All flows

24 hours · Flare-up

24-Hour Flare-Up Reset

Purpose. Help you respond to a pain spike without panic.

01

Calm the alarm system

90/90 breathing. Long exhales. Hands resting on the ribs. Stay here longer than feels productive.

02

Gentle motion

Choose one or two:

  • Cat-cow
  • Pelvic tilts
  • Rocking
  • Supine knee fall-outs
03

Supported activation

Choose one or two:

  • Glute bridge hold
  • Dead bug
  • Wall march isometric
04

Return to neutral

Sit with support. Alternate standing and walking every 20–30 minutes. Avoid prolonged flexion or prolonged extension.

05

Sleep strategy

Side-lying with a pillow between the knees, or back-lying with a pillow under the knees. Avoid stomach sleeping during flare-ups.

06

Red flags

Seek medical care for
  • Loss of bowel or bladder control
  • Numbness in the groin or saddle region
  • Progressive weakness
  • Severe or worsening neurological symptoms

Closing

Most flare-ups are irritation plus guarding, not catastrophe. Calm first, then move.