PMR and Excersize - Experiment in Progress
Posted , 40 users are following.
Hi Everyone!
In search for information about PMR I have come acress this site with lots of information and links. I have learne a lot and in return I would like to contribute about the topic of PMR and excersize....
Background: I am 66 years old and have suffered first attack in mid November 2015... I have been fairly active person and have done some triathlon in the past, so not being able to get out of the bed on my own was pretty shocking to me... It took about one month to diagnose PMR and I started medication (prednisone) at 15mg/day mid December.
If there is an interest, I would like to post about the progress in recovery, with special attention to excersize. I am seeng specialist every 2 weeks and complete blood work is done to monitor inflamation caused by PMR.
I would like to post what I have done thus far and future progress in (hopefully) sucessful recovery. Please let me know if there is enough interest in the subject.
14 likes, 226 replies
febes nick67069
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Cheers Fiona
linda17563 febes
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nick67069 linda17563
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linda17563 nick67069
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I think when the weather eases (ground not slippery!) I will walk short distances even in pain....and write down the affects etc....it may sound silly, but in past years I have said, I don`t mind paying the price when I have done something to earn it....it`s when I suffer without doing anything I find hard....if that makes any sense? When I first went on steroids I walked forever in first few months, husband said I was like a car with new engine! It made me sad to think what I was missing, alas it didn`t last. I certainly won`t give up...it`s not in my nature! Good luck and keep us posted...
Oregonjohn-UK nick67069
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I also tried Tai Chi, which helped in the first few months, to ease myself into exercise and at the same time started to go for walks moving at a pace I could maintain, and slowly over the months walking further and faster. I also ride a bike which I found easier as you can cruise but still keep moving and then continue pedalling again (fortunately I don't have many hills locally!). I have said many times on the forum - I was fit and active all my life being right up into my 50's a long distance runner and involved in Judo (I was in the RAF team during my 20's). I found my loss of mobility and of not being able to get around and do what I had always been able to do very frustrating initially. It's taken me 18 months to overcome this frustration and I now feel better in myself (exclude the PMR itself) to move and exercise at around 90% of were I was. Hope this is an encouragement to you and others on this thread. If I could use the phrase from a well known company 'Just do it!' you will get thru' the pain barrier.
andypolly Oregonjohn-UK
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nick67069
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This week I had checkup and my medication was reduced from 15 to 12.5mg ... I have done walks daily ( average 6-7Km) and also I have switched to format of 2 workouts and one physical therapy per week. This week workouts were:
9 Km mountain biking on Tuesday
30 min swim (no stopping), about 1300m - Thursday
1H Massage/therapy Friday - Focus was on relaxing my back and neck (from swimming) and stretch/flexibility for hips and hamstrings.
I feel a bit tired and have some residual stiffness from this week. I will take it easy for a few days...
Note: I track my workouts with small app for the smart phone - endomondo. It is a free app and it records distance, speed , etc and calculates calories used. Also, and this is the best part, it uploads the data to their site and keeps daily log.
I wanted to share my workouts and posted the web link to it about a week ago, but that message never "got approved" and never posted.
Tastyron nick67069
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I too keep a log on my phone. I use sportstracker and was going to suggest that those of us who like to get out for short walks, rides, whatever could get together, maybe a Facebook page, where we could share and give encouragement to each other.
i did my longest walk for well over six months yesterday. Five miles and am still feeling well (PMR notwithstanding). I think I'm a couple of months away from getting back on my bike but I've been thinking of getting a turbo trainer and converting it into an indoor exercise trainer to get my legs, and heart, a bit fitter.
nick67069 Tastyron
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I used to use sportstracker until about 2 weeks ago, when I switched to "endomondo" for couple of reasons... It does everything that sportstracker does and it also logs all of the info on their web site, which can be shared publically. Allyou need is a link... Second reason is that I use heart rate monitor from polar, that is compatible with endomondo app, and would not work on Sportstracker ( they have their own ).
Tastyron nick67069
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Consequently I have only gone out walking three times this week. My usual walk is a 3.2 mile route which has a climb of about 400 ft in the second mile. Well today I surpassed one of my targets which was to break the 4 mph mark. 4.2 mph to be accurate. Thursday I walked 6.4 miles which was a bit of a mistake and meant that I had to have a couple of days break.
One of the things I have noticed since being on Pred is my sweating. When I was running / cycling regularly I used to have a small patch of sweat on my shirts, nothing to write home about. Now, after my walks, I can almost wring my shirts out. I've never been a perspirer so this is a new experience for me. Anyone else notice anything similar?
Sorry for the rambling nature of this post.
Ron
nick67069 Tastyron
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nick67069
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EileenH > nick67069
As Layne says, this approach(using physical therapist ) is associated with many risks. Many physiotherapists and, I would suspect, even more sport orientated doctors are totally unaware of the restrictions that PMR imposes. Your muscles are intolerant of acute exercise and repetitive and sustained actions are both totally unsuitable for rehab in the PMR patients. The blood supply to the muscles is compromised which leads to speedy exhaustion because of the lack of an adequate supply of oxygen and nutrients - claudication in certain muscle groups is one symptom - and then do not recover because lactate and other waste products are not removed.
The exercises you can do should be restricted in terms of weights used and reps done and rest periods are essential in between. It is often difficult if not impossible to exercise on consecutive days because the muscles have not yet recovered from the previous activity.
Layne's physio claimed to know about PMR - obviously NOT the PMR we have! If they had, they would have been well aware it is the only form of management of the pain and stiffness. So you do need to cross-examine anyone who says that sort of thing.
I am not saying you CAN'T exercise and train - I'm saying you have to be very careful with building up what you can do. It took me from early December to late January to get to being able to ski all morning - I still could not do a long run in one and if I had one hard morning I needed the next day to recover. Short runs interspersed with the rests on the lift meant I could ski much more as did having a day rest between ski days.
nick67069
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Adopted to lower dose (12.5mg) with no problem. What was new this week I completely switched timing of the medication to try to coinside with 4am and 9am peaks... Iit seems to be working.
I followed usual routine of 5-7Km walks every day and 2 good workouts/week. THis time I swam 1.5Km on Tuesday and Thursday ( total 3Km). Whenever I swim, my sholders feel better. Massage/PT was on Friday - focus was sholders. I am trying to increase flexibility.
dan38655 nick67069
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It sounds like you don't let bad weather interfere with yur daily walking, that's good!
I started lifting light weights, and can actually hang from a bar at this point, no small feat. I haven't tried swimming but it sounds like it might be a good idea, especially for my shoulder joints.
I would consider not dropping dosage by more than 10% at a time at this point.
nick67069 dan38655
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As far as swimming and shoulders, be gentle at the beginning. I have adopted style of swimming that most of the power comes from body core, not arms. Google for "Total Immersion" - book or "Kaizen Swimming" by Terry Laughlin if you want to learn more.
Since you mentioned dropping dosage, my rheumatologists just dropped it to 10mg today. I have virtually no symptoms and blood test is normal (CRP=0.1 and ESR=5). He feels that the condition has stabilized and I should have no issue... Will see.
I have not done weights yet. I am doing calisthenics instead. Waiting to get stronger before increasing load.