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

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  • Edited

    Hi Nick, sounds great I am 49 and am able to do light exercise again. I do a short walk and with my work I do do a lot of moving , but I do like to hear what other people are doing. 

    Cheers Fiona

    • Posted

      I agree, I once asked Eileen, why can some people do much more than others....and just a little from me causes a flare-up...she replied it probably depends on how fit people are befrore getting PMR....having read these posts it `s obviously true....some people even strggle to brush their hair!....so yes, it`s wonderful to hear the progress of other people....but we must bare in mind sadly we can`t all do it...good luck to all of us for trying!biggrin
    • Posted

      I am going to suggest that part of the reason that people who were incline to excercise before PMR are used to "push" themself a bit more agressively, and tolerate some pain, in order to get fit again. When I started taking a short walks in the beginning, I could only make small steps and it was pain to try to walk... Streatching and persistance and not giving up paid off in about aweek or so... Walking become easier... Then I started adding distance.. When I was happy with distance ( say 3Km), I started working on speed...do whatever it takes... just don't give up...
    • Posted

      I am definitely not the sort to "give up" in fact have been told I`m my  worst enemy!  I always tell people my head dosen`t fit my body....I have had fibromylgia for many years....and adding the polymylgia has obviously made things much worse...pain from both is sometimes intolerable....but it`s the fatigue that floors me the most...and I have always said over the years...there are things for pain (usually to a point) but nothing for fatigue....and it`s such a timewaster!

      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...

    • Edited

      Agree with you Nick - it was very hard at first to attempt any form of exercise without getting pain and cramps.  I followed a similar pattern by gently 'pushing' myself, not to the extend of going overboard, but slowly building back up - currently up to not quite the level I was pre PMR.

      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.

  • Posted

    Week #5 - Jan 11-16

    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.

    • Posted

      Good morning Nick. 

      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.

    • Posted

      Hi Ron, good for you! It feels good, doesn't it..

      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 ).

    • Posted

      After dropping down from 25 to 20 mg Pred and holding for a week (too big a drop I know) I have been aware of my hips, collarbone and back complaining, mostly back around my kidney area. 

      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

    • Posted

      Baby steps... It is always good idea not to increase more then 10-15% distance, but I think with PMR we need to be even more careful.  I too overdid previous week on intensity, and this week I am very aware of it and taking it easy... As far as sweating, I did notice some increase, although I always came back drenched from my workouts... One thing that helps recovery is drinking water while you exercise. I bring water with me, about 1L/hour is what I need to stay hydrated.
  • Posted

    THe following is the copy of the partial discussion from different thread, but it is related to excercise....

    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.

  • Posted

    Week #6 - Jan 17-24

    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.

    • Posted

      Good to hear that all is going well Nick.

      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.

    • Posted

      Hi Dan, good to hear form you too! Weather in this area of Japan is pretty good.  It seldom rains, maybe once a week or less and never snows. Temperatures are usually in teens during the day, but occasionally we have cold come from Chine  and it dips bellow zero. Walking is usually not a problem, but I have froze biking couple of weeks ago, while going downhill.  I never biked in the winter, so I don't have proper clothes. Since I got some and in fact went biking today.  I have succeeded to clime one hill that I usually test myself. It is a tough one, and 6 years ago I could not make it to the top without pushing the bike for the last part.  I made it today without stopping. It felt good.

      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.

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