I am one that doesnt like to take drugs. It took 3 months to diagnose PMR. I was in so much pain just trying to manage day to day was brutal. I was taking 2 or 3 tylenol every day and finally self diagnosed myself. I had access to prednisone. I took 20mg and it was like nothing had been wrong in 4 hours. I knew the issues with steroids but I had my life back. I was determined to not stay on the drug. I was off in 6 months. PMR had burned itself out. So it might be possible to burn it out without steroids but I am not the right guy for it.