Two good ideas.
I suspect you'll find she's not that surprised. Recovery from SI is often accompanied by relapses.
I'm sure she will want to support you, but I think it's part of handing over responsibility for yourself that she waits for you to raise it.

I really feel for you, it's so hard to raise, but I find, once over the initial hurdle it's not as hard as I always expect.

Strength to you and kudos for addressing the situation.