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Muscle Spasms - Causes, Symptoms, Treatment, and Prevention

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Muscle spasms are frequent symptoms and are nothing to be concerned about. However, this article explains its causes, symptoms, and prevention.

Medically reviewed by

Dr. Arpit Varshney

Published At September 16, 2022
Reviewed AtFebruary 21, 2023

Introduction

Muscle fibers are an essential element of the muscular system. Contractibility is their primary function. The body's movement is controlled by muscles attached to bones, internal organs, and blood vessels. Nearly all actions in the body are due to muscle contraction. Muscles are complex structures that allow the body to move. Muscles in the body are divided into three categories.

  • Blood is pumped by the heart muscle (cardiac muscle).

  • External body components such as the arms and legs, neck, back, trunk, and face constitute skeletal muscle.

  • The hollow structures inside the body are moved by smooth muscle. They are muscles that border the esophagus, stomach, and intestines and the muscles that line major arteries and the uterus.

What Is the Importance of Skeletal Muscle?

Walking and running are visible movements produced by joints, bones, and skeletal muscles combined. Skeletal muscles also generate subtle signs, such as facial expressions, eye movements, and breathing. Muscle contraction serves a variety of critical roles in the body, including posture, joint stability, and heat production, in addition to movement. Muscle contraction keeps one's posture, such as sitting or standing, in place. The skeletal muscles are constantly fine-tuning themselves to keep the body in fixed positions. Many muscles' tendons cross joints and contribute to joint stability. This is especially true in the knee and shoulder joints, where muscle tendons play a key role in joint stabilization. Heat generation is an essential by-product of muscle metabolism to maintain body temperature. Muscle contractions account for over 85 % of the heat produced in the body.

What Is a Muscle Spasm?

A muscle spasm, often known as a muscle cramp, is an involuntary muscle contraction. Muscle spasms are unpleasant and occur unexpectedly. They generally resolve rapidly. Muscle spasms are not the same as muscle cramps. A muscle twitch, also known as a fasciculation, is a tiny uncontrolled movement seen under the skin of a small section of a more significant muscle. Muscle spasms can cause anything from minor discomfort and stiffness to sudden, sharp, and excruciating pain. This pain may hamper normal muscle function. When a muscle contract during a spasm, visible muscle knots or twitching may occur, and the affected muscle may feel hard to the touch. Spasms are uncontrollable and can take a long time to diminish. Following that, the power may feel sore and tender.

What Causes Muscle Cramps?

The important causes of muscle cramps include:

  • Not enough blood is getting to your muscles.

  • Compression of your nerves due to spinal cord injury or a pinched nerve in the neck or back.

  • Dehydration.

  • Pregnancy.

  • Certain medicines.

  • Getting dialysis.

  • Straining or overusing a muscle is the most common cause.

  • Decreased levels of electrolytes such as potassium, magnesium, or calcium.

What Are the Symptoms of Muscle Spasms?

When a muscle spasm occurs, it shows specific symptoms, which include:

  • Muscular weakness.

  • Skin numbness.

  • Discomfort in the back, neck, or head.

  • A sensation of pins and needles.

  • Tremors.

  • Paralysis.

  • A lack of cooperation.

  • Slow motions.

  • Sleep Issues.

Who Is at Risk for Muscle Cramps?

According to a specific concept, muscular spasms are caused by increased signals delivered from the neurological system to the muscle. As a result, the muscle is overstimulated by recurrent muscular activity, which can cause a cramp. Muscle spasm is more common in some people mentioned below.

  • Athletes.

  • Pregnant women.

  • People who suffer from medical conditions, such as thyroid and nerve disorders.

  • Older adults.

  • Obese people.

How Are Muscle Spasms Diagnosed?

The following methods are used to diagnose muscle spasms:

  • Personal history.

  • Medical history.

  • Creatine phosphokinase (CPK) blood test.

  • Computed tomography (CT).

  • Electromyography (EMG).

What Are the Treatments for Muscle Spasms?

Usually, we do not need treatment for muscle cramps.

You may be able to find some relief from cramps by:

  • Stretching or lightly massaging the muscle helps relieve muscular cramps by sending inhibitory signals to the stimulating power, preventing involuntary muscle contractions. Passive stretching decreases muscle activity, and most muscle contractions stop after 10 to 20 seconds. The stretch should be held for 30 seconds or until the muscle twitching stops and the muscle length returns to normal.

  • When the muscle is tight, apply heat, and when the muscle is sore, use ice. Heat is frequently used to treat more persistent ailments such as muscle spasms. Heat can be applied to muscle spasms to help them relax. Ice is usually the initial step within 24-36 hours following an acute injury, such as a sprain or fracture, where swelling or inflammation is visible.

  • If you are dehydrated, drink additional fluids. Sports and energy drinks can help you replace electrolytes if you conduct hard exercise or exercise in the heat.

If the cramps are caused due to other medical conditions, treating that condition will most likely assist. Muscle spasms are usually harmless. However, they can be caused by a medical problem. One example is arteriosclerosis, a disorder that causes artery narrowing. Blood flow to the body's extremities, such as the legs and arms, can be impaired in people with arteriosclerosis, resulting in oxygen and nutrition deficiency and muscular cramps. Compression of nerves in the lumbar spinal cord, the lowest major component of the spine, can also cause muscle spasms, particularly leg cramping that worsens while walking long distances. Muscle spasms are common in neurodegenerative diseases such as multiple sclerosis (MS) and amyotrophic lateral sclerosis (ALS).

