I am awaiting an appointment for a hip replacement which I was told would be in May. (I was told this in April, to be done at a private hospital but on nhs) In the mean time I have been restarted on Methotrexate and am going to start Humira, both of which I will have to stop for the operation. In the mean time my hips including the good one are flaring up and the good one keeps letting me down. I have spoken to a special practitioner nurse today who wouldn't commit herself to tell me to put my steroids up. My rheumatologist told me that I know what to do with my steroids and I have increased them to 21 from the 18.5mg I was on when I saw him 1 month ago. Would you go higher? I feel this may be polymyalgia rather than RA although a month ago I had Poly something added on the letter to my Dr, also Sjogrens. I responded to the 1mg rise within 2 to 3 hours but it only lasted a few days. I am puzzled as I couldn't have my hip replaced two years ago because of inflammation there. Now there is more only in both hips plus Avascular neccrossis in the left hip. Has anyone had their hip replaced with inflammation there or was that an excuse to delay it before?