In my experience, if I find myself actively contemplating a round of Solumedrol, I go ahead and do it. I've had 7 or 8 rounds over the years, and have always been lucky with a good result.

The SEs can be a bit grim (my house sparkles when I'm done!), but if you're looking for symptom relief, it's probably the way to go. For me, the longer I wait, the worse it gets, and the longer it takes me to get back towards my baseline.

Good luck!
Pete