How to Prevent a Muscle Spasm?

Unfortunately, there is no established strategy for totally avoiding muscle spasms. On the other hand, a daily regimen of muscular stretching and proper conditioning for the sport or activity will teach the muscle to prevent overstimulation. Although plyometric workouts, eccentric muscle strengthening programs, and muscular trigger point therapy can all be beneficial, their efficacy requires more research. It is challenging to avoid muscle spasms. However, there are a few steps that might help you prevent muscle spasms and overcome such complications:

  • Flexibility exercises should be done regularly.

  • Medications with the potential to cause muscle spasms should be avoided.

  • While sleeping on the back, use pillows at night to keep toes pointed upwards to prevent leg cramps.

  • Drink plenty of water.

  • Avoid alcohol and caffeine.

Conclusion

Muscle spasms are common and should not be taken seriously. The most prevalent reasons are overexertion, dehydration, and stress. It can usually last from a few seconds to several minutes, but they typically go away independently. Relaxing, gently massaging the affected area, and applying heat or cold to the site may be therapeutic.

Frequently Asked Questions

1.

How Does a Muscle Spasm Feel Like?

Muscle spasms may feel like a slight twitch or a painful cramp in the muscle or any body part. This can feel like a stitch in the body or cause agonizing pain. A person can feel a twitch under the skin, which may be hard to touch. These are involuntary as the muscle contracts from a sudden movement or heavy lifting, and it may take some time to get treated.

2.

How Much Time Does Muscle Spasm Take To Heal?

The muscle under spasm may feel harder to touch than normal and appear to be twitching. Usually, a spasm lasts from a few seconds to 15 minutes or maybe longer. It may also occur multiple times before going away. Some of the spasms can be a simple, annoying feeling, while others may be painful.

3.

Can Muscle Spasms Damage Muscles?

Muscle spasms can be very painful and may last for some time. But these are merely muscle contractions. A muscle spasm does not harm the muscles, which is very common. These are usually of short duration and do not require any treatment; multiple factors may be responsible for a spasm.

4.

What Causes a Muscle Spasm?

Normally, the actual cause of muscle spasms may be unknown; however, some of the following reasons may be considered the reason behind their occurrence, which may include -
- Muscle fatigue.
- Dehydration.
- Lack of physical activity.
- Depletion of electrolytes like potassium, magnesium, and calcium in the body.
- Stress.
- Restriction in blood supply.
- High-intensity workout.

5.

How to Treat a Muscle Spasm?

Muscle spasms can occur anytime, for example, while simply sleeping, sitting, or working out. Sometimes it gets normal within some time; however, in some cases where it is causing severe pain or taking too much time to get normal, some of the following things can be done, which include -
- Stretching the affected area.
- Doing some physical activity like walking or standing up.
- Massage the affected area.
- Doing heat or cold compressions.
- Medicines like painkillers can be taken to relieve the pain.

6.

Is It Normal to Have Muscle Spasms?

It is very normal to have a muscle spasm. Having muscle spasms, twitches, or cramps is usually not a matter of concern. These are commonly seen in athletes and people lifting or working out daily. In very rare cases, it may indicate an underlying condition such as thyroid disease, or multiple sclerosis.

7.

How to Relax the Muscles?

Muscles can be relaxed by doing some of the following activities, which may include -
- Stretching can be done to loosen tight muscles and improve flexibility.
- Massaging.
- Exercising.
- Heat therapy.
- Keeping hydrated.

8.

Can Vitamin D Deficiency Cause Muscle Cramps?

The deficiency of vitamin D may cause various problems, like worsening of the pain of bones like neck or back pain, and may also lead to muscle spasms. Vitamin D is essential for the absorption of calcium and phosphorus in the body as which these minerals, there are high chances of having back pain, bone fractures, muscle weakness, and muscle pain.

9.

What Vitamins Help with Muscle Spasms?

Taking certain vitamins and minerals in the diet may help prevent muscle spasms. Vitamins like B1, B12, and D may help relieve muscle spasms and strengthen the muscles. Also, minerals like potassium and magnesium may play the same role.

10.

Is Muscle Spasm a Neurological Condition?

Muscle spasm alone is not considered a neurological problem. However, it may be linked to underlying neurological conditions like dystonia. This is a neurological movement disorder in which there are unwanted muscle contractions or spasms. This can affect anyone at any age, leading to repetitive movements or abnormal postures that can be mild to severe, happen randomly, and can be a lifelong condition.

11.

What Happens If a Person Ignores Muscle Spasms?

A person may be able to ignore the mild form of muscle spasms, which does not impact daily life. However, muscle spasms causing severe pain are not easy to ignore. Muscle spasms may also be associated with an underlying condition, impacting performance and daily functioning due to restricted movement.

12.

Can Stress Cause Muscle Spasms?

Stress is also one of the possibilities for having a muscle spasm. Stress can lead to many symptoms, including muscle contractions or rigidity. This occurs when the brain interprets stress or anxiety and sends signals to the body that trigger a muscle spasm. This can happen in multiple muscle groups and at any random time.
Dr. Arpit Varshney
Dr. Arpit Varshney

General Medicine

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