Been tol unable to have op as aneathatist will only accept does of 5mg, anyone elso had this pleasse.
It very much depends on the surgeon and the anaesthetist - ask to see another. Two ladies had hip replacements done a couple of years ago, all their anaesthetists asked for was that they were stable on their current dose (10mg) and weren't trying to reduce. In fact, both were able to reduce their pred dose to zero after the ops relatively quickly - almost as if the removal of the stress of the hip pain helped the recovery from PMR. One had been told by her GP she would not be considered for surgery until she was off pred - which is a trifle pointless since then someone with PMR would be unable to mobilise post-op.
Go tell that aneathatist, that he is up the creek without a paddle.
If you needed a heart op today - they would do it.
I had an operation last December, but was on 10 mg, and there was no concern over steroids as long as I was at a stable dose. I delayed a reduction a couple of weeks before and due to a complication didn't start reduction for a month after that. As far as the PMR was concerned I had no problems.
I had heart surgery in March with full bypass while still on 12 mg prednisolone which went up due to a flare a month before it was due. No problems .
I had a hip replacement 30 April though on 20 mg Pred. Had delayed surgery for months on the advice of a rheumy, then finally went to the orthopedist who said the pred wasn't a problem as long as the PMR was "under control". I remember thinking, from all I've learned on this forum, "Well, actually the PMR is never under control, only the symptoms are, " but that was good enough.
I actually think I'm ready for a reduction, after 5 mos. on 20 (a level I had reduced to from 40 after a flare brought on by a too-fast reduction prescribed by the aforementioned rheumy). My GP knows the value of slow and steady. My only complaints from the PMR right now are shoulder pain, which I think is more a function of walker and cane use (and abuse?).
the orthopedist also thinks I should have both knees replaced, so we'll see how that goes. Right now I'm monitoring how they do with the new hip ( and the correction to a growing leg-length discrepancy).
So the other advice you've gotten here about getting another opinion seems spot on. I got that advice too, but now I have a great new hip!!
Thanks so much for reply. Think I am being fobbed off by the surgical team. Have had another 3 opinions which say Ops are O.K., you can either increase steroids 2 days before op or be given adrenalin at same time as op. If you need emergency surgery they would not hesitate anyway!!
Thank you so much for reply, very helpful
Thanks for reply, I quite agree, Rheumatologist said same thing today
Thanks for reply, very helpful
Quite!