Hi- hoping you can advise me. I am a 62 yr old diagnosed with PMR late 12/2021. Started on 15mg of Predisone and by May I was down to 9mg. Then, my brother died tragically and it through me into a flare up and went back to 12mg. Didn’t get into a Rheumatologist until Sept 2022. He ck’d my inflammation markers and the ESR was normal but CRP still elevated. Ran many other test with one returning elevated, positive ANA. He told it keep on Prednisone and to reduce by 1mg a month and see him late November. He started me in Plaquenil 200mg twice a day did asked me to repeat labs in a month. This resulted in high ESR as well as CRP. I did get a flu vaccine the first wk of October which I found to have been when the stiffness was worse about a wk after the injection and my elevated markers were done around the same time. Saw the Rheumatologist and he made no changes to the Prednisone and added oral Methotrexate 10mg every week. I still awake with a PMR pain score if 4-5 and doesn’t subside until 2-3pm. My soreness/pain has always been in my biceps, neck and now upper thighs.

Any advise