hi crpsspoonie. flares comes and go with rsd and weather can provoke them or nothing at can provoke them. when they happen to me i get a heating pad, cup of teas and cookies and lie in bed and watch a comedy for distraction until the flare passes. i don't take tramadol but take another pain killer that my pm dr prescribes alone with neurontin aka gabapentin. i find that i need the combination of the two to help manage my rsd pain and flare ups. maybe you could ask your dr about trying something like that too if you want. warm epsom salt baths are helpful to me too along with listening to classical music. i hope that your flare ends soon and that you feel better soon too. now i really have to sign off because my eyes getting really blurry and i am dizzy again. time for bed rest again. take care and hugs to all.