One thing I forgot to mention, in your response you mentioned what things are causing flare-ups. From what I can see it isn't a particular activity that causes flare-ups for me, they just prevent me from doing anything physical because it burns. The cause of my re-flare-ups are simply being off of anti-inflammatories. When I'm on them I can do everything and I don't feel any problems. As soon as the medications stop then after a few days I could be doing nothing but resting and the problems start coming back without the meds. I took 3 weeks off all physical activities during that flare-up in July and the 3rd week was actually worse as far as burning pain than the 1st one until I finally got fed up and started taking the medications they had prescribed which shut it all down.