It is hard to say how things will (or won't) change over time. I have had this for over two years and the stiffness has not gotten any better at all. My left elbow still gives me a lot of trouble although better after getting a shot of cortisone. The cramps have eased up a bit, however. I have no idea why as I have not changed a darn thing. I am grateful that I am no longer waking up several times a night with cramping here or there. I still get the cramps, as well as the "pre-cramps" often, but time has been on my side to some extent in that way. My twitching has gone down as well, but I try very hard to not let work or my home life stress me out too much. There are plenty of things going on in both arenas that cause me stress, but I am working hard to emotionally and mentally manage all that. It is hard and at first I tried to remind myself that our soldiers in prison during times of war, like the Vietnam War, had to have strong mental discipline to take them through their dark days. What we are going through, in my opinion, pales in comparison. If they managed to dig down deep and keep it together, we should be able to. That was thought that kept me going......