<s>[INST] I am a 58 year old woman. I have a spinal fusion from T2 to S1. T10-12 are no longer fused. I am experiencing major muscle spasms all over my back but the worst is in the thorasic area. These spasms are like huge contractions and stop me in my tracks. I can t breathe during them. They wake me during the night an often prevent my getting to the restroom before an accident. No medication seems to help. After a bout of these cramps I am sore for days. I have noticed I stand bent forward & to the right. what could be causing this? I have an internal spinal chord stimulator, but it seems to make things worse, [/INST] Hello, I have studied your case. You may need to do MRI spine again to see for nerve compression Muscle relaxant like baclofen can be started consulting your doctor. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help will advise checking your it B12 and it D3 level. Continue gabapentin consulting your doctor. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. </s>