My pain starts when I first wake up in the middle of the night after 2 maybe 3 hours of sleep and it affects my sleep all night long, falling asleep waking up falling asleep waking up with pain every time I try to get comfortable. When morning arrives I don't feel like I got a good night's sleep and it's pretty difficult to walk and it's painful to do just about everything but little by little as the morning progresses I feel more and more active and by noon I could go walk a mile I do that periodically. And I get better and better all the way up until bedtime. There's pain but I can be sitting in a comfortable chair or lying down on the couch or even walking around not doing too much physical movement and feel very little pain, even none until I move around too much. I can do small chores but I can't get down on the ground back up without incredible effort. It progresses to getting better by the next bedtime the next night and then it starts all over again. Keep in mind I am not on prednisone. I'm not sure if it's just a bad night now and then or if it's getting worse on a regular basis. I am working on the Terry Wahls Protocol diet, this being day 5. I haven't noticing anything yet but they say 30 days I should notice something if it's working. If it doesn't get worse than this I can handle it for a while