I haven't posted for a long time as I have generally been well controlled on Leflunomide and sulphasalazine. For the last half of last year and beginning of this one I have been under a lot of stress as my 95year old mother had several spells in hospital before being transferred to a nursing home in October. Unfortunately she died middle of December and then my sister-in-law died on Christmas eve. Throughout this period my inflammation levels have been very good despite my doctor saying to be careful as stress can cause flares. However since coping with 2 funerals this year and supporting my family through their bereavement once everything has settled back down to normal I have had a lot of fatigue days and stiffness in my elbows. Could it be adrenalin that has seen me through this stressful period and now my life has calmed down it is all coming out in a flare? Has anyone else experienced this?