My internal medicine doctor thought spine problems in my neck and back were causing my symptoms. She did run the ESR and CRP tests at my request and they were normal ( CRP 23). Symptoms worsened over 3 or 4 months and I went back in to see her. I had done my researched and all my symptoms matched PMR. She agreed with me and ran the tests again. CRP was now 35, a little high, but she was not comfortable putting me on prednisone, referred me to a rheumatologist. I couldn't get an appointment for 4 months, but then began running a fever and they got me in earlier. The rheumatologist listened to all my symptoms and said my lab numbers weren't particularly high but he treats patients, not labs, and put me on prednisone which brought instant relief. He said that not everyone has high lab numbers. I think it's important to see a rheumatologist.