If I work out even at a moderate pace (weights/Pilates/cardio) for 45 minutes (half at my rate 2-3 years ago) by 6 hours later, it can be very severe. Oddly, I could go on a bike ride for 20 miles and it would be better. I’ve found that the most I can now do without big payback by 7pm is a combo of just walking, moving, standing, being busy. But I’ve lost 10 pounds and lots of muscle mass and stamina. Lying down is the only thing that makes it go away after 45 minutes or so. I wake up with no pain! I note the progression though. More joints and more pain over the past 4 years - started in my knees. Now it’s pretty much every joint.