I have recently discovered one of my personal triggers that start a 'Flare' (it's only taken 33 years), and wonder if anyone else has experienced anything similar. A little over a week ago, feeling ambitious, I attempted to lift a rather large bag of stones from the local garden centre. A rather silly move given I no longer have the muscle mass in my arms and replacement elbows are not designed for such work. Needles to say I failed and experienced pain in both elbows. I resigned myself to a couple of uncomfortable days with pain in my elbows but discovered that, over the following week the discomfort spread into my other joints (shoulders, hips and wrists). I have come to the conclusion that, given that RA is an auto immune disease, that any injury, regardless of how trivial it may be, can trigger a 'Flare'. Am I right or is it pure coincidence? (I have been in remission for a number of years).