@richardab I am sorry to hear about your pain. Is your prednisone at a sufficiently high dose? I am 2 plus years in and tapered to 3 mg after being at 1 mg where I was back to Tin Man status. Chemistries went high again as well. Can you pursue discussion about trial of upping prednisone while you await your rheumatologist? There is no rhyme or reason at times to this disease. I have experienced "doing everything right" only to have things go south. Very dispiriting. One day at a time. Good luck.