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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Severe Muscle Spasm With Herniated L3 And L4?

I have been having muscle spams in my upper back every single day for the past year and a half and have tried every thing. Muscle relaxers, exercise, acupressure, ice, tens unit, you name it, I have tried it. I really, really have. I had a discectomy on the L3 when I herniated the L3 and L4 exactly 4 years ago this coming Feb and have had chronic lower back pain since. Then these spasms started and I can t get them to stop. To say that I am at the end of my rope is a understatement, I don t know what else to do or try and nothing seems to help. Have any thoughts on constant spasms?
Mon, 20 Feb 2017
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Orthopaedic Surgeon 's  Response
Hi i am Dr Ahmed Aly
thanks for using healthcaremagic site ,
I had gone through your question and understand your concerns ..

Taking a warm bath, massaging your legs, and applying warm or cool packs can all be useful in calming RLS. Stretching, followed by exercise at a moderate level on a regular basis, and establishing good sleep habits can also make a difference. Caffeine, alcohol and tobacco may trigger RLS symptoms or make them worse. Try cutting back on these substances to see whether that decreases your symptoms.

Your diet may have an effect on RLS. Research shows that too little iron in your diet can contribute to restless legs syndrome. If your doctor suspects this may be the case for you, he or she will likely check your blood-iron level. If it is low, eating more iron-rich foods can help. Examples include red meat, dark green leafy vegetables, beans and iron-fortified breads, cereals and pastas. Your doctor might also recommend you take an iron supplement.
If lifestyle changes are not enough, your doctor may prescribe medication to reduce leg restlessness. they include several that affect a chemical in your brain called dopamine. Dopamine’s job is to send messages from your brain to your body that control muscle movement. to insufficient activity of dopamine in the nervous system.
Oral iron is helpful but take care of certain medications used to treat pain conditions . Use of dopamine agonist drugs, such as ropinirole, pramipexole or rotigotine, may be considered when oral iron and gabapentin have not proven effective.
Be aware that certain medications , including over-the-counter sleep aids that contain diphenhydramine, selective serotonin reuptake inhibitors and anti-nausea drugs.

Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health,
Any further clarifications feel free to ask.
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How To Treat Severe Muscle Spasm With Herniated L3 And L4?

Hi i am Dr Ahmed Aly thanks for using healthcaremagic site , I had gone through your question and understand your concerns .. Taking a warm bath, massaging your legs, and applying warm or cool packs can all be useful in calming RLS. Stretching, followed by exercise at a moderate level on a regular basis, and establishing good sleep habits can also make a difference. Caffeine, alcohol and tobacco may trigger RLS symptoms or make them worse. Try cutting back on these substances to see whether that decreases your symptoms. Your diet may have an effect on RLS. Research shows that too little iron in your diet can contribute to restless legs syndrome. If your doctor suspects this may be the case for you, he or she will likely check your blood-iron level. If it is low, eating more iron-rich foods can help. Examples include red meat, dark green leafy vegetables, beans and iron-fortified breads, cereals and pastas. Your doctor might also recommend you take an iron supplement. If lifestyle changes are not enough, your doctor may prescribe medication to reduce leg restlessness. they include several that affect a chemical in your brain called dopamine. Dopamine’s job is to send messages from your brain to your body that control muscle movement. to insufficient activity of dopamine in the nervous system. Oral iron is helpful but take care of certain medications used to treat pain conditions . Use of dopamine agonist drugs, such as ropinirole, pramipexole or rotigotine, may be considered when oral iron and gabapentin have not proven effective. Be aware that certain medications , including over-the-counter sleep aids that contain diphenhydramine, selective serotonin reuptake inhibitors and anti-nausea drugs. Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.