Hello @elizabethjoan, I'm so sorry to hear that you are having difficulty managing the pain. It sounds like you have a lot of stress and physically demanding chores that had to be done, pain or no pain which can make your situation much worse. If you went back to 20 mg prednisone and you didn't get any relief like you did when you were previously at 20 mg, there could be other factors at play. Even on my good days with prednisone if I over did my daily activities I generally paid for it the next day with more pain. Also, you mentioned that it's only in your right knee and some in the thigh and calf.

Have you talked with your rheumatologist about the new flareup of symptoms?