning I can feel relief and by mid-evening I'm really not in too bad shape. So this is the pattern that I'm assuming many of you might be familiar with.
And now to my real complaint. I live alone and it has been very difficult dealing with this disease under that circumstance, especially early on in the disease process with no support. My friends have never heard of this disease and tend to treat me as if I'm the same old person I always was before the onset of this condition which, as you all know, I am not. When I tell my friends that I have muscle pain and stiffness they tend to analogize this to transitory muscle pain they have experienced and offer all kinds of well-meaning but irrelevant advice. So I guess I'm complaining here because I feel alone with this disease with no support from people who otherwise, if I had a more obvious medical condition, would be there for me. It is a tough place to be at 75 and I just hope the PMR might relent so I might experience a few more years without it before I'm dead.
(By-the-way, I very grateful to have found this support group. I'm located in the U.S. and I could not find a support group here. I live in Atlanta, Georgia and I'd love to find a face-to-face support group here. I've looked and have yet to find one.)
0 likes, 28 replies
MariGrace andrew45077
Posted
From an understanding PMR patient! Today, I thought of writing the group and ask if anyone has ever felt lonely with this disease.
Due to another unfortunate flare, my husband went to a long awaited, once a year event we'd been planning for a long time - alone. I was barely able to walk and even with the 10mg prednisone, not a lot of relief, today. I'm sure I'll need to go up, but don't want to rush it and want to see if a couple days quiet rest helps, first. Life has been too hectic and way too stressful.
Non PMR people really don't have an understanding of the stiffness, the pain, the frustration this disease gifts.
Everyone has their own personal disease references.
The doctors have a hard enough time, and from a lot of research, PMR is fairly widespread. To have never heard about it before and find out how many people suffer is a big surprise.
this disease really can clip ones wings and isolation can be a big problem, Getting outside to do simple gardening, simple daily chores is no easy process. I'm closing in on 71 and was a very active teacher with many hobbies and activities to include traveling. This was not the retirement that was planned.
Meanwhile this group does offer good ideas and support. Thank you!
Are there good ideas to remedy the isolation? It is hot as blazes where I live and the heat is not helping one bit.
That leaves even sitting on the porch for a while - out. This, too, will pass.
Better days ARE on the horizon.
One thing I've been doing is to make very sure that my vitamins are high priority. Have been reading about taking vitamin D and B vitamins faithfully. My tests were low in both.
Looking forward to hearing how others deal with this problem.
MariGrace
Anhaga andrew45077
Posted
It's important to take enough pred to make a difference. If you still have pain and stiffness there's not much point is there? It only took me six months to reduce,carefully, from 15 mg to 7 mg, and I did not suffer the same pain you say you do. Pred has made all the difference. I'm not, by any means, completely painfree,and there are other issues as well (osteoarthritis) but I do well. I think both you and MariGrace need to accept that a slightly higher dose of pred might make all the difference to you. From there a very slow taper will enable you to get even lower than you are now, and with a minimum of discomfort.
It is a very lonely disease, that I do agree with. There don't seem to be any support groups in North America (i'm in Canada). I think we are "geographically challenged" and it's too hard for us to find one another in person. In the past three years on this and the HealthUnlocked forum I feel I have found a group of virtual friends and it really does help. So, welcome to the club no one wants to join.
Andrew, tell your friends what you've told us. Say if you had a broken leg they'd understand, and your disease is just as disabling as something like that. It is an invisible disease, but it exists all the same, just like a headache is real and debilitating while it lasts, but no one can see it. Pred is your painkiller, use it wisely and it will be your friend.
