I have had GCA for over four years and was attributing my back and leg and foot pain to PMR. I have been trying to reduce my prednisone and am now at 10 . I had an MRI and have been told by two orthopedic surgeons that my back is a mess and that I need a fusion and a lamenectomy . This is a four hour surgery. I am almost 80 . I know you cannot take the place of my doctors but I have had better advice on this forum than I have had from the medical community . My regular doctors have just loaded me up on pain meds while also insisting I reduce the prednisone . That also has consequences . Up until now the major concern was with my going blind. I have had two episodes of my optic nerve leaking. I am blind in one eye and the other good one has been the recipient of the leakage. My " golden years" are getting messy :). Any advice would be appreciated. I realize I have to make my own decision and live with it but other people's viewpoints are always helpful . Thanks.