oh sky, if I could only tell you what I have been through today. i am going to use no caps as it makes it easier. first of all what is causing the spasms or pain ? theory is currenlt torn rotator cuff. i have been in a fetal position in the er with my sore arm pushed as hard as could be into a pillow against the bed rail. i am speaking about the most horrid pain i have ever had. They gave me a shot of demerol and an anti nausea and were ready to let me go. I had no relief! i got another shot, some relief. That was about 2 hours ago and the pain is growing. I almost can't stand it. She told me to use skelaxin and the tylox or the vicodin. see a p.t first thing tomorrow. That and I am seeing my doc's spouse tomorrow and want an immediate referral for an mri and an orthopedic surgeon at large teaching hospital. I am in agony. flexeril, clonazapam, nothing touching it. shoot me someone!