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Normal CRP , ESR but clinical PMR
Seems my providers are skeptical about a PMR diagnosis since my inflammation markers have been normal but my symptoms and clinical picture are totally consistent with PMR. Good response to prednisone but now tapered and have lingering pain in hope snd shoulders that improves with activity.
Any ideas on what to do next?
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How long were you on prednisone? And what dosage was needed to mask the pain? How long did it take to taper? How much pain are you having? Do any of the OTC pain meds help or do you need prednisone to cut the lingering pain?
I am asking these questions because PMR can present without elevated inflammatory markers, however I assume that the treatment and timelines are similar. Mine came with super high inflammatory markers, so that was not my issue. PMR is known to "burnout", which really means it goes into remission to wait for another day to pop back into your life uninvited, so this could be the case with you. I am not sure what information you are looking for, so could you please clarify your question for us?