Do muscle spasms always hurt?

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.

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

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.