Hi GJZH,

I think it mostly has to do with the thoracic location of my cysts and physical limitations since my diagnosis.

Several activites seem to be able to trigger a flair-up: sneezing, coughing, bending, heavy lifting (plus pushing/pulling), bike riding, pressure jets in hot tub and straining during bowel mvmts. Any of these seem to be able to increase the pressure in the cysts (and/or pressure on the nerves) and activate pain.

I have been very cautious now that I'm aware of some of the things that can trigger the pain. However, it's only a matter of time before the next active episode.

kiza