Living with PMR
Posted , 19 users are following.
I was diagnosed PMR last Fall. I was so bad I had to fall out of bed and roll just to get up. Up untill then, I was a dancer, outdoors person. Hiker, camper, kayak etcc... I was on prednisone. My weight ballooned. I moved on to Celebrex. My weight continued to go up. I chose to go off the meds. I want to lose weight. However all I want to do is lay on the couch all day because I am in to much pain to do anything. Walking is the only relief I have. Does anybody have any recommendations of Natural remedies I can take? I have been taking Jameson Body Guard but I still need Alieve to go with it. Now I am not only in pain, but fat and depressed too.
0 likes, 129 replies
tina-uk_cwall Guest
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again, when I was diagnosed with pmr way back in December 2013 I immediately got online and looked up my diagnosis and the medication prescribed. I was horrified so I looked up as many alternative remedies to this condition possible and it wasn't long before I concluded that I had to bite the bullet and take prednisolone as prescribed for as long as it was prescribed.
it is fact that there is no other medication that reduces inflammation like steroids do. If there was we'd all be taking the alternative.
i have no idea what these other medications etc are that you have mentioned so I can not comment on them. But I will say this, untreated inflamation is very dangerous. It damages cells whether they are muscle or vein or arteriel and many of these cells once damaged can never be revived or replaced hence the excruciating pain we are in when not taking steroids.
sorry if I sound harsh or closed to the question of alternative medicine but honestly I am not. But one thing I am us a realist and presently steroids are the only medication that works.
of course you are depressed, you are mourning the person you were and it is very hard looking in the mirror and seeing a new fat you that finds dancing and keeping fit difficult. I've been there, cried all the tears over the old me and still wear the t shirt. But 2 years down the line I am now on 7mgs of preds daily and I am on a low carb diet and although the weight isn't falling off me I am losing weight and you know what when I look in the mirror I see sparks of my old self coming back so I look forward to my future although I know it may be another 2 years or even longer before the old me really will be here to stay.
please reconsider preds. Regards, tina
Juno-Irl-Dub tina-uk_cwall
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Sent you a PM. J
ptolemy Guest
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constance.de Guest
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OK, you have put on weight, that's not pleasant, but it's better than being in perpetual pain, surely?
There is always someone on this site to help/advise you. Keep your pecker up. We feel with you.
All the best and good wishes fr Constance
judy93591 Guest
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EileenH Guest
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For the first 5 years I had PMR I was not on pred - not out of choice, no-one managed to diagnose it: I was too young, I had normal blood markers. Like you I never had a day without pain and I put on quite a bit of weight because I could no longer exercise as I had before.
When I eventually was given pred for 6 weeks, a taper of 2 weeks each of 15/10/5mg, it was like a miracle within 6 hours. Thirty hours after taking the last 5mg tablet, 6 hours after not having one to take, I was back in bed in tears with the pain, it was worse than before. My GP believed me and the PMR diagnosis, the rheumy didn't. No prizes for guessing who I stuck with!
I was on prednisolone for a few years (in the UK) and never managed to get under 10mg, not knowing what I know now about slow reductions in small steps. I didn't put on much more weight, it just redistributed to the usual places. Then I moved to Italy where I was switched to Medrol - that was hell on earth: massive weight gain, hair and skin a mess, a lovely black beard (thank goodness for my Braun epilator). Then my GP suggested I switch again, to Lodotra, marketed as Rayos in the US, which is a form of prednisone. You take it at 10pm, it releases in the gut about 2am and the pred is there ready and waiting for the inflammatory substances being shed in the body at about 4.30am. Since I have been on that I am able to move and do some exercise - and, with the help of a very low carb diet, have lost about 36lbs of that weight. There's still bit to go but I have my figure back and am mobile. I feel well. I managed a 3 week trip to China which included a 2 week tour. I kept up with everyone else just about.
I'm not saying that Rayos is fantastic, better than anything else, what i'm saying is that different forms of corticosteroid work differently for different people so it might be worth discussing that approach with your rheumy. Maybe they can get Rayos approved for you - it is a lot more expensive than ordinary prednsone, prednisolone or Medrol - or you can try another corticosteroid which may cause you less weight gain.
