Based on the information you have provided, I am confident that your surgeon did not find evidence of nerve . Overweight/obese individuals. bildel responded: I am having a simiar problem, however my spasms started immediately after the surgery. Knee pain in the evening or at bedtime can be due to several causes. But remember that having knee pain at night for most days is a red flag in itself. Learn more: How to treat knee OA 10 proven strategies. Bursae are fluid-filled sacs present in our joints. From something as benign as doing too much, to an injury, to a severe condition like rheumatoid arthritis. [Updated 2022 Feb 18]. But for people that dont exercise often, it can elicit an inflammatory response that often gets worse after lying in bed. Yesterday I had the best day so far, actually went out to eat at a sit down restaurant, I felt like I had rejoined the "land of the living ". However, if the pain lasts for several weeks following surgery, it may be a cause . If you use the same rolling pin massage technique on this condition, it may also help. As noted earlier, after an ACL injury and/or surgery, the tuning on these sensors become highly sensitive. If that happens, please go to the doctor to get an accurate diagnosis and start the right treatment. Some of the add-ons on this site are powered by. During knee replacement surgery, the Peroneal nerve (which travels down the leg past the knee) could have been damaged. I had a RTKR on July 17, 2017 so I'm four weeks post op and the recovery process has been unlike anything I could have ever imagined. If you have any symptoms of a clot, such as swelling in your entire leg, redness, and exceptional tenderness in your calf, you should see your doctor as soon as possible. Bursitis: Practice essentials. [Updated 2020 Dec 11]. It is common for the leg muscles to burst unexpectedly as the patient recovers from surgery. Nocturnal leg cramps also commonly called charley horses are painful, involuntary contractions of leg muscles during the night. Researchers believe it has something to do with muscle fatigue and overuse due to physical activity. Some evidence suggests that drinking a small amount of . What To Expect After A Knee Scope Surgery, The Spider Crawl Workout: A Great Option For Those With A Herniated Disc, Degenerative Disc Disease And Multiple Sclerosis, Recovery From Arthroscopy: What To Expect, How To Release The Sciatic Knot And Find Relief From Sciatica Pain, Knee Arthroscopy: Procedure Recovery And Outlook, Risks And Complications Associated With Hip Arthroscopy. This can help: What to do with a sprained knee? First, the surgery itself can damage nerves and blood vessels, which can lead to cramping. Muscle spasms are common after surgery and can be treated with both pharmacological and non-pharmacological interventions. This is a rare but known complication following knee replacement surgery. If you think this is the cause of your throbbing knee pain at night, please go straight to the doctor. Bruising may last up to 2 weeks after surgery. Since then, I still experience the pain down my shin and calf, much worse than before and more negative impact on walking, exercise, etc. Back+Leg pain: A combination of back- and leg pain and cramps could be due to an acute disc herniation or another cause of nerve compression. Loose lumps or bumps can be felt by the muscles. Because Of 4 Reasons, Is Basketball Bad For Your Knees? As with RA, the doctor will also request several tests to rule out other conditions first. This is the experience most people have after joint replacement surgery. Stress. Like while walking, climbing stairs, sitting, or resting. estrogen. Incidence of Patients With Knee Strain and Sprain Occurring at Sports or Recreation Venues and Presenting to United States Emergency Departments. Journal of athletic training vol. Yet, this should improve after a day or two. During knee replacement surgery, the Peroneal nerve (which travels down the leg past the knee) could have been damaged . Depending on the severity of the injury, this can be a serious condition that requires medical attention. You can raise your lower legs when lying down or sitting by applying ice, compression stockings, or stockings. (2). In LCS patients, leg cramps improved after surgery in 18.2%, remained unchanged in 45.5%, and worsened in 26.1%, and activities of daily living were disturbed in 47.6%. Allow the muscle to recover after stopping an activity if you experience muscle cramps. Youre experiencing knee pain at night after a fall or a direct hit on the joint. This is an autoimmune condition that affects the joints of the hands and sometimes the knees. Youre limping or cant walk during the day. We share the same surgery date. Muscle spasms can be a sign of a more serious problem and should be evaluated by a doctor. This will prevent you from developing chronic pain and other physical limitations. If not, the surgeon should be contacted for addition. This is normal and should go away in a few weeks. [12] after surgery. Related: What doctor for knee pain ortho or rheumatologist? Restriction