Sorry to be late with my response. I thought is was only me that had wrist, hand and finger pain with the PMR. My Rumey said that is not a symptom of the disease but clearly they should stop relying on the articles each other writes and talk, really get to know, their patients. I am 25 months into this journey and I also experienced the morning pain, usually at 3 am. I also started spitting my dose with a smaller amount in the evening to help get me through the night. Good luck and be aggressive in treating yourself!