Possible associations with chemical or hormonal differences, infections or psychological or psychiatric factors. Develop a plan to avoid or limit overexertion and emotional stress. Allow yourself time each day to relax. But don't change your routine totally. People who quit work or drop all activity tend to do worse than do those who remain active.
Some people get relief from massages, hot baths and relaxation techniques.
At first, exercise may increase your pain. But doing it regularly often improves symptoms. Appropriate exercises include walking, swimming, biking and water aerobics. Aim for at least 20 to 30 minutes of exercise four or more times a week. Stretching and good posture are also helpful.