Nighttime muscle spasms.: Neck, upper arms and left... - PMRGCAuk

PMRGCAuk

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Nighttime muscle spasms.

Leeleep profile image
10 Replies

Neck, upper arms and left hip go into muscle spasms while sleeping. I believe it happens in the early morning hours. It causes the morning pain to be very bad.

Are muscle relaxers being prescribed to help this? My rheumatologist prescribed cymbalta this week just for the pain and depression. I forgot to tell her about the muscle spasms. I think I probably need flexeral too.

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Leeleep profile image
Leeleep
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PMRpro profile image
PMRproAmbassador

You need to get some blood tests done to rule out electrolyte imbalances (sodium, potassium, magnesium and calcium). The magnesium isn't necessarily significant - the blood level can be OK even though the muscles are depleted. It is worth trying magnesium supplements, Epsom Salts baths or even magnesium sprays.

Personally I would doubt that oral muscle relaxants would help - they never did for me and they relax everything, not the muscles that are spasmed. A physiotherapist or therapeutic massage therapist could probably do some manual techniques that would release the spasms. IMHO there is far too much reliance on a pill to cure an ill when there are better and more effective options which don't have nasty side effects.

Leeleep profile image
Leeleep in reply toPMRpro

Thank you.

Marymon profile image
Marymon in reply toPMRpro

Thank you for this info, I have had this happen to me in my left thigh twice in the last month. The pain is excruciating. Will try magnesium supplement. At Doc app. yesterday I gave him a list of all the painful and not so much, I have had in last month. No suggestions other than stay on the 11mg for a month. I had already raised dose from 10 to 11 myself anyway.

PMRpro profile image
PMRproAmbassador in reply toMarymon

It is a start - and if it works the problem is solved. If not - ask for a physio appt. Though that will probably take months too!

Marymon profile image
Marymon in reply toPMRpro

Will do, though when I asked before was met with blank stare, and told not the solution. I was told that they hold off recommending other practitioners as cost comes from Practise funds.

When I went to book next app for four weeks time, was told my Doc would be leaving on that day, just when I had found one who listens. Have managed to get with another whom I have met before and liked. So 🤞not anywhere else as could be painful 😖

PMRpro profile image
PMRproAmbassador in reply toMarymon

I'm sure cost comes into it - but if they can't do anything themselves they want to get their thinking caps on. It IS their job after all. And excuse me - how do THEY know a physio may not have the solution? Have you had a physical examination?

Marymon profile image
Marymon in reply toPMRpro

No, now I have to move onto another in the practice, further up the ladder, will be starting afresh with my list of aches, pains and what have you’s.

Not easy is it, no continuity anymore, though must admit didn’t push for a physio as the last one caused it in the first place.But true to form it won’t be the same one next time!!!

PMR2011 profile image
PMR2011

Hi Leeleep. I had horrible back spasms, especially when I laid down at night when I was tapering from 15-7 ish mg. Two things helped. Magnesium lotion which my hubby kindly applied to my back, and moving my Magnesium/Calcium supplement to taking it in the evening. Back stretches and strengthening exercise also helped. Hope you find relief. I know how painful it can be!

I often think it's nerves that spasm. I get it.

JaquieOboe profile image
JaquieOboe

White vinegar I've found is best. Keep it by bed. Costs nothing. Dump the quacks.

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