Diagnosed in March with PMR I am on a taper down from 15mg and have just reached 6mg. All has gone pretty well until 7mg when I was waking at the ‘witching hour’ around 4am with slight aching hips and chest. Enough to wake me but I was able to go back to sleep after changing position. Discomfort disappeared after getting up and taking Pred at 8.30 and I put it down to some fairly good uphill walks nearby
The transitions as far as 8mg were done after 6-8 weeks but I was confident enough to shorten to an interval of 4 weeks, with the first week of the change alternating daily between the previous dose and the new one.
Now I find my upper arms, chest and my glutes are slightly stiff and uncomfortable during the day. Not as bad as when first diagnosed but noticeable nevertheless. I’m trying to attribute this to some strenuous - but not manic - cycling over the past week. But I’m possibly kidding myself and I’m wondering if these are the symptoms of a mini-flare. Not knowing how to recognise a flare I’m not sure. Is a flare a return to pre-Pred conditions or is it any manifestation of symptoms?