Many people on the forums have found that by being VERY disciplined about carbs they have either managed to lose weight as I have or have managed to avoid weight gain. Sugar and refined carbs are also inflammatory so leaving them out is a good approach for reducing the inflammation in your body. You can add in other antiinflammatory foods such as oily fish, turmeric, garlic.
But the bottom line is that pred is the only way of managing PMR successfully. If there were another way we'd all be on it! If you don't take it you are immobile - a risk factor for most of the things that pred is accused of: weight gain, developing osteoporosis, raised cholesterol, developing diabetes. The constant pain makes you a prospective candidate for depression. And unmanaged inflammation increases the risk of cardiovascular disease in general and even some forms of cancer.
Pred is only part of the management though - you have to get to grips with the whole thing too. You haven't become a different person because of being fat - but you will become a different person if you give in and refuse to meet the challenge half way. You can't fight PMR, it wastes energy and ends in tears. You can accept the challenge though.
Guest EileenH
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Nefret Guest
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I think the shock when the symptoms become full-blown is the stunner. All of a sudden you are not the person you thought you were and it's difficult to cope with what you seem to be in the present. Everything is flung at you, diagnosis (what's PMR? Steroids? aren't they nasty things? Weight gain which ever way you look at it, strange lumps and bumps in strange places? What? No, I can't have that, I've got 7 things to do before 8 and then a deadline to meet).
Unfortunately at this time there is no other effective way of treating the symptoms of PMR - Corticosteroids are the only means. They do not cure the condition but they relieve the pain of the inflammation caused in the muscles usually to the extent where you are able to have some quality of life (which a lot of other patients with other autoimmune conditions don't get).
Of course there are side effects, many are listed, but no one gets them all. Read the side effects on any drug you can get over the counter (e.g paracetamol (Tylenol?) and you would not want to take many of them!
You can help yourself by sorting out your diet - avoid carbs and processed food and try to incorporate as many anti-inflammatory foods that you can, but that is as far as it goes.
I put on lots of weight in the early days, but I was so relieved to be rid of the pain and able to move again, that kept me going for another 8 years in work and I was grateful for it.
The side effects mostly disappear as the dose of Pred reduces - it was when I got down to 10mg that I realised that things were changing in my favour at last! Everyone is an individual though, and other people will find other points to celebrate.
But the choice is yours. However, without Pred you will be having to cope with the inflammation, immobility and pain as best you can.
constance.de Nefret
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lodgerUK_NE Guest
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PMR left untreated, leads to a higher risk of GCA. That is not something you would want anyone to have to deal with and you have no option but prednisolone in that senario and at a much higher level.
Guest lodgerUK_NE
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Anhaga Guest
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lodgerUK_NE Anhaga
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This can and does happen with PMR and if you were still losing weight the medics would be very worried and doing something about it.
Anhaga lodgerUK_NE
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lodgerUK_NE Anhaga
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Anhaga lodgerUK_NE
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EileenH lodgerUK_NE
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lodgerUK_NE EileenH
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Anhaga lodgerUK_NE
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lodgerUK_NE Anhaga
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Processed meats as big a cancer threat as cigarettes, health experts to sayGlobal health experts are to warn that bacon, ham and sausages are as big a cancer threat as cigarettes, it has been reported.
The World Health Organisation (WHO) will publish a report on Monday on the dangers of eating processed meats.
It is expected to list processed meat as a cancer-causing substance, while fresh red meat is also expected to be regarded as bad for health, the Daily Mail said.
The classifications, by the WHO's International Agency for Research on Cancer, are believed to regard processed meat as "carcinogenic to humans", the highest of five possible rankings, shared with alcohol, asbestos, arsenic and cigarettes.
Apart from arsenic and asbestos, I do drink and smoke and at 77 am into overdart time by 7 years.
EileenH Anhaga
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EileenH lodgerUK_NE
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Remember this is from the People's Medical Journal - it'll be different if you read the report itself.
constance.de EileenH
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EileenH constance.de
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And given how often a doctor dismisses your complaint of knee or back pain as "just wear and tear" what would all that exercise do to us?
