I have the same problem. In the early 40s, I am now 78, I went to a rheumatologist told him my symptoms. I didn't know anything about PMR, but my symptoms were just like I read them out of a text book. Pain across my shoulder and hip girdle for no reason and fatigue. Without any blood tests he put me on 10 mg prednisone and within 6 hours I was a new man. My wife could tell the difference and I didn't even tell her what had happened. I tapered down to 0 mg prednisone (P) and all was fine for a year. Then the pain came back. We went through the same treatment many times over many years and the relapse returned sooner and sooner. I eventually went to 2 mg P daily for about 4 years and then 5 mg for a few years along with Aleve. Now I am going to a rheumatologies who thinks I never had PMR. He thinks I had spondylarthritis. I am on 200 mg of hydroxycholoquine and 4 mg P and no Aleve. I have had all sorts of problems with this dose like sleep problems, stiffness and lack of any anti-inflammatory properties. Would love to hear any comments.