@ailean55 I have all those indications on my MRI’s including lower lumbar DDD, hip arthritis, torn labrum cartilage on both sides , but not fibromyalgia. However, I found I was able to get rid of almost all my pain with stretching, exercise and the right supplements including serrapeptidase and nattokinase enzymes. Some hemp seed oil (I. e. Healthy fats) cut pain and I also take some resveratrol / quercetin / turmeric, a small amount of rutin & multivitamins extra vitamin c to the maximum recommended level and some extra magnesium. Be sure to check blood pressure as some supplements can make it go up or down and don’t use the enzymes if you are already on anticoagulants or have a bleeding disorder. I have several posts where I described specific exercises I do either in this thread or in the pudendal neuralgia thread. The enzymes were a game changer for me and my muscles started feeling less ropey with less scar tissue after 2-3 months. Then you can cut back on the enzymes (but to work properly I do believe you need to stretch and exercise (or walk)) some for best results. At least, that was my experience. Now I have much less sitting pain and much less stiffness from myofascial pain. PM me if you want a detailed protocol beyond the list I gave you.