I have had PMR for many years now and I am sure it is stress related. Almost a year ago I had to have a total hip replacement due to avascular necrosis. The femoral head had disintegrated and I am now a mix of titanium, porcelain and cement. Unfortunately the op left me with sacroilitis and the PMR never seems to go away. I had a nightmare in hospital with adrenal crisis and had to take massive amounts of steroids. I am currently on 11mg per day.
I saw the registrar this week and he wants me to come off pred and to see a rheumatologist who will undoubtedly prescribe methotrexate. I do not want to take that drug. I understand the concern that pred will make my other hip go but it is probably on its way out now anyway. I do take alendronic acid and adcal. The pred not only helps the PMR but also helps the sacroilitis too.
Should I simply try to stand my ground on this do you think? Your support is always appreciated- thank you!