What causes muscle spasms and cramps. How are muscle weakness and spasticity diagnosed. When should you seek medical attention for muscle issues. What treatments do neurologists offer for muscle problems.

Understanding Muscle Spasms and Cramps

Muscle spasms and cramps occur when muscles involuntarily contract, causing discomfort and potentially impacting mobility. These issues can range from mild twitches to severe pain, with the affected muscle often feeling harder than normal or visibly distorted.

Common sites for muscle spasms include:

• Thighs
• Calves
• Feet
• Hands
• Arms
• Abdomen

Calf cramps are often referred to as “charley horses,” while leg cramps occurring at night are called “nocturnal leg cramps.”

Duration and Intensity of Muscle Spasms

The duration and intensity of muscle spasms can vary significantly. How long do muscle spasms typically last? Most muscle spasms resolve within a few seconds to 15 minutes, though some may persist for hours. The intensity can range from mild discomfort to severe pain that temporarily impairs function.

Causes of Muscle Spasms and Weakness

While occasional muscle spasms following intense exercise are normal, unexplained or frequent spasms may indicate underlying issues. What are some common causes of muscle spasms and weakness?

• Compressed nerves
• Poor blood supply to muscles
• Mineral deficiencies (e.g., calcium, magnesium)
• Dehydration
• Autoimmune disorders
• Muscle damage or overuse
• Stress and anxiety
• Certain medications

Muscle weakness, where muscles don’t respond with the expected force, can be caused by various conditions:

• Stroke
• Muscular dystrophy
• Chronic fatigue syndrome
• Nerve injuries
• Multiple sclerosis

When to Seek Medical Attention for Muscle Issues

While mild, occasional muscle spasms often resolve on their own, certain symptoms warrant prompt medical evaluation. When should you consult a doctor for muscle problems?

• Sudden onset of severe muscle weakness
• Muscle weakness affecting the face or breathing
• Persistent or recurring muscle spasms without clear cause
• Muscle spasms accompanied by other neurological symptoms
• Significant pain or impaired mobility due to muscle issues

Seeking timely medical attention can help identify and address potentially serious underlying conditions.

Diagnostic Approaches for Muscle Spasms and Weakness

Neurologists employ various diagnostic tools to identify the root causes of muscle spasms and weakness. What methods do doctors use to diagnose muscle problems?

• Comprehensive physical examination
• Detailed medical history
• Electromyography (EMG) to assess muscle and nerve function
• Nerve conduction studies
• Blood tests to check for electrolyte imbalances or other issues
• Imaging studies like CT scans or MRIs
• Muscle or nerve biopsies in certain cases

These diagnostic approaches help neurologists pinpoint the specific causes of muscle issues and develop targeted treatment plans.

Treatment Options for Muscle Spasms and Weakness

Treatment for muscle spasms and weakness varies depending on the underlying cause and severity of symptoms. What are some common treatments for muscle problems?

Home Remedies for Mild Muscle Spasms

• Stretching and gentle massage
• Applying heat or cold packs
• Staying hydrated
• Ensuring adequate electrolyte intake
• Rest and avoiding overexertion

Medical Treatments for Persistent or Severe Muscle Issues

• Prescription muscle relaxants
• Physical therapy and rehabilitation exercises
• BOTOX® injections for severe spasticity
• Medications to address underlying conditions (e.g., anti-inflammatory drugs, immunosuppressants)
• Nutritional supplements to correct deficiencies
• In some cases, surgical interventions may be necessary

The choice of treatment depends on the specific diagnosis and individual patient factors. Neurologists work closely with patients to develop personalized treatment plans aimed at relieving symptoms and addressing root causes.

Specialized Care for Muscle Issues in NYC

For residents of New York City and surrounding areas, specialized neurological care for muscle spasms, weakness, and related issues is readily available. Where can patients find expert care for muscle problems in NYC?

Complete Neurological Care, with multiple locations throughout NYC, offers comprehensive diagnosis and treatment for a wide range of neurological conditions, including muscle spasms and weakness. Their team of board-certified neurologists brings decades of experience in treating complex neurological issues.

Services Offered at Complete Neurological Care

• Advanced diagnostic testing, including EMG and imaging studies
• Customized treatment plans for muscle spasms and weakness
• BOTOX® injections for severe muscle spasticity
• Physical therapy and rehabilitation services
• Management of underlying neurological conditions
• Ongoing care and follow-up to ensure optimal outcomes

Patients benefit from a multidisciplinary approach that addresses both immediate symptoms and long-term management of neurological muscle issues.

Preventing Muscle Spasms and Promoting Muscle Health

While not all muscle spasms and weakness can be prevented, certain lifestyle measures can help reduce their frequency and severity. How can you maintain healthy muscles and minimize the risk of spasms?

• Stay well-hydrated, especially during physical activity
• Maintain a balanced diet rich in essential minerals like calcium, magnesium, and potassium
• Warm up properly before exercise and cool down afterward
• Practice good posture and ergonomics to reduce muscle strain
• Get regular exercise to maintain muscle strength and flexibility
• Manage stress through relaxation techniques or mindfulness practices
• Ensure adequate sleep and rest
• Avoid overexertion and gradually increase exercise intensity

By incorporating these habits into daily life, individuals can promote overall muscle health and potentially reduce the incidence of muscle spasms and related issues.

Understanding the Impact of Neurological Conditions on Muscle Function

Many neurological disorders can significantly affect muscle function, leading to spasms, weakness, or other symptoms. How do various neurological conditions impact muscles?

Multiple Sclerosis (MS)

MS can cause muscle spasticity, weakness, and coordination problems due to damage to the nerve fibers in the central nervous system. This can lead to a range of muscle-related symptoms that may fluctuate over time.

Parkinson’s Disease

Parkinson’s often causes muscle rigidity and tremors, affecting fine motor control and overall movement. As the disease progresses, muscle weakness and balance issues may become more pronounced.

Amyotrophic Lateral Sclerosis (ALS)

ALS leads to progressive muscle weakness and atrophy as motor neurons degenerate. This can affect voluntary muscle movements throughout the body, including those involved in speaking, swallowing, and breathing.

Peripheral Neuropathy

Damage to peripheral nerves can cause muscle weakness, cramping, and altered sensation. This condition can result from various factors, including diabetes, chemotherapy, and certain infections.

Understanding the neurological basis of muscle symptoms is crucial for effective diagnosis and treatment. Neurologists specializing in these conditions can provide targeted interventions to manage symptoms and slow disease progression when possible.

Emerging Treatments and Research in Muscle Disorder Management

The field of neurology is constantly evolving, with ongoing research into new treatments for muscle spasms, weakness, and related disorders. What are some promising developments in muscle disorder management?

Gene Therapy for Muscular Dystrophies

Researchers are exploring gene therapy approaches to correct the genetic mutations responsible for various forms of muscular dystrophy. While still experimental, early results have shown promise in some clinical trials.

Stem Cell Therapies

Stem cell research offers potential for regenerating damaged muscle tissue or replacing dysfunctional nerve cells. This could have applications in conditions like spinal cord injuries or degenerative muscle diseases.

Advanced Neuromodulation Techniques

New approaches to neuromodulation, such as targeted electrical stimulation or magnetic therapies, are being developed to manage muscle spasticity and improve function in neurological conditions.

Personalized Medicine Approaches

Advances in genetic testing and biomarker identification are enabling more personalized treatment strategies for muscle disorders, allowing for targeted interventions based on individual patient characteristics.

While many of these treatments are still in development or early clinical stages, they represent the cutting edge of neurological care for muscle disorders. Patients with persistent or complex muscle issues may benefit from discussing the latest research and potential clinical trials with their neurologists.

The Role of Interdisciplinary Care in Managing Muscle Disorders

Effective management of muscle spasms, weakness, and related neurological issues often requires a collaborative approach involving multiple medical specialties. How does interdisciplinary care benefit patients with muscle disorders?

Components of Comprehensive Muscle Disorder Care

• Neurology: Diagnosis and management of underlying neurological conditions
• Physical Therapy: Targeted exercises and techniques to improve muscle function and reduce spasms
• Occupational Therapy: Strategies to maintain independence and perform daily activities
• Pain Management: Specialized approaches to control chronic pain associated with muscle disorders
• Nutrition: Dietary guidance to support muscle health and manage related conditions
• Psychology: Support for coping with the emotional and mental health aspects of chronic muscle issues
• Orthopedics: Management of skeletal issues that may contribute to muscle problems

By combining expertise from various disciplines, patients receive comprehensive care that addresses all aspects of their muscle health and overall well-being. This integrated approach can lead to better outcomes and improved quality of life for those dealing with complex muscle disorders.

Coordinating Care for Optimal Results

Effective interdisciplinary care requires seamless communication and coordination among healthcare providers. Many specialized neurology practices, like Complete Neurological Care in NYC, serve as central hubs for coordinating various aspects of a patient’s treatment plan. This ensures that all interventions are complementary and working towards common goals.

Patients benefit from having a primary neurologist who oversees their care, integrating insights and recommendations from other specialists to create a cohesive treatment strategy. This coordinated approach helps avoid conflicting treatments and ensures that all aspects of the patient’s health are considered in managing their muscle disorder.

Neurological Muscle Spasms, Weakness, & Cramping Doctors in NYC

Do You Suffer From Muscle Spasms, Cramps, or Weakness?

Most people have experienced muscle weakness, spasms, and cramps at some point. Following hard exercise, these symptoms are relatively normal. However, if they come on suddenly or without explanation, they may indicate nerve damage or a systemic health problem. At Complete Neurological Care in NYC, we offer treatment for a range of conditions. After using our advanced neurological testing and diagnostic tools to uncover the cause of muscle weakness or spasms, we will determine the right treatment for you.