in the blood supply. The management focuses on reducing pain with rest and hot/cold therapy. But with a little guidance, you might know whats causing it and how to manage it. If the spasms are severe or persistent, it is important to contact a doctor to rule out any serious causes. Taking a warm bath or shower may also help. The easiest way to treat this is by having a good nights sleep. Several conditions, such as kidney failure and diabetic nerve damage, are known to cause night leg cramps. Seek out physiotherapy. If the cramping persists, massaging the area with a warm washcloth or a hot water bottle may be effective in relieving the pain. Its key to get the right treatment right away to prevent chronic knee pain a common complication that can happen if this condition isnt managed adequately. So, if you suspect you have gout, please visit a rheumatologist. They're in my calf, in my thigh, around my kneecap, everywhere. The nerves in the low back could also be affected like in spinal stenosis (sometimes called neurogenic claudication). It is not enough to move. Kris Ceniza (PT). on Medically Reviewed By: 4 weeks ago had a knee replacement and since then the leg operated on will go into spasm every 12-14 seconds for 3 seconds and can last for hours and can happen any time from lunch onwards. There was no significant difference in satisfaction with surgery, the Oswestry Disability Index, the Roland-Morris Disability Questionnaire scores, or walking ability between . I've had these pains since Day 1 , which was July 11th for me. I even told my husband to just say week 6 to me when I'm crazy enough to get my other knee done. This condition is extremely serious, and it is more common after surgery. If you continue to experience pain, it is critical to consult with a doctor. What Helps With Muscle Pain After Knee Replacement. [Updated 2022 Mar 23]. The calf muscles adapt to wear down as you wear heels on a regular basis. A good history and exam is essential for the correct diagnosis. It may not display this or other websites correctly. Amazon and the Amazon logo are trademarks of Amazon.com, Inc or its affiliates. Knee injury - Twitching may indicate a nerve or muscle injury to the knee. I never thought at first it could get better but following the pain med chart and NOT going with a pysio until the swelling had gone down last month I got the all clear from my specialist and at a party last week was jiving and dancing the night away ! The treatment of these spasms should include both pharmacologic and non-pharmacologic options. Blood clots in the calf are the most serious complication following the procedure. Preferably a rheumatologist. Treatment . Calf pain typically lasts several weeks, but swelling can last for two to three weeks and last for up to six months. Flexeril (cyclobenzoprine) is often prescribed for spasms; however, I find that the fastest way for me to ease them is to drink a couple of ounces of tonic water. The most common things that cause calf cramps are: 1. You should also have sufficient pain control to maximize your rehabilitation efforts. It may not respond well to NSAIDs though, so youll likely have to do physical therapy (PT) to help the tendon heal. Improving the malalignment with exercises and/or knee braces. See, the frequent jumping accumulates tension on the tendon. Drink pickle juice. A lack of blood supply can cause leg pain while walking-- called vascular claudication. If you recently had a total knee replacement, you may experience some pain in your thigh, including pain at the front of the thigh. When activity suddenly starts/increases or changes, it can be considered an overuse. Advertisement. Apply a hot towel, hot water bottle, or heating pad to the affected area. Knee pain: When is it wise to go for knee replacement surgery? Heidari, Behzad. The effects of age-related changes in metabolism and drug elimination are potentially harmful to medications, resulting in a longer half-life for the drugs. The spasms will go away over time. Knee Force does not provide medical advice, diagnosis, or treatment. After surgery, some pain is normal. Athletes. Any suggestions? Orthopedic Spine Surgery 25 years experience. Also known as patellofemoral pain syndrome (PFPS), it affects the front area of the knee. Yes: After knee surgery, the knee will ache at night and make sleeping difficult. Staying One Step Ahead of UC. pain worsens with walking/use, lessons when at rest, but can occur there as well-usually started when walking and may not dissipate completely with rest. The swelling and fluid drainage into the lower leg and ankle may cause pain, swelling, and discomfort in the calves. These spasms can be caused by a variety of factors, including muscle imbalance, nerve irritation, and medications. (3). And I'm sure they are, but they're still painful! DISCLAIMER: Nothing here constitutes legal, medical, or other advice; all content relates to an individual perspective only. TKR. Advertisement. Written By DOI: Chauhan K, Jandu J S, Goyal A, et al. I gotta tell you my magical zone was between weeks 6-8 when