I seem to be asking advice a lot lately. I'm not sure if this is a polymyalgia or RA thing as I have been told I have both. I suffered with my shoulders when first diagnosed with pmr two years ago. They responded to 15mg pred very quickly and haven't been too bad most of the time. The last few weeks I have felt a pain right inside the joint which gets worse as the day goes on and hurts to lay on in bed. Occasionally I had trouble reaching into a cupboard but now it seems more or less pain free when I wake but after a while of moving I'm in a lot of pain and can't lift my arms, especially the left one which has always been my good one as many years ago had tendonitis in the right which turned to frozen shoulder. However that hasn't been giving me any bother until the pmr started. Does anyone think the shoulder is more like pmr or arthritis. I know if I up my steroids it would improve but I am constantly being told not to put them up. I take 14mg pred at the moment plus 15mg methatrexate which isn't working, so it has been suggested I try etanercept. I have had an x ray and am just waiting. I was so excited at seeing a rheumy who I actually like plus him thinking this new drug might work that I never asked how long I would expect to hear the next step. Does anyone else have any idea. If what I have is pmr would the etanercept help that at all?I don't know why I have never been told to try a higher dose of steroids, the highest I have ever taken is 15mg.