Complete Neurological Care is your number one choice for comprehensive and caring neurological muscle spasms, weakness, and cramps treatment in New York. Our NYC board-certified neurologists are experts in their field with decades of experience treating neurological concerns, including muscle spasms, cramps, and weakness. Our goal is to relieve your pain quickly, safely, and effectively by utilizing our best diagnostic approaches and implementing our trusted treatment procedures. Schedule an appointment for muscle spasms, cramps, and weakness treatment today.

Causes and Treatment for Muscle Weakness

Muscle weakness occurs when your muscles do not respond to the true amount of force that you are exerting. This can affect all of your muscles or a specific region of your body. Weakness will typically be more pronounced if it is localized. Sudden or severe muscle weakness can sometimes be a symptom of a serious health problem. Therefore, it is important to seek treatment as soon as possible. A few causes of muscle weakness include:

• Stroke
• Muscular dystrophy
• Chronic fatigue syndrome
• org/MedicalCause” itemprop=”cause”>Nerve injury
• Multiple sclerosis

You should seek emergency treatment for muscle weakness if it comes on suddenly, affects your facial muscles, or inhibits breathing.

Treatment for your muscle weakness will depend on the specific cause. Our neurological muscle weakness doctors will conduct a complete exam, often using electromyography tests, CT scans, and MRIs to check brain and nerve function.

What Causes Muscle Spasms and Cramps?

Spasms and cramps occur when your muscles involuntarily contract. This can cause significant discomfort, and it can impact your physical mobility. In some cases, spasms can also be very embarrassing, particularly if they affect the muscles in your face. Sometimes, exertion or fatigue can cause muscle spasms. However, if there is not an obvious cause, you should see a neurological doctor for muscle spasms and cramps. Cramps and spasms can be side effects of:

• Compressed nerves
• Poor blood supply to the nearby muscles
• Inadequate mineral supply
• Autoimmune disorders
• Muscle damage
• Stress

Treatment for Muscle Spasms and Cramps

You can treat minor muscle spasms and cramps at home. Hydration, compresses, and rest are often enough to ease your tightened muscles. However, if spasticity is the result of an underlying condition, you may require more comprehensive care. Our neurological doctors will provide a complete exam, which could include blood and electromyography tests.

After determining the cause of your symptoms, we will determine the most effective treatment. A prescription muscle relaxant may be enough for mild to moderate cramps. If you have more severe symptoms, we may recommend BOTOX® injections. The small amounts of botulinum toxin will block nerve impulses to calm overactive muscles.

To improve muscle weakness, spasms, and cramps, schedule your appointment today with the muscle spasm doctors at Complete Neurological Care, located in Queens, Downtown Manhattan, Midtown Manhattan, Long Island, Upper West Side, the Bronx, and New Jersey. We’re equipped with the skills and technology necessary to diagnose and treat common neurological concerns.

Causes, Pain Relief & Treatment

Overview

What are muscle spasms (muscle cramps)?

Otherwise known as muscle cramps, spasms occur when your muscle involuntary and forcibly contracts uncontrollably and can’t relax. These are very common and can affect any of your muscles. They can involve part or all of a muscle, or several muscles in a group. The most common sites for muscle spasms are the thighs, calves, feet, hands, arms and abdomen. When occurring in the calves, especially, such cramps are known as “charley horses.” A leg cramp that happens at night when you’re at rest or asleep is called a “nocturnal leg cramp.”

What do muscle spasms (muscle cramps) feel like?

Muscle spasms range in intensity from mild, uncomfortable twitches to significant discomfort to intense, severe pain. The spastic muscle may feel harder than normal to the touch and/or appear visibly distorted. It may twitch. Spasms typically last from seconds to 15 minutes or longer, and may recur multiple times before going away.

How do I stop a muscle spasm?

There’s no pill or injection that instantly relieves muscle spasms, so the best thing you can do is stretch your affected muscle and massage it. If it’s in your leg, get up and walk around. Try applying ice or heat (take a warm bath or use a heating pad).

Sometimes a muscle spasm can be prevented – stopped before it ever happens.

Who gets muscle spasms?

Muscle spasms can occur at any time to anyone. Whether you are old, young, sedentary or active, you may develop a muscle spasm. It can happen when you walk, sit, perform any exercise or sleep. Some individuals are prone to muscle spasms and get them regularly with any physical exertion.

How common are muscle spasms?

Muscle spasms (muscle cramps) are common. They can happen to anyone and are very normal.

Symptoms and Causes

What causes muscle spasms (muscle cramps)?

“Idiopathic” means that the exact cause is unknown, and that’s the case with muscle spasms. Some experts believe that one of more of the following may be to blame in most cases:

• Not enough stretching.
• Muscle fatigue.
• Exercising in the heat.
• Dehydration.
• Depletion of electrolytes (salts and minerals like potassium, magnesium and calcium in your body).
• Involuntary nerve discharges.
• Restriction in the blood supply.
• Stress.
• Too much high-intensity exercise.

Possible causes for nocturnal leg cramps (leg cramps at night), specifically, include:

• Sitting for long periods of time.
• Overusing the muscles.
• Standing or working on concrete floors.
• Sitting improperly.

What are the symptoms of muscle spasms (muscle cramps)?

Muscle spasms can feel like a stitch in the side or be agonizingly painful. You may see a twitch under your skin and it may feel hard to the touch. Spasms are involuntary. The muscles contract and it takes treatment and time for them to relax. They are very common, especially in older adults and athletes.

If the muscle spasm is severe, happens frequently, responds poorly to treatment and is not related to obvious causes, make an appointment with your healthcare provider. The spasms could be related to underlying factors.

Diagnosis and Tests

How are muscle spasms diagnosed?

Your healthcare provider will need to know, in addition to your medical history and medications, information about:

• How bad the pain is.
• When do the muscle spasms happen (e.g. at night? After exercising?).
• How long the cramps last.
• What the muscle spasms feel like.
• When the muscle spasms started.
• Any other symptoms you’re experiencing.

Management and Treatment

How are muscle spasms (muscle cramps) treated?

When a spasm strikes, you might be exercising, simply sitting or even sleeping in the middle of the night. If only there was a magical injection that could instantly relieve your pain! There are, however, five steps you can take to try to get rid of the spasm:

• Stretch the affected area.
• Massage the affected area with your hands or a massage roller.
• Stand up and walk around.
• Apply heat or ice. Put an ice pack together or apply a heating pad, or take a nice warm bath.
• Take painkillers such as ibuprofen and acetaminophen.

What vitamins may help with muscle spasms (muscle cramps)?

Some experts believe that a daily vitamin B12 complex can help.

When should I get my muscle spasms treated at the emergency room?

Typically, the muscle spasm shouldn’t last very long and, even though it can be very painful, it’s usually not considered an emergency. However, if the pain becomes unbearable, or if the spasms start after you touch a substance that could be poisonous or infectious, go to the ER.

Prevention

How can I prevent muscle spasms (muscle cramps)?

Muscle spasms are difficult to prevent. They can be unpredictable. They can happen at any time. There are risk factors you can’t avoid, like your age. However, there are some reported methods that might be helpful when it comes to overcoming those risk factors and preventing the muscle spasms:

• Perform flexibility exercises on a regular basis.
• Work towards better overall fitness.
• Stretch your muscles regularly. Do this especially for those most prone to muscle spasms.
• Drink fluids frequently. Choose water and avoid alcohol and caffeine.
• Avoid exercising in hot weather.
• Wear shoes that fit you properly.
• Keep your weight at a healthy range. Experiment with mild exercise right before bed to prevent nocturnal leg cramps.
• Avoid medications that may cause muscle spasms as a side effect.
• To prevent leg cramps, use pillows to keep your toes pointed upwards if you sleep on your back. If you sleep on your chest, hang your feet over the end of the bed.
• Stretch your muscles before you go to sleep. When you sleep, keep the sheets and blankets loose around your legs.

Outlook / Prognosis

What can I expect if I’ve been diagnosed with muscle spasms?

Muscle spasms can worsen and happen more frequently with age. Be sure to use prevention and treatment techniques to increase your chances of being able to manage the muscle spasms.

How do I take care of myself?

You and your healthcare provider should come up with a treatment plan together. Have a prevention plan and a plan for what to do when a muscle spasm hits. Do the following every day:

• Exercise (but not in intense heat). If you get nocturnal leg cramps, do some walking before you go to sleep.
• Stretch. Stretch frequently including before and after you exercise and before you go to sleep.
• Purchase sturdy shoes.
• Drink plenty of water each day. Stay away from caffeine and alcohol.
• Take all prescribed vitamins and medications such as muscle relaxants.
• Prepare your bed space by keeping a heating pad and massage roller nearby.

When should I see my healthcare provider about my muscle spasms (muscle cramps)?

See your healthcare provider if the spasms are unbearably painful, happen frequently or last for a long time. Also, talk to your healthcare provider right away if you have the following symptoms in addition:

• Significant pain.
• Swelling or numbness in the leg.
• Changes in the skin of your leg.
• Waking up over and over again with leg cramps.
• If your leg cramps are stopping you from getting enough sleep.
• If you have fluid abnormalities or electrolyte imbalances that you’re aware of.

See your healthcare provider immediately if you’re concerned that your muscle spasms are a symptom of an underlying serious medical condition.

What questions should I ask my healthcare provider about muscle spasms?

• Do you recommend that I see a physical therapist, sleep specialist, massage therapist or other specialist?
• Do you think that my muscle spasms are a symptom of a disease?
• Can you show me the best exercises I can do to stretch my muscles?
• How can I help my child when they have a muscle spasm?
• Can you show me the best massage techniques I can use to help with my muscle spasms?

Living With

A note from Cleveland Clinic

You don’t have to “just live with” muscle spasms! They may be unpredictable, but there are a few steps you can take not only to prevent them but to soothe them in the moment. Contact your healthcare provider and have a conversation about your concerns.

Don’t let muscle cramps keep you from having a healthy exercise routine and don’t let them interfere with your sleep! Remember – listen to your healthcare provider.

Causes, Pain Relief & Treatment

Overview

What are muscle spasms (muscle cramps)?

