Discussions that mention valium

Pain Management board

Hey BB, Although muscle ralaxers are commonly used to treat spasms there are lots of other modalities and methods to treat spasms. Spasms are usally the bodies natural defense to brace an injured area, the muscle tightens, blood flow decreases and then the tight muscle which intended to bace your injury starts to go into spasm from lack of blood flow. Because of the relationship of spasm to injury, using anti inflamatories is a comon method to treat spasms.

They can also use PT modalities like heat, E-stim, TENS, stretching, massage,even massage can be focused to relive specific problems, scar tissue could cause spasms and the treatment for scar tissue release is a little diferent then say myofacial release techniques. Trigger point pressure/ acupressure, trigger point injections, acupuncture, TINS, whre electric current is passed through a muscle group by atatching leads to small acupuncture type needles are common treatments PM docs and physical medicine docs may use.

So to answer your question is, there is alot more a doc can prescribe to treat painful and persistant muscle spasms. Regardlss if it's directly post injury, or as a result of surgery or an older injury that the body percieves as a new injury which causes the inflamatory response.

Hope this gives you some ideas you can use or give a shot. There really is no gaurenteed method to stop spasms other than a large injection of valium which usually stops spasm in it's tracks. However the dose usually prevents you from driving or functioning in a safe manner. So it's not a good long term method although very effective in acute injuries or for severe spasms.

Good luck, Dave
Dave, thanks a bunch....

I was actually going to ask my doctor about a TENS unit next visit in 2 weeks.

Another person I communicate with on a bulletin board said her doctor didn't want her to use a TENS unit for her CP, and I wasn't sure why.

Is there some reason a doctor wouldn't prescribe the use of a TENS unit? I thought they were a pretty safe alternative to things like muscle relaxers or injections of Valium (even though both 'safe' you know what I mean), for example.

Are TENS units similar to Spinal Cord Stimulators?
Alot could also depend on what is generating her pain and also the actual location.from what my PT told me when she first gave me my tens and went over all the highlights with me,she also told me that a tens should never be used above the area of the collerbone as it is too close to the brain and can in some cases, in more senstive people actually trigger siezure activity.there was another reason for this too but for the life of me,I just cannot seem to actually recall what that was,sorry.

spams can alo be caused by a damaged nerve that is continually sending signals to the muscle.this is what I have in both legs along with the upper back spasms i have for the reasons that shore mentioned.my c spine is a mess and my upper back is loaded all the time with really tight wads of muscle called trigger points?they also just LOVE to spasm.i have tried many differnt things to rid myself of them only to have them keep returning only because the thing that is causing them has not been resolved.I haven't yet actually tried the tens up there yet mostly cuz i need another pair of hand to place the elctrodes and getting them in just the right spot is the most important part of actually using and getting the best possible results from the unit.they always seem to be the biggest problem ,of course,when no one else is home at the time to give the time needed to place them in that right spot.

The tens actually saved me from actually needing to ask my NP for a raise in my oxycontin as I was having no luck at all with the ever increasing pain and this deep bone ache from hell I have in my knee from structural damage spinal cord damage and RSD.i had talked with someone one day that was wearing the tens at the time on her knee and asked her questions about it.well,this woman had had to have seven surgeries on her knee and she said her pain levels were pretty much as bad as mine so I thought I owed it to myself to at least give it a shot.I really was impressed when I tried it on the next flare I had after getting the unit.it really really knocked the flare down like almost two full points once i got the electrodes in that "right" spot around my knee.it worked so well that the raise I was planning on asking my NP for at the next visit with her was put on hold for months(til I tore the meniscus).

The best thing i have found so far to use for my trigger points that trigger the spasms is using a tennis ball inside a tube sock and then placing it behind my upper back and then lean into the wall.just rolling it around and pushing it into the worst areas really helps alot in relaxing the entire upper back area.for the actual wads (trigger points) I will kind of roll the ball around til I find one(believe me,you WILL know when you hit one)and then I will kinda wiggle it into that spot and keep doing that for a few minutes to kinda loosen it up a bit,and then roll it into the worst spot(where the worst pain is?) and then push like hell into it with the wall and then hold it there for about 45 seconds to a minute but still kinda wiggling just slightly back and forth and then hold and push it again.amazingly this really does seem to actually help to "work that wad out".you will feel it just kind of "let go".once that happens,I still continue to still roll it around a bit in the direct spot and then work towards the outter area just to make sure it is gone.

Geez,I must do this at least two to three times a day,anytime I start to feel that tightness build up in my upper back again,or will start to feel some pretty intense pain under my L shoulder blade,its always the worst of the worst and pops up all the time with pain,sometimes pretty intense.I also take valium(usualy like half of a 5 mg one) when things wont calm down,but that is pretty rare as it does make me too tired to take during the daytime.but sometimes ya gotta do what ya gotta do.

I would highly reccomend the tens to anyone to at least give it a try and really try using many different configurations in places before totally giving up on it all together.like I said before,the electrode placement is key to good results.any PT can show you the best way to actually use it.It was a godsend for me.my ins co informed me at the first of the year that my rental contract was up and if I wanted to still use it I was going to have to actually buy it.I did.it definitely is worth the money(around 100.00)you can rent one thru a vendor that your ins co uses.they paid almost the entire rental cost themselves,that was of course til my contract ran out.

i would at least give it a shot.good luck.marcia