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Can anyone offer advice? I get arm spasms at night where my hands close up and my arms are drawn up against my chest. My doctor has increased my dose of gabapentin to the maximum dosage with no success. I've asked my physio for night splints like those I had as a kid but apparently they no longer like to use them, although she offered no real alternative. Problem is that I wake up in pain and my left arm is pretty useless for hours after a spasm. Does anyone have any suggestions other than meds and heat to relax the spasms?