Is it PMR (and/) or Osteoarthritis?

Posted by walkamok @walkamok, Jun 8, 2023

My encounter with PMR began in November 2022, when suddenly I was beset with the pain and stiffness you are all familiar with. Even rolling over in bed required a fully-developed plan implemented with gritted teeth. Climbing the stairs was done on all fours. After a couple of weeks the diagnosis was made and a hefty dose of prednisone was started. This med was almost cartoonishly effective. Now I am on a taper like everybody else here!
Anyway, for months I have been bumping my way down the taper (presently a split dose of 6 and 3), with a pain level of 1 to 1.5 fairly consistent, and with a rare 2 or 2.5 usually associated with strenuous labor. However, ever since beginning the prednisone I have had no symptoms in my upper body; they are all located in the hip area. Furthermore, the symptoms are all located in the groin area, say, inboard of the hip flexors. OK, near my tackle. I have zero symptoms outside the groin area.
I know that osteoarthritis is lurking as it was identified in a hip x-ray taken when this all first hit, but the arthritis had been asymptomatic. But I am wondering now if in fact the PMR is being fully controlled by the steroid and all felt pain is actually associated with the arthritis. If so, perhaps I should stop hand-splitting firewood and speed up the taper.
Could you please weigh in on the following questions?
1. Do you have symptoms in your upper body/shoulders?
2. Precisely where are your middle-of-body symptoms located?

Many, many thanks!

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I am about the same stage of PMR as you 8 months in, on 5mg mornings and 2.5mg afternoons, pain levels about the same as you. Still know the disease is rumbling along because of the shoulder, neck arms and hands stiffness in morning, didnt have that before PMR. Also have osteo in both hips and knees and that pain feels more like osteo pain than PMR pain. My hip pain is located on the outer aspect and i can feel that it is in the joint space. If it was in the groin area, i might be concerned that it was referred pain from the spine.

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