<s>[INST] I have SCI C2-C8 and L1-SI and multiple spinal surgeries, spinal abscess, spinal fluid leak over 14 years. I am ambulatory with chronic pain and multiple health problems. I have spasticity of my legs and now I have severe pain and spasms under my breast on the ribs. The spasms grab me and can last for 30m -60m before letting go and then start again if I move or someone else moves me. I was diagnosed with possible costochondritis but my sternum has no pain and the spasm are moving around my entire right side. Breathing and eating hurt horribly. Fatigue and weakness are a problem. It has been 3 weeks and I am still incapacitated. What should I do next. Baclofen 90mg daily, neurontin 300, MSIR, MSER, are my meds. I increased the baclofen slighlty myself with some relief. [/INST] you should speak to your neurologist.  spasms are a common occurrence in spinal cord injuries and there are many medications that can be used in addition to baclofen.  in extreme cases Botox and baclofen pumps can be used </s>