I’ve never written about personal health journeys before, but that is no reason not to start now.
Weirdly, truly discovering Tik Tok in 2025 has made me realize how many corners of the internet exist that directly address very specific experiences. You’ve discovered a new hobby? There’s a side of Tik Tok about that. You are switching careers mid life? You’ll find that there. You have a pet raccoon–you get the idea.
Because I’m a lot more comfortable writing than creating video content, I thought I’d document some of my latest experience relating to health issues. I absolutely know with certainty there will be others who can relate and might benefit from reading about it.
First, a little background. Going back to my childhood and teenage years, I sporadically experienced wrist pain. My mom would buy me Aspercreme, a topical lotion. I’d take hot showers and baths. Joint pain. It wasn’t severe or disabling. It was a nuisance. It seemed to coincide with damp and/or rainy weather. The pediatrician called it childhood arthritis.
Fast forward to my early forties. Phasic joint pain would become an issue. Not just wrists but ankles too. Always symmetrical. Both ankles and both wrists would hurt simultaneously and similarly. I mention the symmetry because to a large extent, that eliminates the possibility of osteoarthritis which is a wearing down of cartilage and tends to be less symmetrical. Ibuprofen and really hot baths were my solutions.
For a long time I didn’t address it. It was tolerable. Then in 2021 during a “flare” (pain lasting weeks) I scheduled an appointment with a rheumatologist. Of course being a new patient, I had to wait weeks to see her. By the time my appointment rolled around, I did not have the pain any longer. Not surprisingly, the bloodwork didn’t show anything. In the meantime I had done some reading and learned that rheumatological diseases are long known to take years to identify, sometimes decades. Autoimmune conditions such as lupus, rheumatoid arthritis, and the like can be particularly difficult to diagnose. There is so much overlap in symptoms with multiple other illnesses, and bloodwork does not always reveal the information needed for doctors to determine cause.
That 2021 appointment and the bloodwork yielded essentially nothing. In the absence of any diagnosis, the doc said I could have fibromyalgia, a condition where the brain receptors interpret pain throughout the body. It did not feel like the right call. I had specific achiness in my wrists and ankles during multiple phases of my life. I did not have the intense fatigue that generally comes with fibromyalgia. Sure I was tired, but wasn’t everybody? But alas, she was the rheumatologist, and I was just a reasonably intelligent person looking things up. Still, I knew in my gut I did not have fibromyalgia.
A little about genetics. Both of my parents are without any rheumatological conditions, thank God. That seems important to note. My mom in her late 70’s and my dad in his early 80s, to this day, have experienced no arthritis. Remarkable. My aunt does have more than her fair share of these types of illnesses. Of course, we would have a lot of conversations and texts back and forth over the years. There is a lot of overlap, although her overall journey is very different, and she is twenty years older than me.
Now fast forward to 2023. My hips for the first time become a source of pain. It had only ever been ankles and wrists. At this point I decide to see a different rheumatologist. Immediately I feel more confident in him. He’s very young, but he spends a lot of time asking questions and listening, things I think good doctors do.
More bloodwork, no answers. But again, by the time I see him, my flare has passed. I don’t have pain, but I detail what I had experienced. He tells me to call the next time I have pain and let the staff know he needs to see me within two or three weeks so we can address it while I’m in a flare. That makes so much sense. I already like him better than the first rheumatologist.
I give him my entire history, of course. The childhood wrist complaints. The teenage bouts of wrists and ankle soreness. The adulthood flares. The lack of answers. The new hip involvement.
Months go by. I enter a flare. I get an appointment to see him within a couple weeks.
When I show him where it hurts he explains that my pain is actually not deep enough to be my hip joints. Those are deeper than where my pain lives. As it turns out the hip joints are practically in the pubic area. I feel a little dumb. I am a grown woman who birthed three children and apparently didn’t know exactly where my hips were. LOL. I am showing him my exterior “hips.” This is apparently where bursae are located, sacs that can become inflamed and very painful. That explains why I cannot sleep on my sides anymore. He says physical therapy will help. UGH. I hate that answer. But ultimately it’s good news. It’s not my joints.
Rather than actually get myself to a PT place, I look up videos on YouTube for exercises that target inflamed hip bursae. I do them for weeks, and they help! I get myself feeling better.
During this bout of “hip” pain I also experience pretty marked stiffness. I’m working as a Tech Teacher, and every time I stand up from my desk to head to another class I feel like I’m in slow motion. This feels odd as a 51 year old. I feel like I’m in my late 70s the way my body reacts to shifting from a sitting to standing position. Apparently this is still in keeping with bursitis.
Over the weeks, I feel better and better.
Then comes the first week of November, 2025. One morning shortly after having tailgated with my husband and son at Penn State I wake up feeling like I had been in a car accident. It is difficult to get out of bed. I am so stiff I have to will my body to reposition in order to get up and out of the bed. My neck, shoulders, lower back and hip area are in significant pain, a level of pain far more severe than any of my previous flares throughout my life.
I assume I overdid it tailgating. We did a lot of walking. And a generous amount of drinking. I’m not as young as I used to be. I must just be paying the price.
