I was seeing a doctor at the VA that refused to use prednisone or medrol due to my diabetes. I came close to suicide from pain but a good doctor was found and am on a low dose of 8mg medrol daily and still controlling all side effects. My rheumatologist is trying different add on meds the latest of which is Plaquenil. No bonus yet a month in but still taking the medrol as well. when I taper down the Medrol and the pain returns they put me back on it and try a new.. Always follow doctors orders but dont always listen to the same doctor, get an opinion from another rheumatologist. Primary care docs usually dont have insight to PMR and do not know the insane pain it can cause.