As I say when I hear that some doctor told someone that pred will kill them - I'm a jam today girl. I might not live long enough to suffer the consequences so I'll take what i have thank you very much.
Anhaga lodgerUK_NE
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Anhaga EileenH
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constance.de Anhaga
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EileenH Anhaga
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ptolemy lodgerUK_NE
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EileenH ptolemy
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Where DO they get this drivel from?
ptolemy EileenH
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Silver49 EileenH
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EileenH Silver49
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Silver49 EileenH
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EileenH Silver49
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Anhaga EileenH
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EileenH Anhaga
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As for Chernobyl - you may not feel it applies, you in the Americas had your own more local nuclear testing, but for all of us in Europe the Chernobyl accident did have great effects with measurable levels of radiation on grass that we walked on and large numbers of animals removed from the food chain because of it. I, and some of my friends, have children who were born at that time who have severe immune system problems in the form of asthma and other problems. That was in addition to any atmospheric nuclear testing which possibly affected us all equally.
constance.de Anhaga
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Silver49 Anhaga
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Anhaga EileenH
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Anhaga
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Anhaga EileenH
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Anhaga Silver49
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Nefret Anhaga
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I'm quite sure no offence was intended. I love 'speaking' to all on here and on other places but you are quite right, it will never be the same as face-to-face encounters and throw away remarks can take on a shade never intended.
I would also hazard a guess that all the forums I post on would have completely different images and expectations of me, and none of them true-to-life. Not sure I want to peer over the parapet!
EileenH Anhaga
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However - since you are obviously now in a total headspin, I think you have to have a reassessment to get things into a different perspective; having osteoporosis does NOT mean you are going to crumble in a small heap tomorrow. Many people have low bone density and never break anything, other people with normal or good bone density break hips.
Low bone density is only one of a range of risk factors - I've listed them several times in the past - and if you pay attention to them then your risk of a broken bone reduces a lot. Apart from any other consideration, not taking pred in PMR means immobility - one of the biggest risk factors.
I understand you are upset - but the comments have been made in the context of a conversation - on a forum over a period of a few days where you don't remember every single detail of what has gone before - about the latest chapter in the "you mustn't eat this or that or you'll die a dreadful death" which anyone has to accept have got to the ridiculous stage. Is there ANYTHING we can eat, drink without risking being told it will lead to a dreadful end in a few weeks/months/years? Leave out everything that is said to be bad for us and there would be precious little left - and death by starvation isn't appealing either.
Silver49 Anhaga
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Anhaga Silver49
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Silver49 Anhaga
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Anhaga Silver49
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Guest Silver49
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Silver49 Anhaga
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ptolemy Guest
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EileenH Anhaga
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You can only have support groups when someone does the work - as Silver did in her case. The forums provide a virtual support group and that is why some of us hang around despite not necessarily needing it for ourselves for various reasons because you do need someone who has been there to answer questions. There are often complaints that there are no people on the forums who have recovered - there are but they are a very small minority, not because people don't go into remission but because when they do they don't want to be reminded of the hard years.
To find people you could ask at your GP or rheumy practice if you could put up a poster - the practice can't tell you medical details of other patients but they could either let you put up a poster or give their patients with PMR/GCA a visiting card with contact details, preferably with a separate email address or other non-personal address such as via the practice. Or put an ad in the newspaper/community paper/parish magazine or its equivalent.
And why view your support group as only personal face-to-face meetings? We're in the 21st century - you could "meet" the others in Canada for coffee and cake using Facetime or Skype or another video-conferencing facility. I live in Italy - nowhere near any other English-speaking patient. I have had a glass of wine with my girls using Skype, and have meetings with lodger using Skype.
Busymom mentions her therapists know nothing of PMR - you have to start an education programme because they should know. That's the basis several of us work on - education for patients so they can, in turn, educate their healthcare professionals. And busymom - I'll lay odds, a lot of those fibro patients probably DON'T have fibro but PMR!
jo42444 Guest
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lodgerUK_NE ptolemy
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lodgerUK_NE EileenH
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"There are often complaints that there are no people on the forums who have recovered - there are - but they are a very small minority, not because people don't go into remission but because when they do they don't want to be reminded of the hard years."
