Hi Erin, thank you for reaching out I appreciate your concern! I am having new flare ups that I have never experienced before, lately whenever I do things with my arms or my body gets overheated I have really bad arm spasms which makes my arms hard to move. They go completely numb and they feel tingling and they last for almost 2 hours. I've literally done things like put clothes in a dryer and had spasms and I work at a warehouse and I go up and downstairs and depending on how many times I go up and down the stairs I have spasms. I've had so many at work and now I'm to the point where I'm feeling really down due to feeling like I can't do anything without these spasms happening. I feel like it's getting in the way of me working, I'm trying to get accommodations to avoid the stairs and to get extra breaks when I need to cool down but I still fear these spasms happening. My doctor has put me on baclofen so I hope that helps.