Otherwise known as muscle cramps, spasms occur when your muscle involuntary and forcibly contracts uncontrollably and can’t relax. These are very common and can affect any of your muscles. They can involve part or all of a muscle, or several muscles in a group. The most common sites for muscle spasms are the thighs, calves, feet, hands, arms and abdomen. When occurring in the calves, especially, such cramps are known as “charley horses.” A leg cramp that happens at night when you’re at rest or asleep is called a “nocturnal leg cramp.”

What do muscle spasms (muscle cramps) feel like?

Muscle spasms range in intensity from mild, uncomfortable twitches to significant discomfort to intense, severe pain. The spastic muscle may feel harder than normal to the touch and/or appear visibly distorted. It may twitch. Spasms typically last from seconds to 15 minutes or longer, and may recur multiple times before going away.

How do I stop a muscle spasm?

There’s no pill or injection that instantly relieves muscle spasms, so the best thing you can do is stretch your affected muscle and massage it. If it’s in your leg, get up and walk around. Try applying ice or heat (take a warm bath or use a heating pad).

Sometimes a muscle spasm can be prevented – stopped before it ever happens.

Who gets muscle spasms?

Muscle spasms can occur at any time to anyone. Whether you are old, young, sedentary or active, you may develop a muscle spasm. It can happen when you walk, sit, perform any exercise or sleep. Some individuals are prone to muscle spasms and get them regularly with any physical exertion.

How common are muscle spasms?

Muscle spasms (muscle cramps) are common. They can happen to anyone and are very normal.

Symptoms and Causes

What causes muscle spasms (muscle cramps)?

“Idiopathic” means that the exact cause is unknown, and that’s the case with muscle spasms. Some experts believe that one of more of the following may be to blame in most cases:

• Not enough stretching.
• Muscle fatigue.
• Exercising in the heat.
• Dehydration.
• Depletion of electrolytes (salts and minerals like potassium, magnesium and calcium in your body).
• Involuntary nerve discharges.
• Restriction in the blood supply.
• Stress.
• Too much high-intensity exercise.

Possible causes for nocturnal leg cramps (leg cramps at night), specifically, include:

• Sitting for long periods of time.
• Overusing the muscles.
• Standing or working on concrete floors.
• Sitting improperly.

What are the symptoms of muscle spasms (muscle cramps)?

Muscle spasms can feel like a stitch in the side or be agonizingly painful. You may see a twitch under your skin and it may feel hard to the touch. Spasms are involuntary. The muscles contract and it takes treatment and time for them to relax. They are very common, especially in older adults and athletes.

If the muscle spasm is severe, happens frequently, responds poorly to treatment and is not related to obvious causes, make an appointment with your healthcare provider. The spasms could be related to underlying factors.

Diagnosis and Tests

How are muscle spasms diagnosed?

Your healthcare provider will need to know, in addition to your medical history and medications, information about:

• How bad the pain is.
• When do the muscle spasms happen (e.g. at night? After exercising?).
• How long the cramps last.
• What the muscle spasms feel like.
• When the muscle spasms started.
• Any other symptoms you’re experiencing.

Management and Treatment

How are muscle spasms (muscle cramps) treated?

When a spasm strikes, you might be exercising, simply sitting or even sleeping in the middle of the night. If only there was a magical injection that could instantly relieve your pain! There are, however, five steps you can take to try to get rid of the spasm:

• Stretch the affected area.
• Massage the affected area with your hands or a massage roller.
• Stand up and walk around.
• Apply heat or ice. Put an ice pack together or apply a heating pad, or take a nice warm bath.
• Take painkillers such as ibuprofen and acetaminophen.

What vitamins may help with muscle spasms (muscle cramps)?

Some experts believe that a daily vitamin B12 complex can help.

When should I get my muscle spasms treated at the emergency room?

Typically, the muscle spasm shouldn’t last very long and, even though it can be very painful, it’s usually not considered an emergency. However, if the pain becomes unbearable, or if the spasms start after you touch a substance that could be poisonous or infectious, go to the ER.

Prevention

How can I prevent muscle spasms (muscle cramps)?

Muscle spasms are difficult to prevent. They can be unpredictable. They can happen at any time. There are risk factors you can’t avoid, like your age. However, there are some reported methods that might be helpful when it comes to overcoming those risk factors and preventing the muscle spasms:

• Perform flexibility exercises on a regular basis.
• Work towards better overall fitness.
• Stretch your muscles regularly. Do this especially for those most prone to muscle spasms.
• Drink fluids frequently. Choose water and avoid alcohol and caffeine.
• Avoid exercising in hot weather.
• Wear shoes that fit you properly.
• Keep your weight at a healthy range. Experiment with mild exercise right before bed to prevent nocturnal leg cramps.
• Avoid medications that may cause muscle spasms as a side effect.
• To prevent leg cramps, use pillows to keep your toes pointed upwards if you sleep on your back. If you sleep on your chest, hang your feet over the end of the bed.
• Stretch your muscles before you go to sleep. When you sleep, keep the sheets and blankets loose around your legs.

Outlook / Prognosis

What can I expect if I’ve been diagnosed with muscle spasms?

Muscle spasms can worsen and happen more frequently with age. Be sure to use prevention and treatment techniques to increase your chances of being able to manage the muscle spasms.

How do I take care of myself?

You and your healthcare provider should come up with a treatment plan together. Have a prevention plan and a plan for what to do when a muscle spasm hits. Do the following every day:

• Exercise (but not in intense heat). If you get nocturnal leg cramps, do some walking before you go to sleep.
• Stretch. Stretch frequently including before and after you exercise and before you go to sleep.
• Purchase sturdy shoes.
• Drink plenty of water each day. Stay away from caffeine and alcohol.
• Take all prescribed vitamins and medications such as muscle relaxants.
• Prepare your bed space by keeping a heating pad and massage roller nearby.

When should I see my healthcare provider about my muscle spasms (muscle cramps)?

See your healthcare provider if the spasms are unbearably painful, happen frequently or last for a long time. Also, talk to your healthcare provider right away if you have the following symptoms in addition:

• Significant pain.
• Swelling or numbness in the leg.
• Changes in the skin of your leg.
• Waking up over and over again with leg cramps.
• If your leg cramps are stopping you from getting enough sleep.
• If you have fluid abnormalities or electrolyte imbalances that you’re aware of.

See your healthcare provider immediately if you’re concerned that your muscle spasms are a symptom of an underlying serious medical condition.

What questions should I ask my healthcare provider about muscle spasms?

• Do you recommend that I see a physical therapist, sleep specialist, massage therapist or other specialist?
• Do you think that my muscle spasms are a symptom of a disease?
• Can you show me the best exercises I can do to stretch my muscles?
• How can I help my child when they have a muscle spasm?
• Can you show me the best massage techniques I can use to help with my muscle spasms?

Living With

A note from Cleveland Clinic

You don’t have to “just live with” muscle spasms! They may be unpredictable, but there are a few steps you can take not only to prevent them but to soothe them in the moment. Contact your healthcare provider and have a conversation about your concerns.

Don’t let muscle cramps keep you from having a healthy exercise routine and don’t let them interfere with your sleep! Remember – listen to your healthcare provider.

Causes, Pain Relief & Treatment

Overview

What are muscle spasms (muscle cramps)?

Otherwise known as muscle cramps, spasms occur when your muscle involuntary and forcibly contracts uncontrollably and can’t relax. These are very common and can affect any of your muscles. They can involve part or all of a muscle, or several muscles in a group. The most common sites for muscle spasms are the thighs, calves, feet, hands, arms and abdomen. When occurring in the calves, especially, such cramps are known as “charley horses.” A leg cramp that happens at night when you’re at rest or asleep is called a “nocturnal leg cramp.”

What do muscle spasms (muscle cramps) feel like?

Muscle spasms range in intensity from mild, uncomfortable twitches to significant discomfort to intense, severe pain. The spastic muscle may feel harder than normal to the touch and/or appear visibly distorted. It may twitch. Spasms typically last from seconds to 15 minutes or longer, and may recur multiple times before going away.

How do I stop a muscle spasm?

There’s no pill or injection that instantly relieves muscle spasms, so the best thing you can do is stretch your affected muscle and massage it. If it’s in your leg, get up and walk around. Try applying ice or heat (take a warm bath or use a heating pad).

Sometimes a muscle spasm can be prevented – stopped before it ever happens.

Who gets muscle spasms?

Muscle spasms can occur at any time to anyone. Whether you are old, young, sedentary or active, you may develop a muscle spasm. It can happen when you walk, sit, perform any exercise or sleep. Some individuals are prone to muscle spasms and get them regularly with any physical exertion.

How common are muscle spasms?

Muscle spasms (muscle cramps) are common. They can happen to anyone and are very normal.

Symptoms and Causes

What causes muscle spasms (muscle cramps)?

“Idiopathic” means that the exact cause is unknown, and that’s the case with muscle spasms. Some experts believe that one of more of the following may be to blame in most cases:

• Not enough stretching.
• Muscle fatigue.
• Exercising in the heat.
• Dehydration.
• Depletion of electrolytes (salts and minerals like potassium, magnesium and calcium in your body).
• Involuntary nerve discharges.
• Restriction in the blood supply.
• Stress.
• Too much high-intensity exercise.

Possible causes for nocturnal leg cramps (leg cramps at night), specifically, include:

• Sitting for long periods of time.
• Overusing the muscles.
• Standing or working on concrete floors.
• Sitting improperly.

What are the symptoms of muscle spasms (muscle cramps)?

Muscle spasms can feel like a stitch in the side or be agonizingly painful. You may see a twitch under your skin and it may feel hard to the touch. Spasms are involuntary. The muscles contract and it takes treatment and time for them to relax. They are very common, especially in older adults and athletes.

If the muscle spasm is severe, happens frequently, responds poorly to treatment and is not related to obvious causes, make an appointment with your healthcare provider. The spasms could be related to underlying factors.