I noticed less pain and need for narcotics and more freedom to get around and do normal daily things and get more than 4 hours of sleep at a time! After knee replacement surgery, some patients may experience leg spasms. Take care. | Yes And No, Heres What To Consider, 9 Safest Natural Supplements For Knee Pain (Backed By Studies). Will Walking On A Torn Meniscus Make It Worse? Youll know its bursitis because one part of your knee joint will be very swollen and painful. That in itself is reason enough to get it checked by your doctor. But if youre experiencing severe pain or the symptoms prevent you from falling asleep, try: This is the wear and tear of the knee cartilage. https://www.ncbi.nlm.nih.gov/books/NBK507884/, https://www.ncbi.nlm.nih.gov/books/NBK557657/, https://www.ncbi.nlm.nih.gov/books/NBK532969/, https://www.ncbi.nlm.nih.gov/books/NBK441999/, https://www.ncbi.nlm.nih.gov/books/NBK546606/, Taking CBD For Knee Replacement: Is It A Good Idea? When a muscle becomes too big for the sheath around it, a compartment syndrome occurs. Possible causes of them include: Involuntary nerve discharges. This is one of the most common repetitive stress injuries. Possible causes for leg cramps at night (nocturnal leg cramps) include: Sitting for long periods of time. If you experience sharp pain through your calf during surgery, contact your doctor right away. (9). There are a few possible explanations for why this may occur. These are some signs that you should go to your physician as soon as possible: There are several reasons why your knee hurts at night, including excess physical activity, osteoarthritis, rheumatoid arthritis, or gout. Having knee pain at night can be scary and frustrating. Applying a hot or cold compress to the area choose what the child likes the most. Additionally, the anesthesia used during surgery can also cause cramping. (6). Please go to the doctor to check this out. Now, these are common scenarios that can cause this type of knee joint pain: Related: 5 reasons why your knees hurt when exercising. Your knee joints hurt at night but not during the day likely because youre less distracted, thus paying more attention to how your knee feels. Trying new changes in your workout e.g. I also started taking magnesium and potassium for leg cramps and it has helped me some. Inflammation and pain can be relieved by wearing an ice pack. 1. Too much high-intensity exercise. An injured muscle may begin to tighten. I'm sure you will get mounds of support from the crew here, I know I sure did. When you have a tight calf muscle, you usually have muscle weakness or atrophy. Surgery can help in specific cases, where symptoms dont get better with PT and theres a partial tear of the patellar tendon. I would keep the heat away from your TKR as heat will promote swelling. See additional information. (7). These issues can sometime respond to well to surgery when indicated. In some cases, patients may also need to take medication to relieve the spasms. Now, bursitis is the inflammation of said sac. My daughter had a lot of tendons in her foot and calf pain, and she had started to have problems. There are many possible causes of muscle cramps after surgery, including dehydration, electrolyte imbalances, and nerve damage. This in turn can cause pain with movement, rest, and of course before sleep. With that said, the most common treatments include: Going to the doctor will be crucial here. This is a complex process, but put simply is the interaction between nerves and muscles which controls movement. Physical Therapist Anthony Maritato explains how your thigh may be damaged after surgery. Santana J A, Mabrouk A, Sherman Al. KneeForce.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. |McLaren Health Care News, Expert Article: CUVIS Joint, Your Robotic Doctor: Read About Worlds First Active Robotic Knee Replacement System, Ankle injuries: Q&A with Scripps orthopedic surgeon Jacob Braunstein, Diversity in orthopedic leadership made minimal progress from 2007 to 2019, 2 Hartford HealthCare hospitals lauded for total hip, knee replacement, Orthopedic Institute of Southern Illinois celebrates growth of its surgery center | Healthcare, Numbness or tingling down the back of the operative leg, Any other concern, even if it seems minor. Medications that can cause muscle spasms include: diuretics. Have a previous meniscus and/or ligament injury. Muscle spasms can be caused by low levels of electrolytes. Without knowing more details, I cannot say exactly why you are still in pain. Treatment typically involves addressing the underlying cause and may include hydration, medications, or physical therapy. It is possible that the surgery has irritated a nerve or that the muscles are not properly healing. This pain is common in children between 4 to 12 years old. Going to physical therapy to relieve knee pain. Created for people with ongoing healthcare needs but benefits everyone. It is making my life a misery as I become agitated as well and cannot relax. Do you have a 24 hour nurse on call at your doctors office or clinic? As a last resort, you