PMR relapse or something else??

Bones, joints and muscles
1

Hi all,

Ive been on the forum before.   I am not sure what I am going though right now.  I /ve had PMR for 4 years now.  From 30 mgs down to 2mg and up again,.  Had flare ups 3 times.  Recently, after a long trip involving lots of flights and long journey sitting on coaches.  I since have pain on one leg (left) that goes from my calf to the buttock.  I am in pain when standing and walking, but not so when I am resting.  I put my prednisolone up from 10mg to 15 mgs, and inbetween taking Naproxen/ or ibuprofen.  It's been like this for 2 weeks now, and i am still in pain (although slight less so).  My ESR and Crp came back all within normal range !   I dont know whether it is a PMR flare or something else.   I dont have stiffness anywhere else apart from my leg.  It is a searing pain on my calf and behind the kness and buttock.  I read up about Piriformis syndrome, and thought it might be that.  The GP was not committed to any diagnosis.  

My question is , should i put up more of my pred?? if it is PMR flare, after 11 days of increase from 10 to 15 should have done the trick, yet my ESR and CRP are normal, so i am thinking may be it is something else.  I dont want to increase my pred if it is not PMR.   

I would appreciate all your advice please.    thank you.

 

2

I don't think I can say anything beyond what I said in your other thread - it really doesn't sound like PMR but something causing sciatica, eg piriformis syndrome but there are other reasons for tight muscles pinching nerves and also other reasons for sciatica. 

If your GP won't investigate - find someone who WILL listen to you. A physiotherapist might be a good start.

3

Have you ruled out deep vein thrombosis?  I'd watch out for that if I were you, since you've been on long flights and sitting long in coaches.

4

Hi ling42044, are the symptoms similar to any of the other flares? How high a dose of Phed did you need to control the last flare. I am not an expert, but in the short time dealing with PMR the one thing that I have learned is we are individuals and each case is individual. Good luck! Keep smiling 🙂

5

Hi, find a Dr who will listen. I had a simlar thing and when I had my scan they found a large blood clot behind my knee ( deep vein thrombosis ) Please get checked with another Dr soon. I went on blood thinners for 3 months which cleared it, now off them: Good Luck