Susie, long-term use of Prednisone puts you at risk for tiny stress fractures and also for a condition known as osteonecrosis (bone death.) This shows up in the large joints, such as hips, ankles, shoulders, knees, and wrists. The first symptom I had of ON was tripping twice while stepping up on a curb and again going up some stairs. I thought at the time that it was neurological. Shortly after these falls, I started having knee pain, so I had x-rays and found that my knees were okay but that I had osteonecrosis of the hips and was having referred pain to my knee. I had to have bilateral hip replacements (and 3 revisions, since Shands screwed up the initial replacements.) Prednisone is the greatest risk factor for ON. With me, they think it was heavy drinking over 2 decades. So that's the first thing that came to mind when you said Prednisone and falling. Of course, it could be something else. Regardless, do contact your hepatologist. I would also request hip and knee x-rays to rule out ON.
Good luck and let us know what happens!
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