I have had voice hoarseness and inability to sing for many months now, before and after I felt the PMR symptoms. I wonder if that for me might have been an early symptom of PMR. I had and still have a hoarse voice that comes and goes, for about 1 1/2 years before I developed the classic pains of PMR. Prednisone for me has almost completely eliminated the PMR pain, but did not improve the hoarse voice, which is very noticeable sometimes, for a day or 2 and then better for a week or two, and then back hoarse again. I started at 40 mg. prednisone on initial diagnosis in May 2025, quickly went to 20 on orders of the rheumatologist, and am now at 7.5 and will taper down again soon. But the intermittent hoarse voice is still here, unchanged. It was concerning to me at the beginning, but I don't try to sing, so it is OK. It is particularly noticeable when I haven't said anything for an hour or 2 (I live alone). Sometimes gets better as I speak, like for a normal phone conversation. I was checked by an ENT, found nothing out of normal for my age, 76. I have decided to ignore it. It might be related to PMR, or might not.