may want to use the plantar fasciitis night splint, which will keep the calf muscles from tightening up. Lie on your back with your legs bent and then do exercises with your knee bent in order to effectively stretch both. Stress - When muscles are tense or experiencing stress, they can sometimes twitch involuntarily. A warm bath to increase blood flow and manage pain. 50, 11 (2015): 1190-8. Its harmless and not a sign of anything serious, but it can be intense. Because youre walking on an unusual path after surgery, youre likely to experience muscle soreness in the calf. My surgery took place five months ago, and the problem has been consistent since then. If the spasms are severe or . The damage can cause the legs to feel weak and tired, and can also make it difficult to move them. A physical therapist can show you specific and tailored stretches, mobilizations and strengthening exercises for your recuperating knee. [Updated 2022 Feb 7]. Behind knee pain is discomfort or soreness behind the knee joint. At first, i thought it was because I was finally walking correctly. Getting a Handle on Hidradenitis Suppurativa, Ankylosing Spondylitis: Weve Got Your Back, Whats Next? Mich Torres (PT) Infected and non-infected bursitis look remarkably similar but are treated differently (3): This can help: 6 ways to reduce bursitis knee pain at night. There are three common types of pain that can affect the lower leg: referred pain, nerve pain, and vascular claudication. Burning knee pain at night may be a sign of infection, which could come from conditions like bursitis or gout. Physical therapy is an extremely important part of rehabbing after knee surgery and can begin as soon as 48 hours post-op. Leg Spasms At Night After Knee Surgery. They can affect the: calf muscle, below the knee at the back of the leg; muscles in the feet or the thighs (less often) After the cramp has stopped, the muscle might feel sore for up . Because of age-related changes in the metabolism and drug elimination processes, a drugs half-life can be extended. The recommended way to alleviate pain in this condition is with home treatments, such as: Some medication may help, but this should be discussed with the pediatrician first. Get a free PDF with step-by-step instructions, tips, and mistakes to avoid so you can eliminate knee pain for good. Will A Knee Brace Help Bursitis? It is also possible that there is an underlying medical condition that is causing the spasms. The most common cause of joint stiffness after knee replacement surgery is weakness, which makes normal activities difficult. They reduce friction between the tendons, bones, muscles, and the skin. And this is a man who's had broken bones, suffered . If the diagnosis is rheumatoid arthritis, youll have to take specific medications and do some lifestyle changes to keep it in check. I wake up at least four times every night with very painful spasms. The cause is unknown, but several factors can increase the risk of having it, including (8): It can cause knee pain at night, but symptoms will likely get worse in the morning. massage the area. Its also known as patellar tendonitis and its fairly common in jumping sports. Knee Force. 2019-2022 Knee Force is a King Wave Company. more reps or lifting more weight. Thanks to everyone for your help and assistance. In fact, a common sign of rheumatoid arthritis is having morning stiffness that lasts several hours, instead of a few minutes. And although it can be annoying, its actually part of a natural response from our bodies. I've really stopped counting weeks but I'm close to three months but I do remember my first 6 weeks vividly and yes, I did have the spasms/cramps as well but they've slowly disappeared and I only occasionally get them now. Have a previous meniscus and/or ligament injury. About 60% of people report experiencing nocturnal leg cramps. Inability to bear weight in severe cases. Leg cramps happen when a muscle in the leg shortens and causes a sudden pain that can make it hard to move. Consider researching mindfulness and ways to improve recovery after workouts. Youll learn all about it below, so dont worry. Your physician will give you a proper diagnosis and suggest the best treatments for your case. This site is not a substitute for that.~ The typical pain from nerve pain is burning with numbness, itchiness, or tingling. Dr. Kornelis Poelstra answered. When the muscles of the calf tighten over time, its a sign of tight muscles. In general, night leg cramps are likely to be related to muscle fatigue and nerve problems. It feels like I am being hit in the knee with a cattle prod when it happens. JavaScript is disabled. Heres what well cover, click on any of these topics to easily navigate through the article: In order to know how to treat nightly knee pain, you need to know whats causing it first. The spasms are a sign that the muscles are getting stronger and are able to support the knee joint better. There are a few potential causes of leg spasms at night after knee surgery. Gout. Apart from a physical exam, your physician will request some