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Do muscle spasms always hurt?

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Do muscle spasms always hurt?
My Doctor said my back is in spasm, but its not hurting me any longer. Hes given me strong muscle relaxants to take, but I am reluctant to take them if he is wrong. These drugs are highly addictive.

How do you know if a muscle is in spasm, I always thought that pain was the sign? Does tension in the muscles mean the same as spasm and can you tell by just feeling if spasm is going on, or does it need to be scanned etc.? I was in excrutiating pain initially that twisted my back and neck, the pain has eased down now, but the twist is still there and very debilitating. Thanks."
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replied August 17th, 2012
When my muscle spasm, they don't always hurt. I can tell because the muscle feels "crunchy" or "gristly" when I feel it with my hand. I have tried muscle relaxers also and had bad reactions to them. I treat mine with heat and ice and I also use an ultrasound machine to release mine. I see the nurse at my chiro office that uses a powerful ultrasound machine. But I have also purchased one for home that helps, it's not as helpful as the doctors, but it keeps me from seeing the nurse so much. I also do Epsom salt baths. Those help a lot, especially if I know that I have just pulled my back and I am at home I get in right away.
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replied August 17th, 2012
Thanks Chloe5442. These "spasms" don't come and go, I am like this all the time. That's what makes me uncertain if it is indeed spasm. When I used to have "normal spasms" all what you suggested used to work for me too. But now whatever is going on has deformed me badly and I am trying to ascertain if it's spasm or something else. Can muscles be in a permanent state of spasm, I don't know and the doctors aren't very helpful. I have tried allsorts but nothing seems to be working. Thanks for your suggestions though Smile
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replied August 21st, 2012
I currently have one near my neck that is always contracted and that is causing nerve issues (pain and tingling when I sit or move in certain ways). I hope you are able to find some answers, I am currently looking for the same answers. I have tried massage, chiro, acupuncture, and "deep" acupuncture preformed by Physical Med specialist. The only thing the doctor suggested that I haven't tried (due to fear) is botox. Good luck, and please keep me posted.
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