Hi Thanks for posting on HCM Muscle spams may not always need treatment as many home measures may help take care of the situation. However, if a cause is identified, the treatment will be by managing it.Possible causes may include: In adequate blood supply, nerve compression, mineral depletion like low calcium or maganesium, dehydration or vitamin deficiency.I will suggest you try the following measures: -Take enough fluids -Take enough green vegatables -Regular fitness exercises -Take a pain drug like ibuprofen since pain is serious -Take a myorelaxant like miorel -Vitamin B complex tablets If the problem persist, you see your Doctor for examination and work-ups like serum electrolytes, blood sugar test, full blood count to rule out anemia and may be vitamin levels if need be. Hope my answer will help you Best regards