I never had shoulder pain until PMR. My PMR started in my right shoulder but THAT pain and stiffness went away very quickly. Then when I went back to my pre PMR exercises I realized that something was different in my shoulder. (well that was true for most of my body, felt like a loosely knit skeleton) I didn't have the PMR stiffness but certain movements or carrying medium weight things seemed to cause pain afterwards. I'm almost at 3 mgs now, average 3.33 at the moment. My markers, which have tracked inflammation faithfully, are low, my energy stable if not quite as much as I remember having pre PMR. All my blood work is fine. But my right shoulder pain is still a problem. My Rheumy diagnosed bursitis and has offered to give me a cortisone shot. She says she's had success with that.
1.She hasn't mentioned taking any kind of images to confirm the diagnosis she made on the basis of putting me through a bunch of movements and eliciting the pain. IIRC PMRpro has recommended imaging to guide the shots. Should I request imaging and if so, what kind?
2.My osteopath agrees that the bursa is inflamed but is not in favor of a steroid injection because, she said, they weaken the tendons, ligaments and muscles in the area. She was able to improve the shoulder function at my last treatment, but it hasn't held as well as her usual manipulations. She recommend me going to see another osteopath who does ozone injections which supposedly oxygenates an inflamed area and that promotes healing. Anyone have had ozone injections? Did they help? Apparently this is more mainstream in Europe than here in the US.
Thanks as always