I was first diagnosed at about 45. Symptoms were straight out of a text book that I never read. Pain across the shoulder and hip girdle for no reason with fatigue. Without doing any lab work the rheumatologist prescribed 10 mg prednisone and withing 6 hours I was a new man. The change was so obvious that my wife noticed it before I told what I did. That was 40 years ago and I have been on and off prednisone for all that time, mostly on. I have seen 5 rheumatologist during the 40 years of treatmnt with different treatments and diagnoses. Currently on Kevzara and down to 2.5 mg of prednisone. I also take Tylenol for pain.