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If you need to take pain-relieving medications long-term, discuss other treatment options to ease muscle spasms with your healthcare provider, such as: Topical pain relievers (creams and ointments) are less likely to cause systemic side effects compared to oral medications for pain relief Low-impact physical activities such as stretching, yoga, and tai chi Relaxation techniques Consult a healthcare provider before taking alternatives such as acetaminophen or other muscle relaxants, especially those with the following: A history of allergic reactions to ibuprofen or cyclobenzaprine

This approach is determined on a case-by-case basis

Administer the injection subcutaneously, usually in the abdomen

Should I have a blood test before the Vitamin B12 treatment

Neurologic manifestations will not be prevented with folic acid, and if not treated with vitamin B12, irreversible damage will result

Do not squirt or inject rapidly