This question was submitted via our Ask a TMS Therapist program. To submit your question, click here. Question Muscle spasm: Hi, i am experiencing really bad muscle spam in one small part of my upper back.. Its that bad its dropping me to my knees. It just hits me out of know where and impacting on my life i.e walk, bend, drive, toilet. It started in the morning (today), i had small back pain when going bed last night. Happening every few minutes if i don't lye down. I am a full TMSer, read all books, videos, seen therapist, basically know my stuff and have beat many TMS symptoms. I never had such an acute attack and not sure what to do? yes the pain/spasm is psychological induced but the spasm is real, my wife said she can see it on my back. I can't really function now. Should i use heat treatment and a remedial massage to unlock this muscle? to get me back on my feet or be patient and apply TMS treatment i.e mindfulness, journal etc... I tried doing normal actives but it keeps dropping me to my knees. I even washed my car whilst the spasm when nuts. I am being positive, not allowing fear, anxiety or hopelessness (i am in a really good place, actually laughing at it) just not sure what to do?? is it possible to be actually physical induced?