That was some of my concern about Beconase as well. The pain was gone, but was I doing damage to my joints on the speed skates and not feeling it? When you introduce an alternative source of a normally produced substance in the body, the internal processes that create it often shut down. The feedback mechanisms say "there is already enough". If the capability completely atrophies, you've caused a permanent problem. I didn't want to provoke that possibility.
Ah. Every case is different. For me the disease affects connective tissue so that means muscles too. When they finally diagnosed me, I was unable to brush my own teeth and almost bedridden. I had to do something and fast.