Hello @kfassler, Welcome to Connect. I'm really sorry to hear your PMR came back. I don't blame you for not wanting to go back on prednisone. None of us like being on prednisone but it is the gold standard when it comes to treating PMR. I have no experience with Relief Factor but unless they have done clinical trials with PMR it would be a no go with me. If you've been taking it for 10 days and there has been no improvement in your pain level that would be a big red flag for me that it's not going to help.

I have had 2 occurrences of PMR. The first lasted 3-1/2 years, the second lasted 1-1/2 years. Both times I started with 20mg prednisone and the pain was gone within a few hours of taking the dose. From your description it sounds like you have only been off of prednisone for about a month which is not long. I think it's really good that you are seeing your doctor or rheumatologist tomorrow to discuss treatment.

What I think helped me the second time around to reduce the time it took me to get off of prednisone was I made some lifestyle changes - If that's something you haven't already considered or are doing, you might want to give it a try. -- Diet and Lifestyle Changes That Can Aid in the Treatment of Polymyalgia Rheumatica: https://arthritissj.com/diet-and-lifestyle-changes-that-can-aid-in-the-treatment-of-polymyalgia-rheumatica/

Can you let me know what you find out at your appointment tomorrow?