They keep taking the prednisone. PMR is real . So is the PMR induced from prednisone. Life does get better if you can get your body to restart cortisol. PMR is a perfect fit for steroids. Its the only drug that works. Just the prednisone increases blood sugar, increases cholesterol, raises BP, causes eye issues, causes or contributes to gastro issues, gain weight, causes moon face and fatty neck, and you never feel like the same old you without it. Good luck.