I have been experiencing a great deal of pain in both my hands. I've been working with my rheumatologist for many months about this. Back In October I had an MRI done on my right hand. I did not do both because I knew my back could not handle it because of the position I had to be in. I can not do another MRI because the first one caused me unbelievable pain on my left side. But the MRI showed that I had osteoarthritis in my thumb joint and inflammatory arthritis in the rest of my right hand. The problem is that my hand pain has significantly increased over the past few months. So today my rheumatologist did a regular xray on both hands. And really, the only thing that showed up was the osteoarthritis in my thumbs which we alley knew. Her suggestion was that my pain might be worse because my inflammatory markers are raising. She suggested I try going up to 10 mg. I am currently at 8 mg. I hate the idea of going up because I have worked so hard to get where. I was hoping the people in this community would give me their opinions on whether I should increase my dosage or try to stay where I am at. One last bit of information, when I am late taking my Pred in the morning or having a flare the very first thing that starts hurting are my hands and my forearms but my forearms are not in pain now and my hand pain is different then it usually feels like with PMR.