Hi . My wife, Kelly Mack (a contributor here), has a case very similar to Daniel's (they are good friends) and she has a similar situation with her rheumatologist. They have developed a flare action plan, which involves an emergency prescription of prednisone, for when a flare hits. One thing they have discussed is staying in front of the pain. If things get too bad, it can be hard to catch up and get the pain back under control. So, don't hesitate to reach out to your doctor at the first signs or, if they are amenable, have a plan like Daniel and Kelly to start on extra treatment right away. Best, Richard (Team Member)