I need some clarification. Thanks to Actemra, my inflammation numbers are practically at zero. Thus, according to my rheumatologist, the shoulder pain I have is no longer from PMR, since PMR pain is caused by inflammation. I do have a lot of other things going on in my shoulders which could account for the pain. But, on this site, we've heard from many people diagnosed with PMR who have low inflammation scores. So, it is then possible to still have PMR without inflammation? Also, my pain levels seem to follow the PMR model (mostly in the morning and late evening). Would appreciate any feedback. Thank you.