When I first saw my PCP for my joint pain/stiffness two years ago, they thought it may be RA and started me on methotrexate. The pain and stiffness kept getting worse to the point I was basically bed ridden. So they thought it was more likely PMR and started me on 20mg prednisone and discontinued the methotrexate. Within 4 hours I started feeling much better and by the next day was up and about. When I finally was able to see a rheumatologist 4 months later, she insisted that PMR shouldn't affect the smaller joints, but she has finally come around to the fact that PMR affects people differently with different treatment per individual (i.e.. splitting pred doses in AM and PM) and we do not all "fit neatly in a box". When I have small flareups or typical minor morning stiffness/pain, it does affect my wrists and I feel it is part of my PMR. Tylenol Arthritis makes a big difference for those days when I have wrist pain in the 2-3/10 range and really helps when I take before playing golf. Whenever the pain gets above 3/10, it is usually accompanied by elbow and shoulder pain and a sign of a more mid-level flare that I knock out with a day or two of an additional 5mg of pred in the morning.

Goof Luck!