Interestingly, I’ve been off prednisone for more than a year and not really taking much else for except Celebrex, which is mostly for my osteoarthritis. When I was diagnosed by my orthopedic surgeon, he told me I had a vascular necrosis, which is when the blood supply to a bone is cut off, and the bone begins to die. He thought it was caused mostly by long-term use of prednisone, but could also have been contributed to buy old age or injury.
He asked me very pointedly whether I was planning to go back on prednisone. I said no absolutely not. He then said good because if you’re on prednisone, you have a much greater chance of getting an infection from the surgery which can cause it to fail.
So I think it’s best if you discuss your prednisone does with your surgeon and let him advise you as to whether you should wait till you type or lower or offered completely to avoid getting an infection because the immune system is suppressed by the prednisone.
I hope your surgery goes well and you feel better soon.
I’ve already asked him, and he said he has no concern as long as the dose is under 10 mg. My rheum defers to him and seems to have no opinion. I am on a wait list to consult with the university rheumatology clinic in my area (University of Washington), and we’ll see what they say. Thanks for your input.