@tuckerp I have had many cortisone shots and they balk at giving me more. Meanwhile I am suffering. I really hate to go back on Prednisone. I am so tired of being told to go to physical therapy or blithely being told to have surgery which my primary doctor won’t agree to. You would think there would be something intermediate they could do. My rheumatologist also suggested going to a pain doctor but I have friends who tried that and gave it up. I have tried biologics for RA too and nothing seems to work for me. However, I agree with you that starting prednisone is a risky move. I may go back once more to my orthopedist to see if he has anything to suggest. Thank you.