I am not absolutley sure Spiriva itself would cause pain without a steroid, for me it seems to intensify the pain of the side effects of the steroid.

Is it helping you breathe? As you probably know you have pretty mild COPD but I don't know anything about the progression and complications of MAC. I don't think inhalers do much for restrictive disease.

Were you getting sick and having flare ups or did they just give it to you because you have a little COPD? You will really have to try to balance the long term potential positive effect on your respiratory problems with the neuropathy pain. I hope you get it figured out.

judi