blood and imaging tests to rule out other conditions. Jumpers Knee. Your OS or PCP may be able to prescribe something for the nighttime cramps you're experiencing. The treatment is focused on managing pain and includes: This overuse injury affects the patellar tendon. I do magnesium and potassium. If you are unsure which doctor to call, call your surgeon. use a heating pad on a low setting. A direct trauma, like falling on your knees. I have a really hard time depending on my DH for simple things that I think I should be able to do. Not open for further replies. For example, a common cause of nighttime knee pain Ive seen in my patients is excess physical activity during the day. Slow, extremely painful, frustrating, emotionally AND physically draining. But, one of the tell-tale symptoms of osteoarthritis is waking up with joint stiffness that lasts less than 30 minutes. corticosteroids. Your primary doctor (not the ortho surgeons) should be able to help sort out which type of pain is affecting your leg. | 3 Scenarios When It Can Be, 3 Reasons Why Icing Knees After Basketball Is Good (According To Science). All rights reserved. That sounds like a question for your OS. Read More. Typically when one of my patients experiences leg pain, numbness, tingling, or cramps after a fusion operation, I first rule out nerve compression or instability. a. To be honest, having knee pain at night frequently can be a sign that somethings going on with your joint. There are a few potential causes of leg spasms at night after knee surgery. Normal pain occurs when you feel spiking or shooting through the back of your leg. Sleep deprivation is pretty much inevitable - but what causes it? It can even be reddened and hot, which is a sign of infection. Hsu H, Siwiec RM. Pain and soreness are caused by the gastrocnemius and soleus muscles becoming so weak and atrophied that any increase in walking after surgery causes a significant increase in these symptoms. Pain in the lower leg could be referred pain from the arthritic knee or from as far away as the lower back. People at risk of developing it include ( 1 ): Those over 50 years old. When you engage in calf movement throughout the day, your body is designed to move in all directions. What causes pain after surgery? They no longer allow the muscles to take on as much load or as much length. His goal is to teach you how to apply this knowledge into your daily life, so you can keep knee pain away for good. It might work for you. There are many causes of knee osteoarthritis, but the main one is overuse. You are using an out of date browser. The symptoms are not getting better after 48-72 hours. Gray, Aaron M, and William L Buford. That will help you wake up refreshed and dont carry over that pain the day after. You'll get health news, advice, and inspiration delivered right to your inbox. Get your kidney function, parathyroid gland function and adrenal function tests done because these affect the electrolyte balance in the body. When cramps occur, the majority of people will instinctively rub and stretch their muscles. Bump J M, Lewis L. Patellofemoral Syndrome. And the more it spasms, the more it swells. I know exactly what you mean. ! The common reasons behind this include: Here, apart from knee joint pain, you may also experience swelling and stiffness. I don't have to go back to the hospital unless anything crops up. I didn't sleep through the night until I went back to work around 12 weeks. (8). The flexeril doesn't seem to help and according to my dr and the nurses, they're normal. It is possible that after surgery, you will experience muscle soreness and swelling in your calf. | When Its Helpful And Which Type Is Best For You, Will A Knee Brace Help A Torn Meniscus? They can be sudden and intense, to the point of waking you up while you sleep. The cause is still unknown, but it can run in families. Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part I.. | 8 Effective Remedies, Why Do Basketball Players Wear Leg Sleeves? If the sensors determine length or load are beyond their limits, they send an alert signal, which locks the muscle down with a cramp. THIS DOMAIN IS FOR SALE ~, Patients with late-stage knee OA incur high costs for nonoperative treatments before total knee arthroplasty, A Road to Recovery After Knee Surgery: 6 Tips to Follow, High costs of nonoperative treatment in the year before total knee replacement, Joint replacement maker Stryker to create 600 new jobs in Cork. gently stretch the affected muscle group. It can occur after a bad movement or a direct hit, making it more common in young soccer and basketball players. Are you willing for me to do that? Dr. Jalal Zuberi answered. Theres any sign of infection: fever, redness, and/or warmth in the injured area. Growing Pains.. that bring him to tears. The cramps can last from a few seconds to 10 minutes. Following a total knee replacement, it is common for patients to experience severe thigh pain. Another type of pain which could be felt in the lower leg is nerve pain. It usually happens on both sides at the same time. Sharp and painful leg cramps can cause unpleasant sleep disruptions. 