I developed PMR in Sept of 2018 3 months after getting shingles and was put on methylprednisolone 8mg, soon tapered to 4 mg with ibuprofen (2 tablets at night). Within 9 months had weaned off methlyprednisolone and was just on ibuprofen to manage pain. In Sept. of 2020 I got a shingles shot (Shingrix) which has thrown my PMR through the ceiling. I went back on the methylprednisolone and within 8 months had to stop it due to side effects (leg and foot cramping, SOB, blurry vision, itchy skin, and anxiety) I now take 2 tablets of ibuprofen every night. I am now getting pain and numbness in arms at night which is prohibiting me for being able to sleep. I have put on weight because I am now tired all the time (food gives energy but being overweight makes me lose energy - vicious circle) Any ideas....I will not get the COVID vaccine as it is similar to Shingrix (or so my allergy Doctor and pharmacist say) and I will not go through another pain cycle before this on is over. Any ideas as to naturally try to control this pain in my arms and now itching skin? Thank you for your time.