What kind of a doctor deals with muscle spasms?

Posted by ksdm @ksdm, Jul 27 6:31pm

Does anyone know what kind of a doctor deals with muscle spasms? I get one in one spot on my back about every three months. They are unbearably painful and they last for 4-6 weeks during which time I have to sit in my chair with my heating pad and do nothing. I am 82 and this is not how I planned to spend my last days! I cry.

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Hello, I'm sorry you're going through this. I suffer from the same for years now.
You need to get yourself an appointment with a Pain Management Doctor immediately! I get trigger point injections which break up the spasms. There are many ways that they can help you. Good Luck!

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I am taking valium for my back spasms and it does give me some hours of relief.

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@janebaxter

Ask your physician about Tizanidine - it’s a muscle relaxant that works by blocking nerve impulses (pain sensations) that are sent to your brain. Tizanidine is used to treat spasticity by temporarily relaxing muscle tone.

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I just started taking it. Thanks!

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Pain meds for back spasms sound like you have the wrong and a lazy doctor. Especially at your age where opioids and pain killers are frowned upon for various reasons like falls and shallow breathing. First you have to know the reason for your spasm in order to resolve the problem. It can be from work. It can be from an accident. It can be from a compressed nerve in your spine and or from bad posture or a combination of all the above. It can be something like scoliosis where the muscles at the bottom on the opposite side, begin to pull on your muscles on the top of your spine because your body has weakened along the spine. I would suggest going to an orthopedic surgeon and a pain medicine department at a reputable university or HMO. Don’t start with a pain management clinic. That’s a commercial enterprise. Start at a doctors office with some thing like Kaiser or the mayo clinic where Ucsd. Definitely the things mentioned here are things that I do because I have the same problem. The Botox worked remarkably well as it paralyzes the muscle for 3 to 6 months. I also use the tizanidine when I have triggers. I also use acupuncture and the most incredible thing is the deep myofascial tissue release. There’s a whole section on it here in the mayo clinic for him under , MFR . Also wet heat like a heating pad that has moist hotness to it, and a tens unit everyone that has pain like ours should have a tens unit. They are $30 on Amazon and you can use it at home whenever you want. Good luck.

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I have had x-rays, CT scans, and MRI and all concluded I have nothing wrong with my back! I've been to physical therapy (which brought on a spasm) I asked about Botox and was told the "spot" where the spasm is is too close to my spine. I've been to U. of Penn Pain clinic, Temple University pain clinic plus 3 others. I've had 3 injections at the orthopedic doctor and nothing stops the spasm. I have a Tens unit (difficult to apply myself but I do it). My doctors have prescribed many different pain meds for me but they wreck my stomach so I can't eat. (no more pain meds!) Valium works, but I can't do much with 10 mg. I fall asleep. I only asked for the oxycodone in case I couldn't take the spasm pain. I never took one. Unfortunately, I have no Mayo Clinic or Kaiser near me. So far, no one can figure out what is causing the spasm. I am going to make an appointment with a neurologist next week. Maybe they can figure it out. I have never injured my back. Can't afford the myofascial tissue release, although it does sound like it would help. Thanks for your tips.

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@ksdm

I have had x-rays, CT scans, and MRI and all concluded I have nothing wrong with my back! I've been to physical therapy (which brought on a spasm) I asked about Botox and was told the "spot" where the spasm is is too close to my spine. I've been to U. of Penn Pain clinic, Temple University pain clinic plus 3 others. I've had 3 injections at the orthopedic doctor and nothing stops the spasm. I have a Tens unit (difficult to apply myself but I do it). My doctors have prescribed many different pain meds for me but they wreck my stomach so I can't eat. (no more pain meds!) Valium works, but I can't do much with 10 mg. I fall asleep. I only asked for the oxycodone in case I couldn't take the spasm pain. I never took one. Unfortunately, I have no Mayo Clinic or Kaiser near me. So far, no one can figure out what is causing the spasm. I am going to make an appointment with a neurologist next week. Maybe they can figure it out. I have never injured my back. Can't afford the myofascial tissue release, although it does sound like it would help. Thanks for your tips.

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Back spasms can also be caused by constipation. There are multiple causes.

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@ksdm

I have had x-rays, CT scans, and MRI and all concluded I have nothing wrong with my back! I've been to physical therapy (which brought on a spasm) I asked about Botox and was told the "spot" where the spasm is is too close to my spine. I've been to U. of Penn Pain clinic, Temple University pain clinic plus 3 others. I've had 3 injections at the orthopedic doctor and nothing stops the spasm. I have a Tens unit (difficult to apply myself but I do it). My doctors have prescribed many different pain meds for me but they wreck my stomach so I can't eat. (no more pain meds!) Valium works, but I can't do much with 10 mg. I fall asleep. I only asked for the oxycodone in case I couldn't take the spasm pain. I never took one. Unfortunately, I have no Mayo Clinic or Kaiser near me. So far, no one can figure out what is causing the spasm. I am going to make an appointment with a neurologist next week. Maybe they can figure it out. I have never injured my back. Can't afford the myofascial tissue release, although it does sound like it would help. Thanks for your tips.

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I don't think you mentioned chiropractic or acupuncture, but with all that you have already done that yielded nothing it is definitely worth a try. There is also one other thing that rings a bell for me and that is leg spasms which I have-commonly called leg cramps. I usually relate it to calcium deficits and if I immediately take a good calcium supplement then I don't have them again until the calcium is depleted.

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@krisjb1

I don't think you mentioned chiropractic or acupuncture, but with all that you have already done that yielded nothing it is definitely worth a try. There is also one other thing that rings a bell for me and that is leg spasms which I have-commonly called leg cramps. I usually relate it to calcium deficits and if I immediately take a good calcium supplement then I don't have them again until the calcium is depleted.

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I tried both, neither did anything to improve my pain, but thanks.

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I suggest you try physical therapy. I’m 72 with spinal stenosis, chronic pain syndrome, peripheral neuropathy both legs, fusion L5-S1 in 1988 and I go to PT at least 2-3 times a year as my back or legs act up. It’s what allows me to be active.

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@lafromli

Hello, I'm sorry you're going through this. I suffer from the same for years now.
You need to get yourself an appointment with a Pain Management Doctor immediately! I get trigger point injections which break up the spasms. There are many ways that they can help you. Good Luck!

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I've had two trigger point injections this time and neither one worked! Once I had one that DID work.....

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