Since I first started showing symptoms for Sjogren’s about 9 years ago, turns out it’s secondary to Anklosing spondylitis. My SS started with VERY swollen glands, it has now escalated to much more painful symptoms in the throat and under my tongue. It feels like pins and needles along with a tightness and unless I take prednisone this is a daily occurrence for me and it can be quite painful. My glands still swell but not as severe as early on and stay swollen much of the time. I’m currently taking hydroxychloroquine and l lueflonomide, and Cimzia,for the SS but really the only thing that seems to help is prednisone. I recently fractured a few bones in my foot and dr believes prednisone is the culprit. Please, if anyone has any suggestions I would truly appreciate it. Does anyone experience similar symptoms?