I'm confused about tapering off Medrol. I'm at 4 mg now and wake up with a lot of pain from PMR I've had for 1 1/2 years. One rheumi said I should not be in pain before reducing. Another one told me we need to find something else to mitigate the pain because being on steroids too long will cause problems a lot worse than PMR. I've been taking 400-800mg ibuprofen daily and "eventually", about 5 hours later I feel better. But as I said before the pain is BAD, like being beat up with baseball bats every morning. Should we or should we not taper while in pain??