Hi @nyxygirl! Thanks for checking back. I do not have ank-s. Test came back negative. I was referred out by my Rheumy (who I told needed to read some forums to understand PMR better!) to a Georgetown U hospital Rheum. He was awesome. He confirmed that I do have PMR and also Long COVID. PT also did not help but made my condition worse. I’ve tried Kevzara- no relief as I tapered below 4mg all symptoms increased. My new Rheumy says I’m doing all I can. Meaning that there is no other answer pharmaceuticals other than Pred. Soooo I’m doing sauna 4-5x a week and will start alternating red light therapy soon to help reset my immune system. This is a case of immune system gone haywire so I have to address it from that perspective. Still on 5mg pred daily as that level allows me to exercise and function. Still have the roving pain in legs and arms. That has been helped greatly by eating a vegan diet (I miss meat and eggs!!), but I do eat some fish. Hope that helps!