Diagnosis and Tests

How are muscle spasms diagnosed?

Your healthcare provider will need to know, in addition to your medical history and medications, information about:

• How bad the pain is.
• When do the muscle spasms happen (e.g. at night? After exercising?).
• How long the cramps last.
• What the muscle spasms feel like.
• When the muscle spasms started.
• Any other symptoms you’re experiencing.

Management and Treatment

How are muscle spasms (muscle cramps) treated?

When a spasm strikes, you might be exercising, simply sitting or even sleeping in the middle of the night. If only there was a magical injection that could instantly relieve your pain! There are, however, five steps you can take to try to get rid of the spasm:

• Stretch the affected area.
• Massage the affected area with your hands or a massage roller.
• Stand up and walk around.
• Apply heat or ice. Put an ice pack together or apply a heating pad, or take a nice warm bath.
• Take painkillers such as ibuprofen and acetaminophen.

What vitamins may help with muscle spasms (muscle cramps)?

Some experts believe that a daily vitamin B12 complex can help.

When should I get my muscle spasms treated at the emergency room?

Typically, the muscle spasm shouldn’t last very long and, even though it can be very painful, it’s usually not considered an emergency. However, if the pain becomes unbearable, or if the spasms start after you touch a substance that could be poisonous or infectious, go to the ER.

Prevention

How can I prevent muscle spasms (muscle cramps)?

Muscle spasms are difficult to prevent. They can be unpredictable. They can happen at any time. There are risk factors you can’t avoid, like your age. However, there are some reported methods that might be helpful when it comes to overcoming those risk factors and preventing the muscle spasms:

• Perform flexibility exercises on a regular basis.
• Work towards better overall fitness.
• Stretch your muscles regularly. Do this especially for those most prone to muscle spasms.
• Drink fluids frequently. Choose water and avoid alcohol and caffeine.
• Avoid exercising in hot weather.
• Wear shoes that fit you properly.
• Keep your weight at a healthy range. Experiment with mild exercise right before bed to prevent nocturnal leg cramps.
• Avoid medications that may cause muscle spasms as a side effect.
• To prevent leg cramps, use pillows to keep your toes pointed upwards if you sleep on your back. If you sleep on your chest, hang your feet over the end of the bed.
• Stretch your muscles before you go to sleep. When you sleep, keep the sheets and blankets loose around your legs.

Outlook / Prognosis

What can I expect if I’ve been diagnosed with muscle spasms?

Muscle spasms can worsen and happen more frequently with age. Be sure to use prevention and treatment techniques to increase your chances of being able to manage the muscle spasms.

How do I take care of myself?

You and your healthcare provider should come up with a treatment plan together. Have a prevention plan and a plan for what to do when a muscle spasm hits. Do the following every day:

• Exercise (but not in intense heat). If you get nocturnal leg cramps, do some walking before you go to sleep.
• Stretch. Stretch frequently including before and after you exercise and before you go to sleep.
• Purchase sturdy shoes.
• Drink plenty of water each day. Stay away from caffeine and alcohol.
• Take all prescribed vitamins and medications such as muscle relaxants.
• Prepare your bed space by keeping a heating pad and massage roller nearby.

When should I see my healthcare provider about my muscle spasms (muscle cramps)?

See your healthcare provider if the spasms are unbearably painful, happen frequently or last for a long time. Also, talk to your healthcare provider right away if you have the following symptoms in addition:

• Significant pain.
• Swelling or numbness in the leg.
• Changes in the skin of your leg.
• Waking up over and over again with leg cramps.
• If your leg cramps are stopping you from getting enough sleep.
• If you have fluid abnormalities or electrolyte imbalances that you’re aware of.

See your healthcare provider immediately if you’re concerned that your muscle spasms are a symptom of an underlying serious medical condition.

What questions should I ask my healthcare provider about muscle spasms?

• Do you recommend that I see a physical therapist, sleep specialist, massage therapist or other specialist?
• Do you think that my muscle spasms are a symptom of a disease?
• Can you show me the best exercises I can do to stretch my muscles?
• How can I help my child when they have a muscle spasm?
• Can you show me the best massage techniques I can use to help with my muscle spasms?

Living With

A note from Cleveland Clinic

You don’t have to “just live with” muscle spasms! They may be unpredictable, but there are a few steps you can take not only to prevent them but to soothe them in the moment. Contact your healthcare provider and have a conversation about your concerns.

Don’t let muscle cramps keep you from having a healthy exercise routine and don’t let them interfere with your sleep! Remember – listen to your healthcare provider.

Muscle Spasm Specialist – Houston, TX & Pasadena, TX: Edward C. Murphy, MD, PA: Chiropractic

What is a muscle spasm?

A muscle spasm is a sudden and involuntary contraction of a muscle. While painful, muscle spasms typically resolve rapidly on their own. 

Muscle spasms are most prevalent in your skeletal muscles, although they can occur in the smooth muscles that comprise organs such as your intestines. Muscle spasms usually affect your:

• Thighs
• Calves
• Feet
• Hands
• Arms
• Abdomen

If you get a muscle spasm, stop what you’re doing. Stretch and massage the spasming muscle and stretch until the spasm releases. 

If you suffer from frequent, severe muscle spasms that don’t subside on their own, make an appointment to talk to Dr. Murphy or Dr. Ventura about your symptoms. 

What causes muscle spasms?

A variety of factors contribute to muscle spasms. For example, your muscles are more prone to a spasm when they’re overused, fatigued, or previously injured. 

Spasms also occur if your muscle is overstretched or if you hold it in the same position for too long. These conditions cause your muscle to run out of fluid and energy and become hyperexcitable. 

Additionally, doing strenuous exercise or physical labor in high temperatures can also trigger muscle spasms. If you don’t replenish your fluids and electrolytes, your body becomes dehydrated and develops imbalances in potassium, magnesium, and calcium, which can trigger muscle spasms. 

How are muscle spasms treated?

If you suffer from chronic muscle spasms, Dr. Murphy and Dr. Ventura can help. They provide customized treatments to relieve your muscles and improve your overall health to reduce your risk of recurring spasms. Your treatment program may include:

• Chiropractic care
• Physical therapy
• Hot and cold therapies
• Transcutaneous electrical nerve stimulation (TENS)
• Massage

During physical therapy, you practice exercises and stretches designed to keep your muscles relaxed and supple. You should practice your exercises at home to maintain the benefits and improvement between appointments. 

Can I prevent muscle spasms?

Your doctor gives you customized instructions on how to reduce your risk of muscle spasms. In general, make sure to warm up and cool down properly before and after physical activity. Stay hydrated and eat a nutritious diet with plenty of potassium, magnesium, and calcium. 

If you’re troubled by chronic or severe muscle spasms that interfere with your quality of life, call Edward C. Murphy, MD, or make an appointment online today for expert diagnosis and customized care.

Doctors Who Treat Hemifacial Spasm

Many people consult their primary care physicians when they first experience the symptoms of hemifacial spasm. Since the spasms may be caused (rarely) by a tumor or a vascular malformation, patients should be referred to a qualified neurosurgeon for evaluation before any treatment begins. At the Weill Cornell Brain and Spine Center, our Facial Pain Program includes specialists in cerebrovascular disorders, tumors, movement disorders, and nerve disorders.

A neurosurgeon experienced in movement disorders may prescribe injections of botulinum toxin (Botox) as an initial treatment with temporary results. More advanced cases, or for patients who seek permanent results, may require microdecompression surgery, which is best conducted at experienced neurosurgery centers (see Surgery for Hemifacial Spasm).

At the Weill Cornell Brain and Spine Center, the neurosurgical experts who treat hemifacial spasm include:

Philip E. Stieg, Ph.D., M.D., Chairman of the Neurosurgery Department at Weill Cornell Medical Center and Neurosurgeon-in-Chief at NewYork-Presbyterian Hospital. Dr. Stieg specializes in cerebrovascular surgery, including the microvascular decompression surgery that relieves hemifacial spasm. More about Dr. Stieg

Michael Kaplitt, M.D., Ph.D. Vice Chairman of the Neurosurgery Department at Weill Cornell Medical Center. Dr. Kaplitt specializes in functional neurosurgery and directs the department’s programs on movement disorders (including Parkinson’s disease, essential tremor, and dystonia), pain and spasticity, hemifacial spasm, and trigeminal neuralgia. More about Dr. Kaplitt

Jared Knopman, M.D., Director of Cerebrovascular Surgery and Interventional Neuroradiology, specializes in the treatment of vascular diseases of the brain and spine and has dual expertise in both open neurosurgical and minimally invasive interventional techniques. Dr. Knopman has done specialized fellowship training in endovascular neurosurgery and interventional neuroradiology at Weill Cornell Medical College and has surgical and interventional expertise in treating a diverse array of diseases of the brain and spine. Given his dual training, he is able to offer each patient and individualized treatment plan. (Read more about Dr. Knopman.)

These neurosurgeons lead teams of highly trained specialists across a range of disciplines to achieve the very best results for individuals suffering from hemifacial spasm.

Find out more about our Facial Pain Program.

Request an Appointment | Refer a patient

Hemifacial Spasms | Neurology & Neurosurgery

Overview

Overview and Facts about Hemifacial Spasms

Hemifacial spasm is a neuromuscular disorder that causes involuntary facial muscle twitching or spasms. This condition typically occurs on only one side of the face (hemi), but in rare cases, it can affect both sides of the face. This disorder affects men and women but is most common in middle-aged and older women.

If left untreated, symptoms may ultimately worsen, affecting all the muscles on one side of the face. Although the disorder is not life-threatening, individuals may become distressed by their condition, causing them to increasingly withdraw socially.

