Stay hydrated and make sure your vitamin D & calcium levels are good. I get all kinds of spasms when I'm dehydrated.

Ms Cauthon I hope your neurologist told you or others with ms could explain ms hugs: different for some. Mine usually start because I'm dehydrated. My ribs and sides squeeze making me breathless & tired. Sometimes accompanied with dizziness & lightheadedness. All I could do is be very still & breathe deeply. I don't take more medicine for this but drink hot peppermint tea. Usually calms down anxiety.

I get tingling in my left shoulder blade area, only a larger area. Like bumble bees buzzing under my skin. It can last several hours at a time for over 2 months now. Not sure if it's an MS thing or due to spinal stenosis. Differentiating between the two can sometimes be frustrating.

CBD oil is made from a specific strain of cannabis that does not have high THC. There are several different strains that have higher CBD than THC. Probably the most well known is "Charlotte's Web" named after the girl whose seizures were significantly reduced by CBD oil. I deal with ridiculous spasms, and use both THC rich and CBD rich oils and I vaporize for breakthrough. I find CBD alone isn't effective for me (It took a lot of trial an error to figure this out ) For me I'm using an oil at night that's a ratio of 20:10 THC:CBD ratio with an additional 1ml of 0:10 THC:CBD oil. This plus everything else that I take at bed time will get me if I'm lucky 5 hours of quality sleep before the spasm cycle starts again.... I'm usually too stubborn to get out of bed and treat since the house will be up to start the next days activities in a couple of hours anyway - may as well let the rest of the house sleep before I get up and do what needs to be done to get the spasms under control to do my day. I'm also taking 80 mg of Baclofen divided over 4 doses and Tizandine 12 mg (divided over 3 doses with most taken at bedtime because this one turns me into a zombie) and have started therapeutic massage last week (Which is not fun - but I got some mobility back in my neck and shoulder after 1 treatment so I'm looking forward to seeing what can be done about my hip, hamstrings, and thigh muscles this week because they are so painfully tight it makes walking awkward and agonizing) My mornings start with 30-45 minutes of stretching to try and get whatever is locked up moving again before deciding if I have to have a longer hot shower to get the rest of the muscle tightness out (and ruining any chance of getting anything accomplished during the day because hot showers = no energy left) or if I can shower later (before bed when lack of energy is a good thing). My day is essentially spent monitoring and spot treating spasticity. Do I need to stretch? Do I need to move in a different way to let the opposite muscles do their thing? Is this going to escalate into something worse - treat with rescue treatments, heating pad, ice.... I've had to become more mindful of how I move and how my muscles are positioned when doing anything to try and avoid that sudden excruciating charlie horse like violent spasm (especially in my arms because things get dropped and thrown unintentionally.) Ugh.... I do this without thinking most of the time, but writing this makes it clear why I am exhausted all the time.