A quick background of my journey.... I was diagnosed with PMR in April 2015. Started at 20mg of prednisone, and except for a short flare at 7.5 and going back to 10 (I was traveling to Asia) I am now down to 4.5 mg with no consequence. I reduced .5 mg every 2 weeks. I had stiff neck a couple of weeks ago, worried it was the beginning of a flare, but after a visit to the chiropractor and massages, it's all better! Here's why I said good news for now! Before I was diagnosed, I had shoulder pain and had an MRI. I have a 100% torn rotator cuff and need surgery! My Ortho said he will not do surgery while I'm on prednisone. So, I've lived with it this year. The good news is, I have no pain because I believe the pred masks it! Well, after speaking to the dr, he said he could do surgery if I was under 5 mg of pred. Well, now that I am at 4.5 ( and will be at 4 by the time I have surgery) he said he could do it. Here's my question.....will the surgery likely cause a flare? Am I crazy to have surgery during PMR? Should I live with it until I'm totally off pred and start to feel the pain again? My activities are all normal. I play tennis 5 days a week and golf 1(I'm retired and living in Florida). I'm so afraid to push my luck! Sorry this is so long, but I wanted others to know there is light at the end of the tunnel! BTW, I have all the pred side effects...weight gain (20 lbs), chipmunk cheeks, raised blood pressure and raised sugar, but am hoping weight watchers and lower pred will help me get back to "normal"!