Symptoms

Signs and Symptoms of Hemifacial Spasms

The severity of this condition can vary widely. Initially, patients may notice a small twitching of the eyelid, which may force the eye to shut; as the disorder progresses, patients experience more noticeable symptoms, including:

• Pronounced spasms of the cheek and mouth
• Pain behind the ear
• Hearing changes
• Larger spasms affecting the entire one side of the face, from the eye to the chin

Risks

Causes and Risk Factors of Hemifacial Spasms

Hemifacial spasm is most commonly caused by a small blood vessel compressing the facial nerve at the brainstem, known as the seventh cranial nerve. Also known as CN VII, this nerve carries both motor and sensory fibers and is responsible for facial expressions. In rare cases, this disorder may be caused by an injury to the nerve, a vascular malformation, multiple sclerosis, or a benign tumor pressing on the nerve.

In some cases, the cause is unknown.

Diagnosis

Tests and Diagnosis of Hemifacial Spasms

Hemifacial spasm (movement disorder) is diagnosed by a specialist in neurology, known as a neurologist, based on symptoms and a neurologic exam.

A test called an electromyography (EMG) may be performed to measure muscle response or electrical activity into a nerve’s stimulation of the muscle.

A magnetic resonance imaging (MRI) scan can help look for a blood vessel compressing the nerve and to rule out other structural abnormalities and also to look for a tumor that may be causing the facial spasms.

Treatment

Treatment and Care for Hemifacial Spasms

Several treatment options are available to help manage symptoms, including injections of botulinum toxin (botox). Injecting botox into the affected muscles of the patient’s face temporarily paralyzes those muscles, relieving the spasms. The effects are temporary and must be repeated every three to six months. Oral medications may also be prescribed but may come with unwanted side effects.

When conservative treatments are unsuccessful, surgery may be recommended. The most common procedure is called microvascular decompression (MVD). During this procedure, a neurosurgeon lifts the blood vessel off the nerve it’s compressing, then inserts a small pad between the vessel and the nerve to relieve the pressure.

90,000 Spasms of the neck muscles in Moscow, we treat chronic spasms of the neck muscles in the clinic Dr. Long

Free admission and diagnostics of a chiropractor, osteopath, neurologist

Neck muscle spasm

Free reception
and diagnostics

Pain relief
for 1-2 sessions

Author’s method
treatment

Internships in the USA,
Israel, Germany

Among the neurological symptoms, chronic spasm of the muscles of the neck and collar zone is one of the most alarming signs, but every 2 patient leaves it unattended for a long time. Rigidity is the basis for making an appointment with a specialist, since hypertonicity is not a temporary clinical manifestation.

one

Positive dynamics in 97% of cases

The results of the treatment course are confirmed by control MRI scans.

2

No side effects

The methods used in our clinic are safe and have no side effects.

3

Long-term effect

Treatment minimizes the risk of new hernias in other segments, as well as hernia recurrence.

Diseases that caused muscle and shoulder spasms are eliminated on an outpatient or inpatient basis, using conservative or surgical methods. Before going to the doctor, taking medications, using traditional medicine, warming up the back, and self-reduction of musculoskeletal structures are contraindicated.

Reasons for development

Experts identify several explanations why there is a chronic spasm of the muscles of the neck and collar zone:

• Osteochondrosis of the cervical and thoracic spine.
• Vascular pathologies that lead to ischemia (insufficient blood supply) of tissues.
• Deforming spondylarthrosis.
• Cicatricial changes in ligaments and tendons that occur after an abnormal load on the shoulders and neck.
• Myositis (inflammation of muscle fibers that develops mainly after hypothermia).
• Benign or malignant neoplasms of the spine, adjacent anatomical structures.
• Poor development of neck muscles (often observed in severe patients after prolonged bed rest).

Exhausting physical labor leads to the development of the listed diseases; suffered back and neck injuries; hypothermia, violation of sleep hygiene, sedentary lifestyle. Thinning of the structure of the cartilage that make up the intervertebral discs causes hormonal changes. They develop against the background of endocrine diseases: diabetes mellitus, dysfunction of the thyroid gland, adrenal cortex, pituitary gland.

Symptoms

In order for the doctor to quickly establish a causal relationship, to exclude the standard overwork of the back, it is necessary to report the age of the condition, list the symptoms and their degree of severity.

Chronic spasm of the muscles of the neck and collar zone is accompanied by other symptoms:

• Dizziness.
• Impaired vision, flashing “flies” before the eyes.
• Headache.
• Numbness of the back.
• Paresthesias (this is an imaginary feeling of creeping on the skin of a certain part of the body).
• Squeaks, clicks, crunches, crackles during turns, head tilts.
• Movement coordination disorder.

Additional signs depend on the underlying cause of the deterioration in well-being.With osteochondrosis, hair falls out, nausea occurs regularly, the scalp becomes hot to the touch.

If there is an intervertebral hernia, difficulties arise with the adoption of a comfortable position of the body. As with myositis, the patient is worried about “lumbago” in the neck and back: a change in body position leads to slight relief. In the case of the development of vascular pathologies, loss of consciousness is possible.

When to see a doctor

It is necessary to visit a specialist if the spasm of the muscles of the neck and collar zone has been bothering for a long time, it is exacerbated often, and during attacks the severity of symptoms reaches a high degree.Diseases of the musculoskeletal system are eliminated by an orthopedist, vertebrologist, traumatologist. If the root cause of the deterioration in well-being is vascular disorders, pinched nerves, you will need to make an appointment with a neurologist.

An additional reason for consulting a doctor is the systematic use of analgesics. To stop the spasm, discomfort, patients use pain relievers. With the constant use of analgesics, dependence develops, and due to drug intoxication, dysfunction of the liver, kidneys, and heart occurs.To avoid a violation of the state of internal organs, you need to consult a doctor, eliminate the cause of the deterioration of health.

The success of treatment is 90% dependent on experience
and the qualifications of the doctor.

Free consultation and diagnostics of a doctor

• Chiropractor
• Vertebrologist
• Osteopath
• Neurologist

During the consultation, we carry out a thorough diagnosis of the entire spine and each segment.We for sure
determine which segments and nerve roots are involved and causing pain symptoms. Following the consultation
we give detailed recommendations for treatment and, if necessary, prescribe additional diagnostics.

one

We will carry out functional diagnostics of the spine

2

We will perform a manipulation that significantly relieves pain

3

We will compose an individual treatment program

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Diagnostics

Pathologies that lead to the development of chronic spasm of the muscles of the neck and collar zone are identified through a comprehensive examination.It assumes:

• Clinical, biochemical blood test (including determination of glucose levels, the presence of cancer markers).
• X-ray examination of the spine.
• MRI / CT of the brain.
• Poll, inspection.

The most informative types of examination are radiation diagnostics. With its help, structural changes, neoplasms, displacement of the vertebrae / intervertebral discs are revealed.

Based on the results of the studies passed, the root cause of the development of muscle fiber rigidity is established.Depending on the characteristics of the clinical case, the doctor may prescribe other diagnostic procedures – ECG (electrocardiogram of the heart muscle), biopsy, histological analysis of the material taken.

Treatment

Diseases that lead to the appearance of chronic spasm of the muscles of the neck and collar zone are eliminated mainly by manual (manual) methods of exposure. The use of medicines is the minimum part, which allows you to minimize the degree of their harmful effects on internal organs.

Techniques that help get rid of pain, chronic stiffness of the muscles of the neck-collar zone:

• Kinesio Taping . A modern, unique method of treatment, the main advantages of which are health safety, therapeutic efficacy, and affordability. The essence of kinesio taping is the use of special adhesive tapes with an elastic texture, in the form of large adhesive plasters. One side of these bands is treated with a medicinal composition: upon contact with human skin, it reacts to heat and performs more than 5 main types of action.Tapes (the so-called adhesive tapes) warm up the painful area, relieve muscle spasm, and eliminate discomfort.
• Massage . By improving blood circulation, the manual effect relaxes and warms up the cervical-collar region. To reduce pain, 1 session is enough, but the condition of the shoulder and the back of the head can be improved only through the course of the massage. Taking into account the root cause of muscle stiffness, up to 10 procedures are required.
• Osteopathy .An effective method of manual exposure to a painful area of ​​the body. While working out the neck and shoulder area, the specialist returns the physiologically correct position to the vertebrae and shoulder joints. The cartilaginous structures do not squeeze the nerves, so there is no pain and muscle hypertonia.
• UVT . Shock wave therapy is an effective physiotherapy procedure. Its essence is the targeted treatment of a specific area of ​​the body with acoustic low-frequency waves.UHT improves blood circulation, prevents the development of ischemic changes in the tissues of the neck, shoulder girdle, and brain. The main advantages of the procedure are the rapid achievement of a positive result, a small number of contraindications. Taking into account the root cause of the stiffness of the muscles of the cervical-collar region, the specialist sets the duration of 1 session and the entire therapeutic course.

In aggravated clinical cases, in order to ensure the patient’s recovery, the doctors of the clinic of Doctor Length prescribe a combination of these techniques.A good effect is shown by the author’s model of treatment – Di-Tazin therapy, in which the drug penetrates to the desired depth and heals damaged tissues. Due to the effectiveness of each of these procedures, it is possible to avoid the drug load on the body. The patient recovers without drugs – due to adherence to the diet, undergoing complex manual therapy.

Chronic spasm of the muscles of the neck and collar zone is a sign that indicates a violation of the blood supply to the specified section , the cause of which is more than 10 factors.Without passing the examination, one can only assume which disease caused the stiffness of the fibers. Extensive diagnostics is the first step necessary to prescribe an effective treatment. With early seeking medical care, the likelihood of a favorable prognosis increases. The use of traditional medicine is an inappropriate tactic: it provides a short-term positive effect, does not eliminate the main cause of increased muscle tone.

