had been worsening
-empirais
Past perfect progressive conjugation of worsen. There are other translations for this conjugation.

worsen

But the rheumatism had been worsening.
Mais les rhumatismes avaient empiré.
The problem had been worsening and there seemed little prospect of an improvement.
Le problème a empiré et on ne voit guère comment la situation pourrait s'améliorer.
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