I unfortunately don't have any experience to offer, but I would think that it would be a good time for pretty aggressive pain management, whether that be opioids, stellate ganglion blocks, ketamine infusions, or whatever. Personally, I would encourage you to look into a ketamine infusion, but that's just because it is the only thing that has been helpful for my daughter. Just like any treatment, they don't work for anyone, and it can be challenging to find someone who will do them. But I would think you would want to double down on any treatments you have access to to avoid a flare.