Same story here, I developed PMR in Jan 2022 and was diagnosed in July 2022. I was a very active 58 who overnight felt 80. I started pred at 20 mg and am currently at 3mg. I tried Kevsara but had terrible injection site reaction so chose to stop it down, but it did seem to be helping. I have a very high stress job and have been under general life stress as well. I manage to function but am in daily pain with the typical PMR trifecta neck,shoulders and hips. I feel like my muscle mass is wasting away but when I try to exercise I pay the price and am smacked down. Something as simple and going in the pool to lesson the effects has hurt terribly for days after. I have tried limitation diets, they don’t seem to help. I will say that for me stress seems to be a driver. I took my first real vacation this year and by the end of the week was feeling minimal pain, it was the best I have felt since this journey began. I tried to tapper upon my return and it all roared back. My rumy wants me to go on Methotrexate, I really don’t want to. It is tuff on the liver, I enjoy wine as my stress relief, so not good. It causes nausea and takes 3 mos to even see if it might work. I would welcome any insight if folks have tried. I keep hoping that PMR will leave me one day just as randomly as it arrived. Sure wish the doc who said this will be gone in a year was accurate, alas I am coming upon my 3rd anniversary. I actively research and it seems there are a LOT of us who keep PMR for a long while sadly.