Thanks for the info. We have suggested the biopsy, but no response yet. As previously stated my wife's rheumy tried one round of steroids (4mg packet) and it did not work. We have been writing her about PMR, more and stronger steroids and an EMG. She will be reevaluating my wife at a new appt. P.S. My wife worked at a few doctor's offices and is well aware of the medical -merry-go-round that can occur sometimes. I am merely her trained bulldog. We won't give up. God Bless.