Hi @tillysam, From what I've read, the onset of pain with PMR is worse in the morning and recedes later in the day. My pain was terrible most of the day in all the places you mentioned. It lessened somewhat in the evening. I exercised and stretched as much as I could, but nothing helped much. I also became anorexic and got anemia, both symptoms of PMR and GCA. I had PMR first, then GCA. If, on a higher dosage of prednisone your pain is relieved, that's an indicator of PMR, according to medical text books. I had full blown PMR for about four months with only slightly elevated inflammation markers which caused my Primary Care Doctor to miss it. Your case is unusual because you had GCA first, now, most likely have PMR. Usually, the order is reverse. Good luck, I hope you find some relief fast.