question-icon

What causes abdominal muscle spasms?

default
Posted on Mon, 11 May 2015
Question: My wife has abdominal muscle spasms only when sits down. As long as she is standing she is fine. She cam bike, swim golf, no problem. Can you help? XXXXXXX
She is 73 years old. This question was directed to a neurologist
doctor
Answered by Dr. T Chandrakant (5 hours later)
Brief Answer:
detailed history / MRI of thoracic spine, spinal cord / Serum electrolytes

Detailed Answer:
Hi.
Thanks for your query and a specific history.

To recapitulate:
Female 73 - fully active- can swim, bike, golf - no problem - abdominal muscle spams - ONLY when she sits - fine as long as she is standing - to 9 professional Doctors - Normal X-rays, MRI, Milograms - had steroid sots - pain is minimal bu the spasms continual ...

May I ask a few questions for us to have proper communication?
- Since when have these episodes start?
- Any particular event / happening in the life that instigated this?
- Do the spasms occur when she is lying down in bed ?
- Any investigations of the blood, particularity the Serum Electrolytes?
- Is it the part of the abdominal wall or the whole abdomen?
- What is the treatment received till now? and its response?
- Any specific or non-specific information you would to share?



The problems could be due to:
- Lesion inside the spinal cord at the thoracic level.
- Akin to the facial tics- no specific cause but a stress or anxiety in a different sort of presentations- just possible.
- Discs or some diseases pressing on the spinal cord at thoracic levels.
- Exhaustion in the muscles
- Nerve pinching or compression along its courses to the abdominal wall .
- Local Muscular problems.

We have to find the cause.
A detailed history as to how the spasms started can be helping the most.

I hope this interaction may give us the cause.
Please feel free to share all the information
Awaiting yours.

with warm regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. T Chandrakant (14 hours later)
Please, if you can, switch me to a Neurologist. I have been seen by a Chiropactor, Acupuncture, Physical Therapist, Rheumatologist, Physiatrist, Ortho. Surgeon, Pain Management, Neruosurgeon. All tests are good, physical health good. Started with EXTREMELY Rock Hard back muscles--on left side from below waist, to waist, to up to shoulder blade. 2013 beginning of this episode (had already had fall on ice (4 months of therapy)--all OK, then bike accident in 2009 (2 mos. therapy)--all OK, then 2013 trouble getting out of bed--after few minutes-all good--golf, swim, walk 4 miles every day. Pain got worse, Chiropactor--D.I.S.H.--dismissed me. Over time saw the rest of Drs. Hope for an app't. soon with Neurologist---SOME DOCTOR MUST HAVE SEEN THIS. PLEASE HELP. Sit down---immediate tight spasm from pelvic floor all internal muscles and up the back-more on left side-tightening. Stand all day--about 1 hour for them to stop while laying down.
doctor
Answered by Dr. T Chandrakant (4 hours later)
Brief Answer:
You need to see a team of Neurosurgeon and Interventional Radiologist

Detailed Answer:
OK, will surely try to switch to a Neurologist if the system permits. Called the office already.
In the meantime:
Noted the history of:
- Started with EXTREMELY Rock Hard back muscles--on left side from below waist, to waist, to up to shoulder blade.
- 2013 beginning of this episode (had already had fall on ice (4 months of therapy)--all OK, then bike accident in 2009 (2 mos. therapy).
- Sit down---immediate tight spasm from pelvic floor all internal muscles and up the back-more on left side-tightening.
- Stand all day--about 1 hour for them to stop while laying down.

All this history is self-explanatory that her problem is Due to entrapped nerves, supplying the group of muscles that go into spasms when she takes a particular position, acquired by the sitting position.

This can be best solved by the Neurosurgeon on clinical evaluation actual physical examination and detailed CT and MRI studies with co-operation and direct involvement of the Radiologist, preferably an Interventional Radiologist.
This can give her the best possible diagnosis and a plan for a treatment.

Neurologist may not be of much help as they may just help in diagnosis of the problems.

I hope this answer helps you to get to the proper help for getting a diagnosis and a direction for a proper treatment.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19465 Questions

premium_optimized

The User accepted the expert's answer

Share on
What causes abdominal muscle spasms?

Brief Answer: detailed history / MRI of thoracic spine, spinal cord / Serum electrolytes Detailed Answer: Hi. Thanks for your query and a specific history. To recapitulate: Female 73 - fully active- can swim, bike, golf - no problem - abdominal muscle spams - ONLY when she sits - fine as long as she is standing - to 9 professional Doctors - Normal X-rays, MRI, Milograms - had steroid sots - pain is minimal bu the spasms continual ... May I ask a few questions for us to have proper communication? - Since when have these episodes start? - Any particular event / happening in the life that instigated this? - Do the spasms occur when she is lying down in bed ? - Any investigations of the blood, particularity the Serum Electrolytes? - Is it the part of the abdominal wall or the whole abdomen? - What is the treatment received till now? and its response? - Any specific or non-specific information you would to share? The problems could be due to: - Lesion inside the spinal cord at the thoracic level. - Akin to the facial tics- no specific cause but a stress or anxiety in a different sort of presentations- just possible. - Discs or some diseases pressing on the spinal cord at thoracic levels. - Exhaustion in the muscles - Nerve pinching or compression along its courses to the abdominal wall . - Local Muscular problems. We have to find the cause. A detailed history as to how the spasms started can be helping the most. I hope this interaction may give us the cause. Please feel free to share all the information Awaiting yours. with warm regards.