Tapering pred and swelling in knee

[Iwillwin123]

I am tapering pred from 60 mg and now down to 3 mg using DSNS method. Now I have swelling on my knee and severe pain . Has anyone experienced this and should this be treated as a flare ? If yes what did you do ? Please narrate your experiences and opinions . TIA

[SheffieldJane]

Yes exactly that for a while. I think it was Osteoarthritis that had been hitherto suppressed by the Pred. My Rheumatologist was going to draw the fluid off and possibly offer a steroid injection into the site- then the music stopped ( if you see what I mean).

Standard for a flare would be an extra 5 mgs, for about 10 days, then straight back to 3 mgs and see if that does the trick. In the absence of Rheumatologist appointments.

[Iwillwin123 in reply to SheffieldJane]

Helpful indeed ! Thankyou

[PMRpro Ambassador]

Is it just one knee? Have you done anything to injure it?

[Iwillwin123 in reply to PMRpro]

Yes just one knee and I do not remember any injury except that I drove my gearless car for 4 hours straight . So may be a sitting position in drivers seat for that time ......

[PMRpro Ambassador in reply to Iwillwin123]

Even the slightest twist can lead to trouble. But if it is one knee, injury or osteoarthritis is possibly more likely than PMR flaring - though I won't say it can't be. Get it checked out.