Advanced techniques, such as myofascial therapy or specific strengthening and stretching exercises,
I have done these and had them done by physios for a period of time, with pain, but no relief. It could be that I would have to have treatment for years - but no one seems to know.
It isn't about muscle tension that causes it supposedly - it is the fascia itself that is too rigid.
It is possible to live with any ailment really - but at the same time, if it doesn't have to be lived with, why do it?
An old friend who has passed away told me when I was younger: ‘if nothing hurts after 50, then you're dead’, heh, heh, heh.