Hi Becky... well a flare sort of meant my ear area, tinnitus, esp right ear, around the back, down my neck and across back of head were so very painful, more than usual (had been awake since 4am but was normal pain)...til I moved head around in bed, and it was worse when I moved and got up.... had coffee and toast and forced myself to shower and go for the blood tests/urine test ordered by nephrologist couple of months ago (third set of tests before I see her again in 2 weeks) and as at hospital thought I would/should go to emerge as only 3 waiting but my husband sort of said why.... last time you were here (after sort of vertigo and double vision) dr said take tylenol. I really wanted to go to emerge but often five hour wait and as happened started to feel a bit better, home and sat in chair for an hour and got up to move and it came back again and has been on and off .... so when my pain is worse or involves more than one area I just tell husband "having a flare" as he is recouperating himself and our dog has been very ill for three days and he is worn out looking after us both! Thanks for asking and bed all pm and now downstairs in chair and its quite painful - odd thing is I have fecal incontinence and when I go (about six or more times a day) it seems to be making it worse.... just looked up and right side of head started; honestly, i have had many issues for a logn time and today just seemed the icing on the cake, sorry. J.