Hi tjjemel. Sorry you are having these issues with cyclic flaring. On top of the excellent advice from Monica concerning monitoring/journaling your activities, you may want to share this advice with your doctor to see if they spot any problematic patterns. Also, are you on a medication that you take on a periodic schedule? For example: some community members have noted when they take a bi-weekly biologic that they notice difficulties as the time for the next treatment approaches. You should also notify the doctor if this seems to be the case. Hope you find some answers soon. Best, Richard (RheumatoidArthritis.net Team)