← Return to PMR flare -Shoulder and neck pain..and headaches

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@barracudacool

Right now, I am on all three drugs. Prednisone down to 8 mg. Methotrexate and Kevzara. First thing to go will be the pred, then methotrexate. Kevzara may be with me for awhile. The pain in my shoulders and neck is new. I’ve had pmr for 18 months and it has mostly been in my thighs and hips. This intense pain and stiffness in neck has triggered a round of migraines. Using moist heat has backed everything off and I am feeling much better. One thing for sure. While everybody is different, the Kevzara is making a difference for me. I forgot to take my dose last week because of family emergency. And the flare I had I think was a direct result of not having that and tapering down to 8 mg as most of you know under 10 is the danger zone. For me the drop from 9 to 8 has been very difficult.

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Replies to "Right now, I am on all three drugs. Prednisone down to 8 mg. Methotrexate and Kevzara...."

The Kevzara should be trying to keep PMR in check thru the IL-6. But you are butting up against the cortisol restart. Probably the Methotrexate is just being thrown in as a backup to fight inflammation. This next part is not easy but sounds like your trying to make it. Getting off prednisone will help with so many other things. Maybe staying on the Kevzara is good thing if you have any flares.