94% of patients recommend us.
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Video reviews of patients

Hernias in the lower back and neck

I came to the clinic of Doctor Length with spinal problems. With two intervertebral inferior hernias and two intervertebral hernias in the neck. I was assigned a comprehensive 10 step program. In 4 months my lower vertebrae completely disappeared and the crunches in my neck disappeared …

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Lumbosacral hernia

“After the first time, my back stopped hurting.I felt relieved. Now I have already passed 7 sessions and my back really does not hurt. I began to forget about it. And at first it hurt badly. ”

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Inflammation of the sciatic nerve

“For 4 months I suffered from severe inflammation of the sciatic nerve on the right side. After the first visit, relief came immediately within six hours. After 6 courses, the pain practically disappeared. ”

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Pain in the lower back and leg

Yakovleva Natalya Mikhailovna
Head of the department, surgeon of the highest category, doctor oncologist-mammologist
I want to express my deep gratitude for the fact that they put me on my feet in the literal sense of the word.I came to the clinic a month and a half ago with severe pain in the lower back and leg. These complaints were of a rather prolonged nature and the ineffective treatment that I used in the past. Fortunately, I ended up at the clinic of Dr. Length and his team of super professionals!

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Osteochondrosis of the cervical spine

“Appealed 2 months ago with osteochondrosis of the cervical spine. I have a sedentary job and my neck muscles cramped very badly. It was impossible to work.Before that I turned to other doctors, but this did not solve my problem. For 2 months I have quite positive dynamics. It gets better and better every week. ”

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Ankylosing spondylitis

“I have had ankylosing spondylitis for 10 years. The vertebrae began to move out, I began to slouch. I have consulted other chiropractors, very famous media therapists. As a result, I did not get the result. After 2 sessions, I felt much better. Now nothing hurts me.»

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Pain in the spine

“I came with problems in the back, in the cervical, thoracic and lumbar spine. I was prescribed procedures, had a massage, and was assigned to do physical education at home. This made me feel much better. I’m already turning my head. I have no pain. ”

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Shoulder-scapular periarthrosis

I went to the clinic with severe pain in my shoulder. My hand did not rise, I could not sleep at night, I woke up in pain.After the first session of procedures, it became much easier for me. Somewhere in the middle of the course, my hand began to rise, I began to sleep at night.

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Arthrosis of the knee joint of the 2nd degree

She came with a very serious illness. I could not walk, I have arthrosis of the 2nd degree of the knee joint. I underwent a course of treatment in the Clinic and now I am going 100%.

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Herniated disc

“I came to the clinic after I had back pain and turned out to be a herniated disc.I went to other places, but there they only removed the attacks of pain. Only Sergei Vladimirovich, his golden hands, gave the hope for a return to ordinary life! ”

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Scoliosis

“From adolescence I was worried about scoliosis in the thoracic region. I felt a feeling of discomfort, tension, periodic pain in the spine. I turned to various specialists, a masseur, an osteopath, but I did not feel a strong effect. After treatment at Length S.V. I almost have an even spine now.Currently I don’t feel any problems or discomfort. ”

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Herniated disc

“On the 5-6th session, there was an improvement. I felt much better. The pain was gone. The improvement progressed more and more each time. Today is the 10th lesson. I feel great.”

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Pain in the lumbar and cervical spine

“I am 21 years old. I went to the clinic with discomfort in the lumbar and cervical spine.I also sometimes had sharp pains. After undergoing therapy, I felt a significant improvement in my back. I have no pain. The general condition has improved. ”

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Back pain

“At the beginning of the treatment, my back ached very badly. I could no longer walk. I will take 5 steps and stop. My whole journey consisted of such stops. During the first procedure, I left the office with no pain in the spine. ”

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Hernia of the cervical spine

“I came up with a problem in my neck and my right arm was very sick.The neck did not turn, the hand did not rise. After the 3rd session I felt better. After the 5th, all this pain began to decrease. It turns out that I have 2 hernias in my cervical vertebra. After the sessions, I did an MRI and one hernia decreased. Now I started to move, my hand started working. ”

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Neck pain

“I turned to Dr. Long because my neck was very painful on the right side. I fell on a snowboard 5 years ago, even went to an osteopath, but somehow it didn’t help much.Now everything is fine, there were some consequences, the muscles were spasmodic. When I came there were steel muscles, now my neck is very soft. ”

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Pain in the thoracic region

“I went to the clinic with pain in the back, namely in the thoracic region. After 10 sessions of treatment, I could calmly do my usual things, sit at work until lunchtime, without howling in pain. Now I have already come for the correction after 2 months. I’m fine, my back doesn’t hurt.»

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Hernia and protrusion

“I came to the clinic with hernia L4-L5 and protrusion L5-S1. The course of treatment ended today. The lower back hurt, it was difficult to bend over. After completing the course and receiving instructions in the form of physical exercises, it became much easier. After a month of treatment, I do not feel any stiffness of movements. ”

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Pain in the lower back and hip joint

“From a young age I was worried about back pain.When they became unbearable, I went to the clinic of Dr. Length. After the first procedure, pain disappeared from the hip joint. After the third procedure, the shooting pains in the lower back stopped. ”

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Very effective procedures

The procedures turned out to be very effective. I used to go to other clinics and absolutely did not relieve my pain, they bothered me. After this specialist, after three or four sessions, my functions recovered, the pain in my joints went away.

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Contacting today will help

avoid surgery tomorrow!

Relieve pain and inflammation

After 2-3 treatments, the exhausting pain goes away, you feel better.

Eliminate the cause of the disease

Complex improvement of the spine improves well-being: you feel a surge of strength and energy.

Start the regeneration process

The process of repairing damaged tissues begins, hernias and protrusions are reduced.

Strengthen the muscle corset

Strong back muscles support the spinal column, preventing recurrence of the disease.

90,000 For pain – life! – my family

“Why do women tolerate pain more easily than men?” – I asked Dr. L.A. Silver.
He replied: – For a man, pain is a wound received in battle, which means death is behind pain.
For a woman, pain is childbirth, which means that pain is life!

A Pain Clinic was opened in Moscow as part of the Endosurgery and Lithotripsy Center – the only one in
the country is a medical facility where pain is treated on its own.

Where does pain come from? The question may seem stupid, but the vertebrologist’s answer is
Leonid Alexandrovich Silver simply stunned me.

Indeed, doctors for a long time could not understand where the pain comes from.

Pavlov misled the whole world with his theory. True, he did not claim that pain
transmitted exclusively by nerves, but for some reason people perceived it this way.

Now it turned out that pain is transmitted not only along the nerves, but also along the muscle fascia.

Over the past decades, Americans have developed the theoretical part of the
called myofascial pains: myo is muscles, and fascia is a film (all meat was cut,
this film was seen), each muscle is covered with a fascia, and all the fascia are connected together.

It turns out that a person, for example, has a muscle spasm in the back, followed by a muscle
a spasm appears a point at which the muscle does not receive blood, the so-called trigger
point, point that triggers pain.Gradually, muscle tissue is converted into
connective tissue, and this place along the fascia gives reflected pain to another place.
In the back, for example, there is a spasm, and it hurts in the temple.

Thus, the mass of inexplicable pains has finally formed into a coherent, understandable theory.

This theory was confirmed by the Americans in the experiment. It turned out that 70% of headaches –
these are reflected pains associated with damage to the muscular sphere. Muscle triggers give pain in
in the same place: for example, temporal lobe pain usually gives a trapezius spasm
the muscle that is in the middle of the shoulder.Pain in the eye gives a spasm of the chewing muscle.
This is how everything turned out to be quite simple.Of course, there are many reasons why
muscle spasm occurs. The very first, most frequent and most important reason –
it’s emotional stress.

Emotional stress is a terrible thing because it
causes muscle spasm throughout the upper neck and back. There was such a psychotherapist,
who, in parallel with Freud, was engaged in psychoanalysis and discovered the so-called muscle
shell.During a psychoanalytic session, unlike Freud, he performed massage
the cervical-collar zone to remove this very muscle carapace that interferes
restoration of the emotional status of a person. It turned out that some psychoanalytic
conversations are scarce, this muscle carapace preserves emotional memory.

There are equally interesting things. Last week we had a patient who
from the age of 10 they were diagnosed with migraine. From the age of 10, she is daily
took pills, can you imagine what it is? It turned out that she has
the problem of “looseness of the jaw joint”.After three procedures, the pain was gone.
Now, after 20 years, she knows which point on her face needs to be stretched in order to
it does not hurt anymore. The idea is to correct the bite. But dentists practically do not
are engaged. There is such a problem all over the world – as a result of prosthetics
the bite is disturbed and constant headaches appear, the person does not even
suspects what the reason is.

The idea of ​​myofascial pain, unfortunately, has not yet mastered broad
medical masses, although there are shifts.If 10 years ago, fellow neuropathologists looked
on me, as if I was crazy, now, if the pain does not fit
into the usual theory of pain, the doctor may admit that this is myofascial pain, however,
not really understanding what it is.

On the one hand, of course, it is good when one doctor treats the nose, the other – the ear, the third – the finger.
But at the same time, unfortunately, the one who treats teeth does not know why after
prosthetics a person has a headache.

The Pain Clinic is remarkable in that it is a multidisciplinary clinic.

Any pain has a cause. Only with this approach is it possible to accurately diagnose the causes
chronic pain. For example, surgeons and gynecologists know that if a woman has
chronic pain in the lower abdomen, but they do not find pathology, then our doctors will not come up with
illness, but sent to the Pain Clinic. In other places, such people are cut,
operate, although they just have muscle pains, they just have spasms of the lumbar
muscles, it gives abdominal pain. This is what makes the clinic specializing in
on pain problems, a multidisciplinary clinic with all the specialists.A person comes with pain and receives an accurate diagnosis in the shortest possible way and
all the necessary treatment.

That was the answer to just one question. More about Pain Clinic and new ones
medical technology in the fight against pain, see the Family News program at
RTR on Wednesday morning, November 1.

