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Prednisone and Pain

Polymyalgia Rheumatica (PMR) | Last Active: Feb 1, 2023 | Replies (111)

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@connelly

I’m on 3mg a day now, down from 15mg a year ago. Pain levels seem pretty constant over this journey - moderate to severe before dawn, reducing to a continuously present nagging that is ignorable during the day when I’m moving about or exercising. It is, however, a continuing source of worry to me that the characteristic PMR pain has extended its reach over the year beyond the girdle joints of shoulders and hips, where it began, to hands, arms and legs. No signs of RA, fortunately; in my case the pain seems to be confined to the strings that pull the muscles. As I reflect on my tapering regime over the past year, I sometimes wonder if I went wrong, somewhere down the track. Perhaps there was some different combination of doses and reductions that would have provided a golden road of pain free progress to recovery. But there’s no going back. The prospect of a complete weaning from Prednisolone is now in sight when, at best, I expect to feel much as I do now - off Prednisolone with a PMR pain level that is manageable and consistent with a happy, rewarding and reasonably active life.
Best wishes to all of us in this strange community of PMR suffering with such a diversity of experiences and outcomes. May 2023 bring all of us renewed hope!

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Replies to "I’m on 3mg a day now, down from 15mg a year ago. Pain levels seem pretty..."

Wishing you the best in 2023 @connelly and hoping you get some relief. My first time with PMR took 3 and half years to taper off without the morning pain. I still have the stiffness in the morning until I start moving around but that's pretty normal for my age.

Have you made any lifestyle changes to see if it might help with your tapering and pain? Some good information here if you haven't already tried them.
-- Can Diet Affect Symptoms of Polymyalgia Rheumatica?:
https://www.healthline.com/health/polymyalgia-rheumatica-diet