The disease of IC emmanates from the small intestina and infiltrates into the lymphatic system, in my opinion. Because of this, modalities which create too much movment in the lymph can create a lot of flaring for various reasons as the lymph moves.

I have found massage to be very problematic and other physical modalities as well. This also includes things such as laser treatments, which are purported to be harmless, but have profound effects on lymph and on inflammation.

I have had many recent run-ins with this, as often I do because people think massage, even on themselves is innocent. But, it can really create energy and movement in the wrong direction and interrupt what I am doing. 

Please, if you are doing anything of this sort, please let me know when we speak next and stop doing it in the mean time unless we have spoken about it and I feel you have reached a point where it is appropriate for you.

Dr.M