started with pmr 11 months ago aged 56 years. started on 20mg prednisolone with great reduction in pain within 36 hrs. I still have pain but the fatigue is the worst. Since then my prednisolone has been gradually reduced following results of esr. Went GP yesterday she asked how I had been, I hadn't been to good, aching and stiffness and of course the fatigue, and headache which I feel is coming from my neck. been referred to physio for this. however I was surprised when she said my esr had again dropped, so she reduced my prednisolone from 2.5mg to 2mg, bloods to be taken in four weeks. to be honest I felt like the prednisolone should have been increased because of how I had been feeling. the gp also said the quicker I get off prednisolone the better it is for me. i'm not to sure. I moved home in June and these are my new gps. Should my pmr be judged on esr levels?