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.

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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.

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