Conditions to be treated in the Pain Clinic:

• Pain in the back, buttocks, legs.
• Pain in the neck and occipital region.
• All types of headaches.
• Scar pain.
• Chest pain with fractured ribs.
• Pain due to trauma.
• Pain in cancer.
• Pain in arms and legs with diabetes.
• Phantom Pain.
• Pain with herniated discs.
• Ischemic pain in the limbs.
• “Burning” pains.
• Shingles pain.
• Acute postoperative pain.

10/30/2000

“SHINOTHERAPY IN STOMATOLOGY” – Dr. Lebedev

Lecturer: Chief Physician of the Center for Interdisciplinary Dentistry and Neurology, Professor of RAE, Ph.D., Soikher Mikhail Grigorievich

Initial therapy in dentistry

1 . Algorithm for choosing initial therapy tactics:

– clinical functional analysis;

– diagnosis;

– therapeutic goals.

2 .Muscle dysfunction with and without pain syndrome (increased muscle activity, muscle spasms).

3 . Articular dysfunction with and without pain syndrome (sprains and violations of the integrity of ligaments, dislocations of discs – sagittal, transversal, combined; arthritic changes; adhesion).

4 . Muscular-articular dysfunction with and without pain syndrome (post-traumatic arthritis, disc perforation, penetration of the bilaminar zone, muscle spasm).

5 . Prosthetic necessity of determining the spatial position of the jaw (TRP).

6 . Determination of the spatial position of the jaw (TRP) for the purpose of planning orthodontic treatment.

7 . Compensation for parafunctional behavior.

Splint therapy

Interocclusal release splints – definition, overview, manufacturing principle.

I. I. Neuromuscular therapy

1 .Muscle relaxation splints – goals, result, wearing mode, fabrication (position, verticalization, occlusal programming).

II. Joint therapy

1 . Repositioning splints (x, y, z) – goals, result, wearing mode, fabrication (position, verticalization, occlusal programming).

2 . Decompression tires – goals, outcome, wearing mode, fabrication (position, verticalization, occlusal programming).

3 . Distraction splints – goals, result, wearing mode, fabrication (position, verticalization, occlusal programming).

III. Programming of the therapeutic position of the lower jaw for prosthetic needs

1 . Verticalizing splint – goals, result, wearing mode, fabrication (position, verticalization, occlusal programming).

2 .Anterial splint – goals, result, wearing mode, fabrication (position, verticalization, occlusal

programming).

3 . Stabilizing splint – goals, result, wearing mode, fabrication (position, verticalization, occlusal programming).

4 . Sandwich splint – goals, result, wearing mode, fabrication (position, verticalization, occlusal

programming)

IV. Preparation of TRP before orthodontic treatment

1 .All kinds of tires.

2 . Mandibular Lateral Displacement (MLD) – Mandibular lateral displacement (MLD).

3 . MLD splint – goals, result, wearing mode, manufacturing (position, verticalization, occlusal programming).

V. Compensation for parafunctional behavior

1 . Brooks splint – goals, result, wearing mode, fabrication (position, verticalization, occlusal

programming).

Analysis based on clinical cases, video demonstration

Therapeutic massage in Tyumen – Dr. Bubnovsky Center

The foundation of kinesitherapy (movement therapy) is the performance of special exercises on rehabilitation equipment according to an individual program. A therapeutic massage will help to increase efficiency and speed up recovery.

Elbrus Abdullaev, a massage therapist at the Doctor Bubnovsky Center in Tyumen, spoke about the causes of pain, about the ancient oriental method and the connection between recovery and belief in success.

About myself and experience

I studied the craft of massage in the city of Volgograd, at a medical college. But the patients gave me true experience and skill! I jokingly say: people learn better than books. And their gratitude for tangible results is excellent motivation. I love making people healthy!

I have been working at the Dr. Bubnovsky Center since 2011 and I was convinced that kinesitherapy is the best natural method for restoring the back and joints. And therapeutic massage is an important component of it.

About the causes of pain

The pain gives rise to muscle spasm. And its cause lies in muscle weakness and fatigue, sometimes in injury. In the area of ​​spasm, blood circulation is impaired.

But the main danger: muscles in a state of spasm can pinch nerve endings. And this leads to a violation of nerve conduction (innervation): hence the symptoms of numbness, tingling. In severe cases, limb mobility suffers.

The massage is aimed specifically at relieving muscle blocks (spasms).And determining their causes is the art of a professional massage therapist.

The body is an integral system, and a violation in one muscle leads to a failure in the rest. For example, a spasm in the foot can lead to pain and tension in the neck! The body will try to transfer the load from the affected muscles to others: located above or on the opposite side. My goal is to identify the cause and remove the blocks, restore blood circulation in the zones of pathology.

On the connection between massage and exercise

Movement therapy restores muscle strength and elasticity.And massage, as a finishing touch, helps them to relax. Therefore, it is extremely effective to conduct sessions after strength and stretching sessions!

The golden triad in kinesitherapy: training on simulators + stretching + relaxation

After classes on rehabilitation equipment, massage brings not only more benefits, but also more pleasure. It is important! After all, the impact on areas of muscle spasms is accompanied by pain.

The massage course is also suitable as an independent method.Then I spend more time warming up and preparing.

About a personal recipe for massage

Choosing the right technique for each individual case is a prerequisite for a good result!

And this is the task of the masseur. The therapeutic cycle of classes in the hall includes a test session. There, I identify the “problem areas” of the patient and recommend a specific technique that is right for him. The number of sessions and the price of massage depend on this.

For example, to work out large muscles, I recommend articular foot massage.And for point work with small muscle groups, the manual method is ideal.

About joint foot massage

This is an ancient method with roots in the East. It has passed through the millennia thanks to its high efficiency!

Key Benefit: Deep workout of large muscle groups. Using the foot as a massage tool distributes the load better. Due to the larger area of ​​contact, the effect is deeper.

I perform a foot massage with an emphasis on the piriformis muscle, lateral thigh, and thoracic region. However, for working with small muscles, manual techniques are more suitable.

Patients are initially wary of touching their feet. They have a false impression that I will step on their back and press with all the weight of my body. But this is not the case! I stand with one foot on the floor, and with the other I perform manipulations. I work only with muscles, the effect of massage on the spine and internal organs is completely excluded! Patients come to the second session already relaxed and inspired.

About contraindications:

• Varicose veins;
• Skin diseases;
• Active viral diseases;
• Oncology.
• Pregnancy is not an absolute contraindication until 4 months, at a later date it is better to consult your doctor.

On belief in yourself and in movement

I am convinced that faith in recovery is a companion to success! Consider two patients with the same problem.

One believes in the technique he uses. And, the second one came “for show” to prove to himself and to everyone else that he is hopelessly ill and nothing will help him.

We will conduct the same activities and procedures for our fictional characters. Who do you think will achieve success and recovery? I am confident that the optimist’s results will surpass those of his distrustful sick colleague.

I wish all my future patients to believe in the power of correct movement and make sure that you can recover without medication! In your body, nature has everything you need to recover.And “kinesitherapy” is the best helper to launch the hidden reserves of the body!

Come to us for a consultation and start living an active life, without pain and fear of movement! Sign up for a consultation by phone: +7 3452 670-100

90,000 Back pain – publications of the family clinic Childhood Plus

Back pain is the second most common reason for visiting a doctor after respiratory illness, the third most common cause of hospitalization, and the most common cause of disability in people aged 30 to 45 years.About one in five adults suffers from recurrent back pain. Stepanova Olga Borisovna, a neurologist at the CHILDHOOD Plus family medical clinic, talks about back pain and diseases of the spine.

Questions and Answers

Olga Borisovna, when do you need to see a neurologist if your back hurts?

The most common cause of back pain is changes in the spine – its ligaments, intervertebral discs, which lead to irritation and sometimes pinching of the nerves.Symptoms of these changes can be headaches, pain in the cervical, scapular, lumbar region, often radiating to the extremities, chest. The pain can increase both during movement and in a sitting position, lying down. When the nerves are compressed, there is a feeling of numbness, muscle weakness in the area of ​​the damaged nerve.

Most often, spinal diseases begin to develop at a young age, and sometimes many years pass from the onset of the disease to the first pronounced symptoms. Therefore, at the slightest suspicion of a spinal disease, you should contact a neurologist before the disease becomes chronic.

What are the most common diseases that cause back pain?

Most patients with back pain are diagnosed with osteochondrosis of the spine – changes affecting the intervertebral disc, vertebral bodies, small vertebral joints, muscles and ligaments. With the progression of the disease, a radicular syndrome develops – compression of the nerve that goes out through the intervertebral foramen, disc herniation – protrusion of cartilaginous tissue into the spinal canal.Do not forget that the cause of back pain can also be changes in the joints of the spine – spondylosis, displacement of the vertebrae – listeza, impaired posture – scoliosis, stoop, various inflammatory diseases of the vertebrae, which is especially dangerous.

Does back pain occur only with diseases of the spine?

Of course not.

Back pain can be due to metabolic diseases, for example, hyperparathyroidism, osteoparosis, Paget’s disease.It is very important to exclude the oncological nature of the pain syndrome, that is, primary tumors or metastases in the spine, myeloma, lung cancer.

There is also such a thing as “reflected back pain”, which can be, for example, myocardial infarction, pulmonary embolism, pneumonia, diseases of the esophagus and abdominal organs, infections, shingles, kidney and genitourinary system diseases.

Olga Borisovna, if there are so many reasons that can cause back pain, how can a doctor diagnose correctly?

When analyzing the pain syndrome, the doctor learns from the patient about the intensity and nature of pain, its localization and irradiation, the occurrence during sleep or wakefulness, the connection with a certain position of the body.It is necessary to analyze in detail the accompanying pain complaints, which can be local in nature, for example, numbness, decreased sensitivity, weakness in individual muscles, and general, for example, sleep and appetite disturbances, changes in the emotional sphere, loss of body weight. When examining a patient, the doctor pays attention to the asymmetry of the body, features of posture, the specifics of walking, careful palpation of the muscles of the back and limbs is required.

What additional research methods are needed to make a correct diagnosis?

