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Why Muscle Spasms Hurt and How to Stop Them

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If you’ve got ever felt a sudden, intense tightening in your muscles, you’ve got experienced a muscle spasm, also known as a charley horse. These spasms, often felt in areas just like the neck, legs, or back, could cause significant discomfort. While they could appear just like cramps, muscle spasms are distinct of their abrupt onset and intensity.

This article explores what muscle spasms are and their link to pain and supply insights into the very best medications and exercises to alleviate this discomfort once they strike.

Vadym Petrochenko / Getty Images


How Muscle Spasms Feel

A muscle spasm feels incredibly tight, often likened to a knot within the affected muscle. The pain related to a spasm will be severe, causing discomfort and restricting movement. During a spasm, the muscle contracts involuntarily and stays in a state of tension without relaxing. Symptoms include the next:

  • Muscle feels feels very tight, like a knot within the muscle.
  • Pain will be severe and intense.
  • It commonly occurs within the legs but can occur in any muscle.
  • Muscle contracts without control.
  • Muscle doesn’t loosen up, remaining tense and uncomfortable.

Muscle spasms can occur in any muscle within the body but are ceaselessly experienced within the legs. These cramps can affect a selected a part of a muscle, the complete muscle, or multiple muscles inside a bunch. The muscle groups most ceaselessly affected are:

  • Gastrocnemius (back of the lower leg/calf)
  • Hamstrings (back of the thigh)
  • Quadriceps (front of the thigh)

Causes and Triggers of Muscle Spasms

A muscle spasm can occur because of various aspects that result in a muscle’s sudden, involuntary contraction. These spasms will be triggered by the next:

  • Dehydration
  • Electrolyte imbalances, especially low levels of potassium or calcium
  • Overexertion or fatigue during physical activity
  • Muscle fatigue and inadequate stretching
  • Exercising in intense heat
  • Prolonged sitting or standing in awkward positions, causing muscle fatigue and spasms
  • Nerve compression, resembling a pinched nerve within the neck

These aspects can individually or collectively contribute to the onset of muscle spasms, causing discomfort and temporary impairment of muscle function.

Risk aspects for muscle spasms include:

  • Age, especially infants and folks over 65
  • Being obese
  • Illness
  • People with nerve disorders or thyroid disease
  • Pregnancy

Neurological Disorders That Cause Muscle Spasms

Several neuromuscular disorders also can significantly impact muscle function, resulting in symptoms like muscle spasms and twitching. These conditions may include:

  • Multiple sclerosis (MS), which might cause muscle spasms because of damage to the nerves that control muscle movement
  • Amyotrophic lateral sclerosis (ALS), wherein muscle spasticity and cramps are early common symptoms
  • Spinal cord injuries, which might result in spasticity and involuntary muscle contractions

Medications That Cause Muscle Spasms

Certain medications can potentially trigger muscle spasms as a side effect. These spasms will be brought on by medications that affect nerve signals or disrupt electrolyte balance within the body. Medications known for causing muscle spasms as a side effect are:

  • Diuretics (remove excess fluid from the body): These medications, commonly used to treat hypertension and edema (swelling), can result in electrolyte imbalances resembling low potassium levels, which in turn may cause muscle spasms.
  • Stimulant medications: Drugs like amphetamines or those used for attention deficit hyperactivity disorder (ADHD) can increase muscle activity, potentially resulting in muscle spasms and twitching.
  • Statins: While primarily used to lower levels of cholesterol, statin medications can sometimes cause muscle-related uncomfortable side effects, including muscle spasms, weakness, or cramps.

Individuals taking these medications must pay attention to potential uncomfortable side effects and seek the advice of their healthcare provider in the event that they experience muscle spasms or related symptoms.

