I was diagnosed with PMR a year ago and was placed on 30 mg of prednisone with the goal of titering down every month. When I was on 30 to 25 mg of prednisoneI felt great. No pain, no depression. I worked cleaning my house non-stop for two months. Then when I reached 20 mg, my symptoms came back like a vengeance. Initially my provider said I meet an additional medication like methotrexate but when that time came, he said he didn’t feel like giving me this medication. I then asked for a referral to a rheumatologist who said I did not have PMR. Now given the description of your symptoms, I am wondering if you too have been misdiagnosed.