### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have muscle spasm in my legs, arm, and back. Lack of energy at work and no social life. This has been going on since last July when I got since home early because I was popped up against since boxes. Am late forty and been work at this company almost 14 years. I was in car accident 4 years ago. I had 7-8 stitches and staples in my right hand. The doctors told me not to have surgery until I feel pain because am consider semi paralysis. I have a dimple in my hand last than 1cm deep with a scar covering 90% . I was told that am still missing 15 layers of skin. I have been to ER and have MRI did on my head but the doctors find nothing. I think I may taken some expired antidepressant medics by mistake because am suffering from lack of fluids and inside my mouth has turn beige. Am using sports cream and doctor just giving some medics because my legs are weak. My health insurance wants me to take a physical exam about restrictions and limitation (sitting, standing, walking, bending, hand grasping, and driving etc.) Someone I work with seen me at a restaurant eating and they said it look I was going to fall out of my seat. The busy it is at work, the more drowsy and tired I be come and harder it is to come for next day at work or prep out my work uniform. The long hours on the weekend and closing the store at dark instead of opening in the morning becoming depression to. I am a female. Please help with some energy or am will become the sick and shut in.

### output:

Hi, Thanks for your query. After going through the description, I understand your concern regarding your symptoms. Most of the time, spasms occur for no known reason, and they're usually harmless. In general, these are likely to be related to muscle fatigue and nerve problems. Infact, till date there is no clear-cut evidence for the cause of muscle cramps. But the most common cited theories include -- Altered neuromuscular control- Deny Chat Doctor. 