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Do you keep a daily note of your pain level? @johnbishop recommends keeping a log of daily pain levels from 1 to 10, and I have found that useful. It could show you whether the activities you do are the likely cause or if a reduction has prompted it. If the pain is not getting worse, it may not be a flare.

With my flare last year, the pain level increased very gradually over a number of weeks, starting when I reduced to 6.5mg and increasing further after I reduced to 6mg, at which time pain was 5-6/10. A blood test confirmed inflammation had risen. Do you have regular blood tests to check your inflammation levels?

Have you tried splitting your dose and taking a small amount of the daily dose with dinner? That has kept many of us painfree in the mornings. I occasionally have aches and stiffness (not even 1/10) in the morning after overdoing activity or following a reduction, but it always passes.

You're doing well to be keeping so active. As you say, it helps bones and is recommended for anyone with PMR - as much as we're able without overdoing it.

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Replies to "Do you keep a daily note of your pain level? @johnbishop recommends keeping a log of..."

Thank you. I'm going to start tracking daily pain, beginning with last Thursday when it escalated. That's a simple but great suggestion.

I've had several blood tests with no increases, but I've never complained of increased pain until now. Also a good reminder/suggestion. I'll call tomorrow. She will do another.

I take my dosage at 10-11 pm. I have found if I take it any other time I can't fall asleep. So my mornings should still be good.

I am constantly worried that I will have to increase the prednisone. I just want off this drug. Thanks so much for your response.