It's complicated. I exercise regularly. I'm a former amateur bicycle racer, and still ride, just nothing like I did in the past. My thoracic portion of my back is neutralized on a bike because I know how to fit professionally.
I'm degrading over time. For instance cooking most of my food for 8-10 days within an hour of being on my feet is getting difficult but is still doable. Interacting with me in the later half of that experience is a no go. I'm too stressed to deal with other people. By the time I am done, I am nonfunctional mentally for the rest of the day due to the pain.