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@art43

I am recommending to folks in this discussion thread to take advantage of the wealth of information in another thread…” Weaning off of prednisone & pain management.”
To be very concise…perhaps even abrupt…pain that might be accompanying PMR is not always PMR pain, and therefore should not automatically be treated by increasing or modifying the timing of or splitting your prednisone dose. Those solutions might make you feel better, but can lay the groundwork for serious problems that will emerge later as a result of unnecessarily prolonging the use of prednisone or modifying the dosage inappropriately without testing (SED, CRP) to determine if the pain issues are actually PMR.
Best of luck to everyone here. It is not easy, or simple.

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Replies to "I am recommending to folks in this discussion thread to take advantage of the wealth of..."

This is an interesting comment. Can you elaborate more about why you feel this way?

In general, I agree. However, CRP and ESR can't be relied upon to determine if pain issues are actually PMR. These labs might be a piece of the bigger puzzle but not much more than that.

Elevated CRP and ESR are not specific to anything. My CRP and ESR levels were consistent with my pain symptoms but not necessarily PMR pain. I was glad when these labs were elevated when I complained of pain. My rheumatologist would increase my prednisone dose after she checked my labs. I was glad she didn't rely entirely on my report of my symptoms.

It would be nice if you could explain your views more. I think I know where you are coming from but I'm not sure. Thank-you for posting this information.