What to Do During a Muscle Spasm

During a muscle spasm, it is important to take certain steps to alleviate discomfort and promote leisure of the affected muscle. Here’s what you’ll be able to do during a muscle spasm:

  • Stop activity: If a muscle spasm occurs during physical activity, stop the activity immediately to forestall further strain or injury to the muscle.
  • Stretch gently: Slowly and gently stretching the affected muscle can assist loosen up the contraction. Avoid sudden or forceful movements that might exacerbate the spasm.
  • Apply heat or cold: Applying heat (resembling a warm towel or heating pad) or cold (resembling an ice pack) to the spasm area can assist relieve pain and reduce muscle tension.
  • Massage: Lightly massaging the muscle within the direction of the muscle fibers can promote leisure and improve blood flow to the world.
  • Hydrate and replenish electrolytes: Drinking water and consuming electrolyte-rich fluids or foods (like bananas for potassium) can assist prevent further spasms, especially if dehydration or electrolyte imbalance is a contributing factor.

If muscle spasms occur ceaselessly, are severe, or are related to other concerning symptoms, it’s essential to hunt medical evaluation to discover underlying causes and receive appropriate treatment.

Medical Interventions for Muscle Spasms

In some cases your healthcare provider may prescribe a medicine to assist manage muscle spasms. These may include:

Muscle Relaxants

Muscle relaxants resembling baclofen or dantrolene, work by reducing muscle spasms and promoting muscle leisure. They are sometimes prescribed for short-term use to administer acute muscle spasms.

Benzodiazepine

Benzodiazepines are primarily used as a sedative, anxiety-reducing (anxiolytic), and anticonvulsant medication, they will also be used as a muscle relaxant to assist alleviate muscle spasms.

Examples include:

  • Valium (diazepam)
  • Ativan (lorazepam)
  • Klonopin (clonazepam)

It is essential to notice that diazepam must be used cautiously and under the guidance of a healthcare provider. This medication can have sedative effects (inducing sleep) and should cause dependence or withdrawal symptoms if used long-term or in high doses.

Anticonvulsants

Some anticonvulsant medications, resembling gabapentin or pregabalin, might also be used to assist control muscle spasms, especially in conditions like multiple sclerosis or neuropathic pain where spasms are common.

Botulinum Toxin Injections

In cases of severe or chronic muscle spasms, injections of Botox (onabotulinumtoxinA) into the affected muscles can assist loosen up the muscles and reduce spasms by blocking nerve signals.

It’s necessary to notice that the selection of medication is dependent upon the underlying cause and severity of the muscle spasms, and must be determined by a healthcare provider.

If the Cause of Muscle Spasms Is Unknown

While most muscle cramps are typically harmless, they’ll sometimes indicate underlying health concerns, resembling:

  • Irritation or compression of spinal nerves (radiculopathy)
  • Thyroid disorders
  • Liver cirrhosis
  • Atherosclerosis (hardening of the arteries)
  • Spinal canal narrowing (spinal stenosis)
  • Chronic infections
  • Amyotrophic lateral sclerosis, although that is rare

It’s necessary to seek the advice of your healthcare provider if you happen to experience:

  • Severe cramps
  • Frequent cramps
  • Cramps that don’t respond well to basic treatments
  • Cramps unrelated to obvious causes like intense exercise or dehydration

These symptoms may indicate a more serious health condition and require medical evaluation.

Summary

Understanding the causes, symptoms, and coverings for muscle spasms is important for managing discomfort. Whether they’re brought on by dehydration, electrolyte imbalances, nerve compression, or medications, muscle spasms can significantly impact day by day life.

By implementing strategies resembling gentle stretching, applying heat or cold, staying hydrated, and looking for medical advice for severe or frequent spasms, individuals can find relief and improve their quality of life. If you or a loved one is experiencing muscle spasms, seek advice from your healthcare provider for guidance and a treatment plan that is true for you.

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts inside our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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By Sarah Jividen, RN

Jividen is a contract healthcare journalist. She has over a decade of direct patient care experience working as a registered nurse specializing in neurotrauma, stroke, and the emergency room.

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