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Constant excruciating leg cramps

Chronic Pain | Last Active: Jul 1, 2023 | Replies (68)

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@lfisher66

I will watch it. My doctor did refer me to the Pain Clinic. (I’m with Kaiser.)

They said, we’d like you to start CBT. Yes, I said, I’m familiar with that. Let’s give it a shot.

Well, it’s in group sessions only, oh, and virtual, and available on the two days from 10-12:30, or these two days from 3:30-6.

I say, I work from 12:30-6:30.

She says, can you work at 12:30?

1) No. 2) Nor can I magically appear somewhere immediately after finishing a virtual group.

I asked if the “Pain Clinic” also offers any Physical treatments—physical therapy, trigger point therapy, chiropractic? She says I will have to make an appointment with the clinical psychologist. They’ll let me know when that’s available. Haha.

I have tried muscle relaxers in the past. Magnesium, potassium, I do stretch— I pretty much have to. I’m currently going off the Gaba because it doesn’t help at a low dose and the Neuro doesn’t “discuss” with me (via e-message), he just tells me to take more. Not, “try taking 300mg more at night,” just “try taking more.” Grr..

Additionally, I was recently diagnosed with ADHD (formally. I’ve known for decades! Haha) That doc prescribed Wellbutrin. After about a month I messaged that I felt good on Wellbutrin, but not any different than any time feeling good Without Wellbutrin, and it Definitely did not help with ADHD symptoms.

Turns out directly after seeing me once (virtually of course,) my doctor left Kaiser. That was probably three months ago and they’re still waiting for a replacement doctor. I called and asked “Was that the Only psychiatrist in Kaiser? Can’t I just get a different doctor?” Meanwhile, they prescribed my adderall, of which I take the smallest dose once a day. It doesn’t help either, and, in fact, I suspect it makes my pain worse. After I get off the Gabapentin, I’m going to get off the adderall. (I don’t want to quit everything at once and this is literally only going to be a two week process since I take so little of each.) When I tell the docs they say, “Okay.”

Anyway, I’m rambling on now, but am interested in anyone else having these terrible, constant cramps.

Thanks all! 🙂

PS-I’m not “down and out”. The facts may suck, but it’s just what it is. 🙂

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Replies to "I will watch it. My doctor did refer me to the Pain Clinic. (I’m with Kaiser.)..."

@lfisher66 I'm glad to hear you're not down and out, and you are able to work. It's too bad you've chosen to discontinue Gabapentin so early. The name of the game is to titrate up in dose. That is what a doctor should recommend. It can be challenging to hang in there while the dose slowly increases before determining if you've found relief. Maybe you'll try again one day. Pregabalin (Lyrica) and Gabapentin are both are recommended for Fibromyalgia.

It sounds like you're doing all the right things for your muscle cramps...stretch, walk, exercise, magnesium. How about your hydration? Are you drinking enough water throughout the day? How about Epsom salt, warm baths and massage?

I found this Clevland Clinic article on muscle spasms. It might be worth a read:

https://my.clevelandclinic.org/health/diseases/15466-muscle-spasms

The only other thing I'll throw in is that all the tips and tricks for muscle cramping can be used, is that the addition of learning how to strengthen your belief in your abilities to learn how to effectively deal with stressful situations is clutch. Especially living with chronic conditions like fibromyalgia. You mentioned cognitive behavioral therapy (CBT). I'm sorry it's difficult for your scheduling purposes, but please don't give up on it.

@pacer3702 had a good question about EMG testing. Have you had a nerve conduction study or EMG testing to rule out other causes? I too experienced muscle cramping and twitching from neuropathy. What have your doctors ruled out?