Okay, so we all know that laughing and talking are painful to those who have it 'round the clock. The bottom line with this condition is figuring out what keeps the inflammation down. You have to be your own detective and DON'T GIVE UP! So here's my challenge for you:
No talking unless absolutely necessary for 2 weeks. This means turning off your phone...when someone calls you, just e-mail back (I sent out a mass e-mail to my loved one in advance, they were very supportive...I'm doing this long term until I'm healed...nuts, huh? But I'm starting to feel a little better doing this combined with my regimen...yay!)....keep track of your pain on a pain scale of 1-10 each day and see if you can't get that pain to come down a notch.
This also eliminates stress....but you really have to commit to it. And add on to that only doing activities that are costo friendly...for me...that's walking only. Up for it? I know it's crazy, but so is this ridiculous condition. =)