Hello All. I haven't posted for awhile but have a question regarding ESR level. I was diagnosed with PMR January 2015 and other than a few nasty flareups have slowly reduced my Pred from 20 down to 5, never actually pain free but tolerable. I have been, for the last 2-3 months, experiencing an increase in that awful, heavy and "hit with a board" feeling across my upper back and the other generalized dull pain. My Dr ordered an ESR which was nearly normal so she said she doesn't think it's the PMR because of the lack of evidence of inflammation. I think it is a flare but hate to increase my prednisone and start on another rollercoaster ride.
Can you have PMR pain with little or no elevation of ESR? At diagnosis my level was 98! Is it an indication that indicates remission?
Thanks for any opinions.