If you’ve been dealing with chronic muscle spasms that don’t improve with rest, stretching, or time, you’re not alone—and you’re probably frustrated. Many people experience ongoing spasms without a clear diagnosis, unsure of who to see or what tests to ask for. Whether the pain is post-surgical or seemingly random, understanding the right steps can make all the difference in finding real relief.
As a board-certified podiatrist with over 35 years of experience, here’s what I recommend when chronic muscle spasms just won’t go away.
1. Choose the Right Specialist Based on Location
Where the spasm occurs matters. If your muscle spasms are in the foot, calf, or below the knee, start with a podiatrist—preferably one with sports medicine experience. If the spasms are above the knee, consult with an orthopedist. Sports specialists deal with muscle spasms regularly and often have more advanced and targeted treatment strategies.
2. Rule Out Nerve Damage
In many cases, chronic muscle spasms are caused by an underlying nerve issue—especially if symptoms started after surgery or injury. Ask your doctor to order an NCV/EMG test (Nerve Conduction Velocity / Electromyography). This test can identify whether the issue stems from sensory nerves or muscular nerves, and help determine if you need to stay under the care of a neurologist or return to your podiatrist or orthopedist for treatment.
3. Don’t Skip the Bloodwork
Comprehensive blood tests, including an arthritic panel, can reveal autoimmune issues, muscle weakness, or early signs of inflammatory disease that may be contributing to muscle spasms. These are often overlooked but can uncover hidden conditions affecting your recovery.
4. Track the Timeline of Your Symptoms
Be clear with your provider about exactly when the muscle spasms began. The timing—especially in relation to surgeries, injuries, or changes in activity—can offer essential clues that narrow down the root cause. This information is often more powerful than imaging or lab results.
5. Find the Right Physical Therapy Team
If your tests come back normal and spasms persist, don’t settle for a general physical therapy referral. Instead, look for a clinic that specializes in neurological rehab or post-stroke patients. These teams are trained to work with complex muscle and nerve issues. National centers like Kessler are a great example, but many qualified groups exist—just make sure to ask the right questions.
When Muscle Spasms Become Chronic, Dig Deeper
Persistent muscle spasms are more than an annoyance—they’re your body’s way of saying something isn’t right. By following this roadmap—seeing the right specialist, ruling out nerve and systemic causes, and working with the right rehab team—you’ll be much closer to identifying the why behind the spasms, and finally getting the targeted treatment you need.
Still unsure where to start? Visit ArchMaker.net for more foot and leg health insights, trusted product recommendations, and expert advice from a board-certified podiatrist.
