Most of what has already been mentioned bothers me and are the biggies. Use and stress mostly.

Diet also plays a role for me. Too much or too little salt is a problem. Mostly I need to keep the intake down. Sodium nitrite in processed meats can be a killer. I can't eat many sweets now but my limitation is still high enough.

I have to change positions frequently and keep my hand and ankle warm. Forgetting medication can be tough especially if it's the depakote. I tend to turn a lot of events into a cause for paranoia and it's worse without medication. I need to remember all the meds at day's end or I'll have trouble sleeoping and the emergency meds cause trouble the following day.

I can get a lot done if I consider my RSD first, last, and always. The very best thing for me and my RSD is working and accomplishing things. I need to feel useful and my hand hates exercise and loves work in moderation. A lot of what I do now is sedentary work but this is OK, too.