Hi and thanks for the query,
The fact that the steroid actually did help could be an indication of a chronic inflammatory process going on in the body. I think the rheumatologic component or aspect of the symptoms be explored further. It could be interesting to get an Erythrocyte Sedimentation rate
(ESR) test done. This simple and rapid test gives us an idea of the chronic inflammatory process going on in the body and could greatly guide further management. Rheumatoid Arthritis
, Lupus, vasculitis, mixed connective tissue
disease and osteoarthritis
are pathologies that should be given careful considerations. Repeat X rays, especially in search for lesions linked with decrease bone density (dimenralization), bone mass loss, compression of any nerves could be helpful. CT scan scans could be useful at some point in time depending on the clinical review results. I suggest you consult and get the opinion of the rheumatologist
Thanks and kind regards.
Bain LE, MD.