5 reasons why your knees hurt when exercising, How to treat knee OA 10 proven strategies, 6 ways to reduce bursitis knee pain at night, All about knee sprains types, treatments, and more. Further reading: Knee osteoarthritis the ultimate guide. He still has chronic pain. But it can also happen because of an underlying problem or injury. It may get "restless" and cause muscle spasms in the 1st 2 months after knee replacement. Muscle fatigue a common cause of calf cramps during and after exercise and develops due to a problem with neuromuscular control. During surgery, the quadriceps tendon, which runs from above the kneecap, is usually cut and stitched together. Because diet coke can cause leg pain and dehydration, its a good idea to drink plenty of water to help break the habit. Mitch is a physical therapist, personal trainer, and nutrition coach. This is because the surgery can damage the nerves that control the legs. This is normal after all knee surgery. Both the gastrocnemius and soleus muscles are responsible for the formation of the calf muscles. Behind is a common sign of a Bakers cyst, which is a buildup of synovial . If you aren't crazy about using supplements, try eating more foods rich in these nutrients. In this article, you learned the most common reasons behind this. Athletes with tight calf muscles, particularly those who run long distances, are a common complaint. Joan Brook in Spain xx. Walking or standing more than youre used to. [Updated 2022 Apr 30]. I kinda figured I should stick with the ice right now. Rheumatoid Arthritis. 2022 Remedy Health Media, LLC ALL RIGHTS RESERVED, I Experienced Pain Down My Leg, Tibia And Calf After Knee Replacment. Worse with weather changes, esp. I certainly can sympathize with you about this surgery having such a slow recovery. Spas can be caused by muscle fibers tightening up. I had a TKR December 2017 and I followed the advice given by BoneSmart. This should gradually resolve. If you are experiencing pain after your surgery, it is best to consult with your surgeon or physician. This will depend on the severity of the injury. They should go away with time and physical therapy. In this inflammatory condition, uric acid crystals accumulate in certain joints commonly the big toe, ankle, and/or knee. Had mild restless leg syndrome for years until I broke ankle 9 months ago when it got worse. OUR BRANDS Knee Force Ankle Action Shoulder Savy. Women who are pregnant often have leg cramps during the day and at night. The last type of pain that commonly affects the lower leg is vascular claudication. Even so, the muscular pain can often be worse than the bone pain. | When It Can And When It Cant, 30 Perfect Knee-Health Gifts For Christmas, How To Treat Knee Pain From Basketball? Malalignment of the lower extremity and/or kneecap. Apart from pain at night, sprains have other associated symptoms such as: Some people may be able to walk with a knee sprain, but others wont. If it doesnt let you sleep or happens frequently, please consult a doctor. If the conditions are particularly troublesome, we may be able to prescribe a muscle relaxant medication. The use of a wedge to stretch the calf muscles has been shown to be effective in relieving pain and tightness. Non-infected bursitis can be treated at home, but stubborn ones may benefit from. Usually, this sensation will resolve over time and is not a major problem for patients. Pregnant women also have a higher likelihood of having night leg cramps. I think we got it got it From Sharper Image, or some place like that years ago. Nighttime Cramp/Spasm<. You will notice more pain and tightness if you force the muscles to work too hard or too quickly. Also, youll probably be unable to put pressure on that area due to the pain, making it very difficult to find a comfortable sleep position. Muscle wasting (atrophy) is another term for underuse, but it is more common in older adults. I get the diet version. Id get it checked out right away. The possibility of no pain after the surgery is diminished if the edema (swelling around the knee) subsides. Myongji upgrades joint replacement precision with surgical robot < Hospital < , Are you planning to have a knee or hip replacement? Finally starting to feel better this afternoon, just in time for the dreaded night time! This is because the muscles around the knee are healing and re-adjusting to the new joint. Did PT as supposed to. Doctors can recommend this right away to athletes to help them go back to the sport faster. Together, you will find a solution that will benefit both of you. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you. See, doing more physical activity than what were used to puts our joints under a lot of stress. Generally deficiencies of any of the above can cause muscle twitching and spasms in localized or generalized areas of the body. You should know: The answer above provides general health information that is not intended to replace medical advice or treatment recommendations from a qualified healthcare professional.