Michdonn andrew45077
Posted
Andrew, I am an 80 years young male living in NM. My Rheumy and I don't agree but I feel life is too short to live in pain. So I am on 7 mg tapering to 6.5 on DSNS 52 day taper. But I am PMR pain free and have been for almost a year. I taught skiing last winter and currently ride a bicycle 70-75 miles a week up and down our mountain roads. I sorry to hear that you have join our PMR club, good luck on your PMR journey. Try to stay positive and smile. Smiling ??
rich38490 Michdonn
Posted
Michdonn rich38490
Posted
Silver49 andrew45077
Posted
I am sorry to read that you are having difficulty with the side effects of Pred. As Anhaga has mentioned PMR is invisible and we look well so people make assumptions. A fracture would gain much sympathyand is short term but we don't have that. One of the many advantages of this forum is the support from other countries. If you are awake at night you can post and someone is awake and likely to answer. I'm in Scotland and happen to be up early. Others will be along later. I found it difficult to pace myself at first but the body dictates. I am now at 2mgs with one flare near the beginning. It is over 3 years since diagnosis. I remember at the beginning and for some time thinking I can't cope with not being able to do much between breaks for rests. I have now almost got my life back though if I overdo it my body tells me. Men usually fare better than women in their recovery so you may be doing more sooner. It's important to readjust your lifestyle and rest more but it will get better. I don't know what to suggest re increasing Pred to control the pain versus the side effects. I had a number of side effects early on but most of them settled as I reduced the Pred. There will be others more knowledgable along soon to advise. You are not alone. There are lots of us here to empathise.
margot34956 andrew45077
Posted
Hi Andrew, I very much understand your complaint, I too, as others will have too experienced others lack of support, my own family don't offer any support at all, except my sister.
I am still working and what I find very interesting is my boss who has a bad back is happy for me to do the heavy lifting, which is so painful for me.
I have been so very lonely with this too, and have found this forum so helpful, with understanding and advice.
Everyone does expect me to carry on as nothing is wrong, I have realized that it is because PMR can't be seen.
You won't be alone here!
Anhaga margot34956
Posted
Can you get a doctors note indicating that you can't do the heavy lifting alone, if at all?
andrew45077 margot34956
Posted
I am so sorry to hear that you as well as myself feel isolated by this invisible disease. I sometimes have thought that if only others that I know could feel what I'm feeling for five minutes they would not be so indifferent to this condition. Perhaps you need to show your boss and members of your family some of the medical literature describing the pain and discomfort brought about by this disease to give them a better understanding. Your boss strikes me as a particularly strange problem as he has back pain which I would think would make him more empathetic toward you as his pain can't be seen either. Keep up the good fight. Try to stay positive if you can and remember we are all in this together and at least here there is understanding.
andrew45077 Anhaga
Posted
A very good suggestion which I failed to bring up in my reply. I'm sure margot34956 will appreciate it.
margot34956 Anhaga
Posted
margot34956 andrew45077
Posted
Thank you for your time to reply, I am not brave enough to say I am in pain, I feel I need to be able to do my job, if I don't they may not want me.
a very good suggestion for me to show literature describing the pain, I have though of that but haven't done so because I feel if they wanted to know then they could have googled it.
thank you for your encouragement, it is this forum that has kept me going, along with prayer.
Anhaga margot34956
Posted
I don't know where you live but in many jurisdictions there are laws about accommodating people who develop and illness or have an injury. They are not supposed to be dismissed but other occupation found for them while they recover. In some cases it could involve providing another way for a person to perform the same task. A very simple example which I happen to know about as a couple of my former co-workers went through this. One of them in particular was disabled with fibromyalgia and a couple of other things and because her job is largely sedentary this in fact turned out to be difficult for her. She was evaluated and a specially designed chair was ordered for her, which made life much easier for her. Of course i have no idea if there is something which can be done to assist you, but an occupational therapist should be able to advise.
margot34956 Anhaga
Posted
Well that's helpful Anhaga, I didn't even think about an occupational therapist.
I am a vet nurse and the heavy lifting is lifting dogs on to a examination table. my boss the vet is at one end and I the other, we are lifting from the floor.
I am really thankful for your time to reply with a great option. Thanks Hope you are doing O.K
Anhaga margot34956
Posted
What a great job! I do hope you can get something worked out so you don't end up injuring yourself.