Just to update my post 10 days ago incase anyone is interested (particularly "Amkoffee") in what my GP had to say today. A reminder, the painful/swollen fingers seemed to have become part of a "flare" which also included pain in my upper arms, shoulders and outer thighs. I had been reducing alt days 9/8 mg so after excellent advice on here I remained at 9 mg for a few days. However, as had similarly happened on two previous "flares" and after reading my notes, I decided to do what I did back then - again after reading other posts on here - and upped my dose to 10 mg in the hope it would zap the inflammation away. Not quite, but after a week it has certainly reduced the pain and stiffness, a little bit more each day. So, at my appointment with the doctor today, a locum GP who I have seen on other health issues, I quickly related recent PMR problems and after a kindly, sympathetic discussion she suggested I carry on with 10 mg for another week but then if pains not gone, to go up to 11 mg. I would add that on the two previous "flares" it took two weeks and four weeks at 10 mg daily each time to get me back to pain-free. I will see what happens by the end of next week. To guage my daily improvements this week, (my "rule of thumb" 🙂) I gave myself a little test each day on waking up. The test (both hands) is to touch the thumb to each finger tip in turn!! A week or so ago it was impossible to do and far too painful, but now I can, with only a little discomfort and stiffness. I also did the recommended fist clenching and fanning the fingers to help loosen the hands. My arms, too, are much improved and I am able to raise them without hitting that ”ouch, no more" point. If only I could also get over the awful tiredness and lack of energy, too, but as I am trying to remember, patience is needed, and no more trying to reduce my steroids dose before my body is really ready for it or when other circumstances don't make for an ideal time to try, either.