I am in the US, and recently diagnosed with PMR. It took about 3 months as I was first MRIed up and down for possible orthopedic problems as pain was initially just in inner thigh, then lower back. But ultimately it spread to shoulders, neck, and jaw. After one night where it felt like every joint in body was under attack, my GP prescribed diclofenac plus a pain reliever. I began to improve quickly and was 85% better in a week. But I knew there was still some undiagnosed problem, and finally got to the Rheumatology dept of University of Pennsylvania, where my symptoms, age, and ESR of over 70 suggested PMR.
So I was put on 20mg of prednisone. Within two days, many symptoms began to worsen. The doctor said I could take diclofenac if needed, but noted that it is inferior to the prednisone for inflammation. After 5 days, chronic pain reached the point that I took a diclofenac (as we as the prednisone). I began to feel better after a few hours, and after another the next day, was back to about 85%. It is now the third day since taking them, and I am sliding backwards - lots of soreness in thighs and lower back, shoulders and neck starting to stiffen.
So I am concerned that I am somehow non-responsive to the prednisone. Anyone have similar experience?