36 years FM dx and multiple other conditions, as many list here on this site. I believe it and other issues make it seem progressive, but may be the combination. I try hard to stay as active as I can. I went out on disability age 52. I have worked in the garden, taken rests, always with legs up. I recently moved in a home without steps and an active community. The key is to rest when needed and keep moving around and stay active as much as possible for you. It is frustrating as the pain sensitivity can get to you and truly not many understand about central pain sensitization. Fortunately I have a good pain Dr. And other great health providers.