Clinical blood and urine tests, ultrasound of internal organs, X-ray examinations of the spine in frontal and lateral projections with functional tests (flexion and extension), computed tomography, which is informative for visualization of bone structures, magnetic resonance imaging to visualize the spinal cord, intervertebral disc, are required. ligamentous apparatus.These additional methods play an important role, but the first place in the diagnosis belongs to all the same clinical symptoms. For example, the presence of signs of osteochondrosis on the radiograph after 25 years of age is very often detected, however, this does not mean that the patient’s pain in all cases is associated with this finding. And discogenic hernias detected by MRI in many cases remain clinically insignificant and cause back pain only when radicular compression occurs.

If back pain is caused by diseases of the spine, what kind of treatment does the patient need?

Currently, in the treatment of back pain associated with diseases of the spine, priority is given to conservative methods. Neurosurgical intervention is indicated for symptoms indicating spinal cord compression, radicular syndrome with increasing paresis, severe persistent pain syndrome and ineffective conservative therapy, carried out for at least 4 months.The first prerequisite for the treatment of back pain in the acute period is the creation of rest, it is recommended to immobilize the spine by wearing special belts, corsets, light dry heat.

Complex pharmacological treatment of back pain. Non-steroidal anti-inflammatory drugs are used, which have a strong analgesic and anti-inflammatory effect.

Any pain is always accompanied by muscle spasm, therefore, muscle relaxants are of great importance in the complex therapy of back pain, which allow breaking the vicious circle of “pain-muscle spasm-pain”.Novocaine blockade of the most tense muscles and painful muscle seals can be used. At the next stage, it is recommended to prescribe vascular drugs that improve microcirculation and venous outflow, vitamin therapy, drugs that improve metabolism in the ligamentous apparatus, cartilage tissue.

Olga Borisovna, what can be offered to patients with back pain, besides drug therapy?

One of the most important methods of therapy is physiotherapy exercises.It is advisable to start it as early as possible, as soon as the pain at rest disappears. The set of exercises should be individually selected by an experienced instructor. Other non-pharmacological agents also play a significant role in the treatment of back pain: manual therapy, post-isometric relaxation, massage, reflexology, physiotherapy, hirudotherapy.

We can offer such complex non-drug therapy of spinal diseases to patients in the department of rehabilitation treatment in our family medical clinic “Childhood Plus” in full.

Date of publication: 18.01.2019 |
Date of change: 03/15/2021

Muscle spasm, block, tension »Clinic of Dr. Ignatiev

Muscle spasm usually occurs as a reaction to traumatic effects or irritation of nerve fibers responsible for the innervation of a particular area. Muscle tension is protective in nature and is aimed at protecting tissues from further damage. In this case, the primary pain is aggravated by pain from the muscle block – the so-called trigger syndrome is formed.

Specialists of the Kiev “Clinic of Dr. Ignatiev” consider muscle spasm and block as one of the mechanisms of pain in spinal problems. And the efforts of doctors are aimed at relieving muscle tension, because it increases the pain syndrome and worsens the general condition of the patient. To find out in detail the origin of muscle spasm, it is necessary to undergo a complete examination in a clinic. Reception with specialists is carried out after an appointment.

Causes of muscle spasm ↑

Among the most common causes of spasm of an individual muscle or muscle groups are:

• Dystrophic-degenerative changes in the spine, in which compression of nerve roots is formed in various areas of the spine.In response to their irritation and pain, a protective muscle spasm appears;
• Injury of the spine and its consequences – can cause severe and prolonged muscle spasm in the area of ​​injury;
• Prolonged position of the body in the same position, carrying weights, overexertion of muscles can lead to their spasm of an even longer duration;
• Emotional overload – fear, fright, anxiety, worries and others can cause unconscious tension in certain muscle groups.To relieve such tension often requires a whole course of treatment;
• Dehydration and loss of electrolytes with increased sweating, vomiting, diarrhea, the inability to meet the basic needs of the body for water and minerals.

Muscle Tension Clinic ↑

Muscle block or spasm is always pain. It can be aching or itching, sharp and

Spinal reflexes causing muscle spasm

unbearable, suddenly appearing or gradually appearing.By forming in one place, pain can spread much further from the source of the primary stress. Often, a spasm of one muscle leads to tension in adjacent muscle groups. So, the pain can gradually cover quite large areas.

Excessively tense muscles do not allow the body and limbs to carry out their motor functions in full, or even completely turn them off from the active mode. A blockage of several muscle groups at once can immobilize a person completely, make it difficult for him to breathe – for example, with intercostal neuralgia.

Thus, the muscle block is both a signal of damage to the body of a certain localization, and an indicator of the dysfunction of its water-electrolyte balance. In addition, muscle blocks indicate an unstable state of the psycho-emotional sphere. In any case, muscle spasm, like pain, is an important symptom that should not be dismissed or treated only with improvised home remedies.

Professional approach in Kiev ↑

It is important to seek professional help in time and, above all, relieve pain, which most often provokes muscle spasms.In the future, it is necessary to find out the nature of the onset of muscle tension and try to eliminate it in the most acceptable ways.

Vertebrologists of the “Clinic of Dr. Ignatiev” use complex treatment for this purpose, including manual techniques, remedial gymnastics, physiotherapy, acupuncture and other techniques. The treatment is usually quite long, but with each session there is a relaxation of muscles and release of blocks, removal of compression of nerves and blood vessels, a gradual improvement in tissue trophism and restoration of their function.

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Most relevant topics: Make an appointment for a consultation at the Clinic of Dr. Ignatiev by phone: +38 (044) 227-32-51

Muscular fascial pain syndrome – Medical practice “Healthy Back”

Muscular fascial pain syndrome ( MFBS) is a chronic pain syndrome in muscles and soft tissues. It is characterized by the presence of muscle spasm, in the area of ​​which compacted areas “ trigger points ” and “dense cords” are palpable.MFBS is one of the most common causes of back, neck, and limb pain. It can affect almost any muscle in the human body. MFBS , in accordance with the International Classification of Diseases (ICD-10), refers to diseases of the periarticular tissues. Many believe that in almost 90% of cases of back pain (dorsalgia) it is a manifestation of myofascial syndrome ( MFBS ). risk factors include severe physical stress, overload of untrained muscles, uncomfortable working posture, cooling, drafts, as well as depression and anxiety.

The second reason is vertebrogenic factor: osteochondrosis and its manifestations – disc herniation, spondylosis, spondyloarthrosis. If neck pain (cervicalgia), back pain at the level of the thoracic region (thoracalgia), back pain (lumbodynia) are referred to as reflex vertebrogenic syndromes, this means that muscle spasm and inflammation are considered the cause of back pain , and this is a functionally reversible blockage of the intervertebral joints. With timely treatment and rehabilitation, significant improvement can be achieved, and the development of more complex chronic pain syndromes (radicular compression syndromes of the lesion of the peripheral nervous system – radiculopathies) can be prevented.

Dorsalgia is based on morphofunctional musculoskeletal causes. In simple terms, due to certain risk factors , muscle spasm occurs and with repeated spasms, a vicious circle of pain-muscle spasm-pain is formed, when residual muscle tension causes pain.

Muscle spasm can be associated with many painful conditions of the spine and internal organs. Regardless of the cause, MFBS begins with a local dysregulation of vascular tone in muscles and tension of a limited muscle area.The muscle does not completely relax, and areas with residual tension appear. Further, calcium metabolism is disturbed, microcirculation is disturbed. This is how trigger points or trigger points are formed. Trigger points are located in muscles or tendons and, on palpation, cause pain in remote areas. The pain can be local (in a strictly defined place) in the area of ​​increased muscle tone or spasm, or reflected in another area of ​​the body.

Musculo-fascial syndrome with trigger points, limited range of motion and pain in the shoulder often occurs in diseases of the shoulder-scapular region ( adhesive capsulitis “frozen shoulder” , brachio-scapular cervicobrachialgia, damage to the rotator cuff ).

Treatment and rehabilitation of patients with vertebrogenic and myofascial pain syndromes should be carried out in the acute, subacute and chronic stages of the disease.

The main task in the acute stage of the disease is to relieve pain, relieve muscle spasm, unload the spine, and normalize the emotional state. In the subacute stage, traction treatment (spinal traction), manual therapy, and physiotherapy can already be prescribed. In the chronic stage, treatment is periodic with constant rehabilitation measures.

To relieve pain in the acute stage, prescribe drug treatment, drug blockade, pain relievers and irritating ointments. Local injection therapy into musculo-ligamentous structures and trigger points is especially successful. Muscle relaxants, non-steroidal anti-inflammatory drugs are used.

Low-frequency magnetotherapy and short-pulse electroanalgesia ( electromyostimulation ) are also indicated. For relaxation of spasmodic muscles, a relaxing massage is used (stroking, light rubbing, shallow kneading), as well as a post-isometric relaxation technique, which consists in relaxing the muscles after their volitional tension.Unloading of the spine is carried out with the help of orthoses: Shants collar for pain in the neck, corsets and bandages for pain in the lumbar spine. In the subacute stage, spinal traction and manual therapy are prescribed, mainly soft manual techniques are used ( myofascial release , etc.).

As the pain subsides, remedial gymnastics is connected to rehabilitation measures. At the same time, patients are trained in a rational motor regime (“school of the back”): the development of correct sitting, standing, walking, carrying and lifting heavy objects, skills of performing household work.

We combine medical treatment with massage, gentle manual therapy techniques (myofascial release). After the pain syndrome subsides, we prescribe tekar therapy (TR-therapy). For more successful treatment of trigger zones and trigger points, we use combined physiotherapeutic techniques: application of shock wave therapy with tekar therapy ; magnetotherapy with electromyostimulation.

Today, medicine has various methods for the successful treatment of muscle-fascial pain syndrome.This requires: a qualified doctor, timely treatment of the patient, a medical base, as well as mutual understanding and a desire to achieve a good result.