Should I pay extra for a direct flight, or can I handle layovers with my pain?

Layovers can reduce stiffness if you can rest well. If the airport turns into a standing/sprinting marathon, direct wins.

• If sitting ≥4–5 hours spikes pain → a single long layover helps.
• If walking/standing is your trigger → direct avoids terrain + queue tax.
• If meds timing is strict → fewer segments is safer.

• Layover airports with lounges/quiet zones or wheelchair assist.

• Tight connections and gate sprints.

• Outbound Day: This decision shapes your first flare risk.

Is a long layover good? Yes if you can lie down or sit supported.

How long can I safely sit? Your own threshold, not the flight duration.

What about DVT risk? Movement breaks + compression matter on long hauls.

• Long trips (>4–6 hrs) raise VTE risk; movement intervals and hydration reduce it.
• Pacing evidence shows repeated transitions add “control load” that drains energy faster than expected.
• Micro-anchor (migraine): If sensory overload in airports triggers you, direct flights reduce exposure time.
• Micro-anchor (back pain/OA): If sitting is your trigger, a layover can be your spine reset.