Triggers, like the pain, are personal. Some things that seem to be common are:

Fatigue or not getting a good night’s sleep
Lack of exercise
Bad diet
Dwelling on the pain (which is why this web page was difficult to produce)
Over doing it and pushing yourself (although exercise seems exempt at times)
Things in general which make you uncomfortable, such as being too hot or cold, or sitting in a bad chair.

Stress is what makes the triggers personal. Different things stress different people. Politics is something I truly enjoy discussing, but it is a very reliable trigger. That’s very frustrating for me. Whatever triggers you have, pay attention to them and avoid them if possible.

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