How true and yes I know quite a few who do not want to remember. About 5 or 6 who joined our support group, left when they went into remission. Four others stayed and come to every meeting on the grounds they got help and want to help others and give them hope.
There are days, (5 years of remission coming up on 31 December) when I think I don't want to be reminded,
I then remember how hard it was for me so how can I walk away. Like you and some others (whom I won't name) who still post on this forum, we just can't do it.
EileenH jo42444
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Now - if I remember rightly, isn't maid marianne in the Toronto area?
lodgerUK_NE EileenH
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A simple PM sent on this site together with you email and location and permission for forward your email address, means we can put you in contact.
Silver49 Guest
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Anhaga EileenH
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Anhaga ptolemy
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Anhaga EileenH
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Anhaga Silver49
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Silver49 Anhaga
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constance.de lodgerUK_NE
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I/we would hate to lose you.
Constance💐
Guest EileenH
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ptolemy lodgerUK_NE
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Guest EileenH
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Guest lodgerUK_NE
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Guest lodgerUK_NE
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EileenH Guest
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I gather though you've decided to try pred again so maybe the question is out-of-date.
Mrs_CJ jo42444
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my doctor rushed me off pred from 20 to zero in less than 11 months. About 3 weeks later My aches came back but luckily I discovered this forum (and learned that my doctor knew very little about PMR). Eileen and Mrs O helped me restart my pred - it took 10 mgs to get the pain under control - and its 22 months later and I am only down to 4 mgs.
Based on my experience I would suggest to you that you immediately increase your pred before you have a bad flare and have to really increase it. I want to be off this drug as much as you all do, but I won't rush it again because it's healthier to be at 4 mgs for a longer time than to have to go back to a much higher dose cuz of a flare.
I would add to your post to say that my friends and acquaintances have also pulled away during this long journey. At first there was some sympathy but now their lives and activities seem to have moved on without me.....and the fatigue I suffer from doesn't help me with being able to socialize and participate in activities.
EileenH Mrs_CJ
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ptolemy Mrs_CJ
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EileenH ptolemy
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Have you lived in the same place for a long time? Since I went to university I've never lived anywhere for more than 10 years max, usually less. My best friends are still the ones I made when my children were small and we were all on the same boat - ex-pats with no local family and small children. Strangely, as long as our children were still attached to home we remained close friends but it has drifted since they left home and have partners of their own. Of course it isn't helped by us being in 3 different countries! But moving to a new place without something to get a contact is very difficult - waiting outside school with small children is a very easy one! But being the odd one out of such a group can be difficult, racism has nothing to do with skin colour believe me.
ptolemy EileenH
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constance.de ptolemy
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What a nice thought "try to talk to a new person every day". We do, in a way, on this forum and it certainly keeps me sane (I was so alone with my illness till I found this forum)! You don't have to SEE people, just knowing there is someone there who is interested helps.
EileenH ptolemy
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Though I must say that very occasionally I do miss having someone (other than OH) to have a good blether with - it's partly because all the people I have met here who I enjoy talking to still work and simply haven't time - work all day and then home to the family at night. My German is very good - but you never speak a language as well as your native tongue and some things don't translate into a different culture - as I'm sure you know.
constance.de EileenH
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Do you ever speak Italian, or is it always German?
EileenH constance.de
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I don't need to speak Italian much so it is actually difficult to practise - less than 5% of people in the valley are registered as native Italian speakers and most of them are in Bruneck itself, fewer in the villages, and most speak some German. It's a different matter down in Bozen/Bolzano - which is where the fascists brought southern Italian workers to work in the factories and they stayed since it is so much more prosperous here.
EileenH
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constance.de EileenH
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ptolemy constance.de
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ptolemy EileenH
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EileenH ptolemy
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lodgerUK_NE constance.de
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lodgerUK_NE EileenH
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EileenH lodgerUK_NE
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ptolemy EileenH
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constance.de lodgerUK_NE
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Silver49 ptolemy
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lodgerUK_NE ptolemy
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ptolemy lodgerUK_NE
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