Hi JC, I have been tentatively diagnosed with MP from an MRI. I get an MRI every 2 years for recurrence of IPMNs in my pancreas. I too have more pain at night and especially the morning. Being horizontal is my biggest provocateur. Mine was probably caused by numerous abdominal surgeries. Unfortunately no one biopsied my panniculitis during the surgeries, they just wrote "dense fibrous adhesions". Now no one is willing to go back in to get a biopsy. I sense they think it's all in my head. I've been on prednisone for a week without any improvement. The NSAIDs helped but my stomach/bowels can not tolerate them. Acetaminophen helps. Pain meds are very hard to obtain in my state. I can't eat large or hard to digest meals. Apparently biopsy is the gold standard for diagnosis. Did you get your biopsy report?