When mine flares, it is an activity that I am doing. Like today I wanted to write Holiday cards, I had to use my address book to print the envelopes instead of writing them out.

I even had them done at SAMs Club from a picture file I have and it signed our names. I was able to buy the stamps there too.
So this really limited my hand use. A few clicks printed up everything. I know it is not as personalized, but I need to reserve my hand use.

One time at work I was removing staples from stacks of documents, copying them and restapling them. I developed severe pain, twitching and senovial cyst.

I could have had a cortizone shot, but instead wore a wriste brace, took asprin as an anti inflamatory, or Advil Liquid gels for that localized pain and flare up.