@ndmcl49 This discussion is very interesting to me right now. Yesterday I had wrist replacement surgery.

Last week I saw my rheumatologist for my semiannual visit, and when he saw the surgery on my schedule, he said "Even with your regular meds, this may cause your RA to flare. I am going to prescribe prednisone to use after surgery as soon as you recognize a flare."

Monday I saw my pulmonology team for my regular visit re asthma and bronchiectasis, and to my surprise, they said almost exactly the same thing! When I said I already had an Rx from the other doc, she said "don't hesitate to use it, so you can stay under control." I was surprised, but now that I think about it my last major bronchiectasis flare came right after rotator cuff surgery in 2024, when I was unaware of the connection. I ended up on both prednisone and antibiotics to clear it up, and wouldn't like to do that again.

Are you doing better with your pain now?