But all of these symptoms persist. And what’s worse, my sleep is profoundly effected. If you’re stiff, you are sort of stuck in one position all night. If you have to get up to use the bathroom, which I do every night, you experience a whole ordeal to accomplish that. Your body is just SO. STIFF. Also, getting in and out of the car is a shit-show. You almost feel frozen. Taking ibuprofen gives significant relief, but you don’t want to take it daily for weeks. You’re not looking for stomach or liver issues. But you do need to function.
Time to see the doctor again.
When I see the rheumatologist it’s been four weeks of these constant and persistent symptoms. And I still have them, so he gets to examine me and also talk to me while I’m in pain.
He is considering the possibility of spondyloarthritis (SpA), an umbrella term for different types of rheumatologic illness and specifically he is thinking about ankylosing spondylitis (AS). It is an autoimmune condition that usually begins a bit earlier in life, but can start after 50 also. It is characterized by all of my symptoms, so clinically it is a potential fit. He orders X-rays, ultimately an MRI, and of course more bloodwork. He asks how I feel about injectable biologics should that be where we land diagnostically. I am ok with that. I watched my mom inject herself with Imitrex for migraines as a kid. I’ll gladly inject myself not to feel like I am in my 80’s at 51 years old.
I ask him about Polymyalgia Rheumatica (PMR). It is an inflammatory disease with all of my symptoms. He thinks it is unlikely but cannot rule it out. He says I’m really young for that. Generally the average age of onset is 70. If it is that, it is somewhat better than having AS. Unlike AS, it is self limiting, meaning it is not lifelong the way AS is. It usually lasts one to three years and then the immune system works it out. Treatment is corticosteroids, not biologics. The one scary part of PMR is that it puts you at risk of Giant Cell Arteritis (GCA), a condition that has to be treated as an emergency because of risk of blindness. I try not to dive too deeply into that; the doc seems to lean toward AS, even though I’m still privately leaning toward PMR.
It is now mid December, almost six weeks into my persistent symptoms. My two inflammatory markers, the SED rate and the C reactive protein come back through the roof. On the one hand, I am for the first time in my life, validated as it relates to joint pain. It was always invisible, but it was always real. On the other hand, it’s a bit scary to know that kind of inflammation is wreaking havoc in my body, and bloodwork will not identify why or from what source. Of course I know where I feel it, but what is the cause? Why is my immune system misfiring somehow? And the holy grail–do I have a diagnosis?
The X- rays of my sacroiliac joints are, not surprisingly, normal. Even if I had rheumatoid arthritis there would likely not be visible joint damage this early on in the disease. But the doc hadn’t really suspected RA anyway. My joints are not swollen which is one of the hallmarks of RA.
My MRI is normal. Great news. Also doesn’t tell us a lot. But makes him *somewhat* less suspicious of AS. So what is on the table now? Still AS and PMR.
He does not take AS off the table and does not diagnose me with PMR. But literally my entire clinical picture fits PMR:
pain across shoulders, neck, hips, and low back for weeks, unending
sudden onset
high inflammatory markers in bloodwork
normal X-rays and normal MRI
repeat bloodwork, SED rate came down a bit but still high inflammatory markers, in particular that C reactive protein
some relief with ibuprofen
In the meantime there are dozens of messages between me and the doc via the portal. He orders blood cultures to eliminate possibility of infection or malignancy. He is not concerned about either of these possibilities as I’ve had no symptoms of systemic illness. There was one night of night sweats, but that was likely unrelated. Still waiting on those results, but we both expect them all to be normal.
It is now Christmas week and eight consecutive weeks of constant pain and stiffness. Oddly, I’ve cried several times over missing my Dad, his old self before vascular dementia. He would have been my rock throughout this ordeal. Everyone else in my tiny circle, of course, is supportive, my husband, my mom, and my adult kids. But my Dad–he was my medical consultant. He was the researcher extraordinaire. He was unemotional as it related to medical issues. He took the facts, read the medical journals (he had written articles for them, so he was not intimidated by them), and he’d discuss with me all the right aspects of what I was experiencing. To say having his support throughout all of this would have been comforting is a gross understatement.
On a particularly tough day a couple days before Christmas Eve I tell my twenty year old son how I’m feeling about missing my Dad throughout this ordeal, how he’s the only person I want to talk to about it. How I’m doing my best to research, stay unemotional, do all of my due diligence with the doc, but how his Poppy was that person for me.
My son, a guy of not too many words, says something profound that I needed to hear: “You are that person for yourself now, Mom.”
He’s right. And I’m more than capable of being that. Pity party over.
So what does the doc do next? He starts me on prednisone, a corticosteroid used both for pain management and also diagnostically. What he doesn’t know is that I know rheumatologists very often do that with the intention of diagnosing PMR if there is significant relief.
He puts me on 15 mgs daily. I start the day after Christmas. Within a couple days I have about 80% relief. This is generally enough for rheumatologists to diagnose with PMR. He still hesitates. He wants to see how I am after ten days of the steroids.
While the pain is significantly reduced, there is still stiffness, although less pronounced.
This brings me to current. Weirdly, in the last couple days, some of my hip pain has broken through a bit. I did not expect that. How will he factor this in?
I will make another post after connecting with the doc this week. Will I get a diagnosis? How long will it take him to taper my prednisone (tapering was always the plan)?
I hope anyone who took the time to read this learns something about autoimmune illness and if you’ve been on the autoimmune journey, I hope you find value and comfort in knowing you’re not alone.