Hi everybody. I am now 45 and have been diagnosed 6 years ago. I' ve been treated with massive doses of pred for about one year and then it has been lowered to a maintenance dose of 6 mg/day. I've also been taking 150 mg / day azatioprine for the past two years( methrotexate didn't show any result) .I Have been in and out outrageous pain as most of us have. But there' s something that's been bothering me a lot. My sed rate has never been under 60 and is currently 89. My rheumy tells me the treatment is correct and I trust him 100%. But I wonder why the inflamation is so active.