Off Prednisone but still feeling new type of pain

Posted by abbeyc @abbeyc, 6 days ago

I've been off Prednisone for 6 months. (I was on Prednisone for 3.5 years). My blood inflammation markers have been normal for years and multiple Rheumatologists and doctors all said I no longer had PMR. So I went off steroids.

So now the question: Has anyone else gone off Prednisone but still plagued with mysterious aches and pains (muscles and joints - but not as severe or similar to PMR)? It's something else, I think.

I can get along okay during the day, but first thing in the morning I'm very stiff and it hurts to move. Also if I sit too long, then the same thing happens. Once I get moving it gets better quickly. Although throughout the day knees, hips and upper arms can occasionally hurt. I can't do things like I used to.
I've seen so many doctors who can't tell me what's wrong.

anyone else?

I don't want to go back on Prednisone and I don't want to resort to other drugs, but quality of life is definitely suffering. So wondering if maybe I should be taking some sort of medication (not Prednisone).
any suggestions?

Interested in more discussions like this? Go to the Polymyalgia Rheumatica (PMR) Support Group.

Profile picture for abbeyc @abbeyc

@54pontiac yes we sound very similar. My pains move around. Lately my knees bother me to wear it difficult to bend and stand

I had ChapGPT draw up a PT type strengthening exercise routine for me based on these symptoms. He knows I had PMR 😆. It focuses on knees, shoulders, arms.

The other odd place I have a lot of pain in the morning is in my hands. 🙄

I had a lot of neck pain also. I’ve been getting deep tissue massages which have helped there a lot.

My orthopedic doctor can’t believe how tight my back leg muscles are. He recommends magnesium which I’m already taking plenty of.

I saw functional doctor. She recommended GP157 peptides for 3 months but it’s quite expensive.

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@abbeyc

I had lingering pain after I got off Prednisone. It was amazing how much deep muscle massage hurt in all of the places where PMR used to hurt. After every deep tissue massage session the pain was less until the lingering post PMR pain went away.

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Profile picture for abbeyc @abbeyc

@54pontiac yes we sound very similar. My pains move around. Lately my knees bother me to wear it difficult to bend and stand

I had ChapGPT draw up a PT type strengthening exercise routine for me based on these symptoms. He knows I had PMR 😆. It focuses on knees, shoulders, arms.

The other odd place I have a lot of pain in the morning is in my hands. 🙄

I had a lot of neck pain also. I’ve been getting deep tissue massages which have helped there a lot.

My orthopedic doctor can’t believe how tight my back leg muscles are. He recommends magnesium which I’m already taking plenty of.

I saw functional doctor. She recommended GP157 peptides for 3 months but it’s quite expensive.

Jump to this post

@abbeyc I had a full hormone test done. testosterone was a little low 350. So I bumped up my testosterone to 650 with a daily cream. I also started taking BPC157. My primary care was prescribing it through a compounding pharmacy. I took it 6 months and noticed no difference. The compounding pharmacy was also having trouble with supplying it. So I dropped it. I also looked at all my medications. I found the one blood pressure pill was causing some fatigue. I switched it out. I went thru my medications one by one and ruled out any side effects.

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Profile picture for Mike @dadcue

@abbeyc

I had lingering pain after I got off Prednisone. It was amazing how much deep muscle massage hurt in all of the places where PMR used to hurt. After every deep tissue massage session the pain was less until the lingering post PMR pain went away.

Jump to this post

@dadcue ahhh okay. So for you the massages played a big role in eventually getting the post PMR pain to subside.
I also noticed a difference after each massage. I may need to up the frequency.

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My rule of thumb is, no one has “the” answer. I vote for Tylenol for arthritis…recommended by Rehumy. Up to 6 per day, and use as needed. Keep trying. My functional movement specialist treats it as mostly neurological….. seeing good results for sometime now.

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Profile picture for tuckerp @tuckerp

@abbeyc I had a full hormone test done. testosterone was a little low 350. So I bumped up my testosterone to 650 with a daily cream. I also started taking BPC157. My primary care was prescribing it through a compounding pharmacy. I took it 6 months and noticed no difference. The compounding pharmacy was also having trouble with supplying it. So I dropped it. I also looked at all my medications. I found the one blood pressure pill was causing some fatigue. I switched it out. I went thru my medications one by one and ruled out any side effects.

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@tuckerp okay. Great idea.
So are you better now pain-wise as a result?

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I started on 60 mg of prednisone in July 2024. At the beginning of November 2025, I tapered to zero mg. I felt pretty good the last few of months of my taper. In mid-Nov, I started getting some familiar aches. Started with my knees and hips. It's since moved to my wrists and shoulders. The pain is all day. In the mornings, my fingers are stiff and ache. Fortunately, the hands improve.

I finally broke down and contacted my rheumatologist and told her what was going on. She suggested that I stay taking 2 mg. of prednisone daily. I took my first dose this morning and much of the pain has decreased.

I hate that I had to begin taking prednisone again. I have been taking monthly infusions of Actemra, since Jan 2025.

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Profile picture for tweetypie13 @tweetypie13

My rule of thumb is, no one has “the” answer. I vote for Tylenol for arthritis…recommended by Rehumy. Up to 6 per day, and use as needed. Keep trying. My functional movement specialist treats it as mostly neurological….. seeing good results for sometime now.

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@tweetypie13 what is the neurologist doing for you then.
I am seeing a neurologist also for daily migraines which started after Prednisone. He gave me Amitriptyline which he hoped would also help the postPMR pain. It helps the migraines thankfully. But that’s all .

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Profile picture for ropnrose @ropnrose

I started on 60 mg of prednisone in July 2024. At the beginning of November 2025, I tapered to zero mg. I felt pretty good the last few of months of my taper. In mid-Nov, I started getting some familiar aches. Started with my knees and hips. It's since moved to my wrists and shoulders. The pain is all day. In the mornings, my fingers are stiff and ache. Fortunately, the hands improve.

I finally broke down and contacted my rheumatologist and told her what was going on. She suggested that I stay taking 2 mg. of prednisone daily. I took my first dose this morning and much of the pain has decreased.

I hate that I had to begin taking prednisone again. I have been taking monthly infusions of Actemra, since Jan 2025.

Jump to this post

@ropnrose my question about going back on Prednisone is .. is that just to feel better only? It won’t help whatever it is go away right? What reason did she give?
Thats what I struggle with. Going back to the devils Tictac and feeling better but at what cost 😬

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Profile picture for abbeyc @abbeyc

@ropnrose my question about going back on Prednisone is .. is that just to feel better only? It won’t help whatever it is go away right? What reason did she give?
Thats what I struggle with. Going back to the devils Tictac and feeling better but at what cost 😬

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@abbeyc I'm getting ready to travel for the holidays and don't want to feel like crap. I knew she was going to tell me to resume Prednisone, but I didn't know what dose. Yes, it's to feel better. I have a televisit in early January. Right now, I'm 2000 miles from her.

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Profile picture for abbeyc @abbeyc

@tweetypie13 what is the neurologist doing for you then.
I am seeing a neurologist also for daily migraines which started after Prednisone. He gave me Amitriptyline which he hoped would also help the postPMR pain. It helps the migraines thankfully. But that’s all .

Jump to this post

@abbeyc
My functional movement specialist treats my pain/soreness issues as neurological soreness. I do not see a neurologist. After working on the body part it usually goes away. Think of of it Like a specialty of PT, or massage .
This link might give you a picture.
https://www.google.com/search

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