Welcome @christinetoo, Sorry to hear of the prednisone is off the table. I had 6 years between by first and second occurrence of PMR also but used prednisone for both. I will be 80 in a few months and have osteopenia and hypertension also. I made some lifestyle changes the second time around that helped me including exercising more and eating healthier. I eliminated fast foods, most processed foods and tried to eliminate sugar but I still have a ways to go with that.

You might also find these two discussions helpful:
-- Alternative to Prednisone for Treating PMR?: https://connect.mayoclinic.org/discussion/alternative-to-prednisone/
-- PMR: Are there treatment alternatives to Prednisone?: https://connect.mayoclinic.org/discussion/alternatives-to-prednisone/.

It sounds like you might already be keeping a daily log for pain levels. Have you made any lifestyle changes to help manage the pain?