I have had FM for several years (15). Mine however is usually quite manageable. It is the flare ups that throw me for a loop. It seems that each time I have a flare up they get progressively worse. More pain, more areas, and longer to reduce to manageable. Is this common?????? The first flare up was in my neck/shoulders. Next that and legs, next added arms. This is the first time it has affected my chest and rib area. I did have a car accident in Nov. I am so TIRED and DEPRESSED. I wanted some input as to - does the severity seem to get worse with each flare up?? Thanks for any input.