Muscle Spasms in Legs After Starting TRT Treatment?

[Systemlord]

Hello everyone,

I recently started testosterone treatment (Axiron) and immediately started getting really bad muscle spasms mostly in my left leg, I get very minor muscle spasms throughout my entire body it's just the left leg that seems to go nuts! I stopped the treatment and within a few days I started feel relief from the muscle spasms, after about a week I went to see my Urologist to seek testosterone injections (1ML 200mg every 3weeks) and had my first injection two days ago and started getting muscle spasms in the exact same location as before. I also have been dealing with sciatica pain in my lower left back/butt/legs area before starting TRT and received an injection in my low back the day after my testosterone injection to relieve my sciatica pain. Is it possible that the testosterone treatment is causing my sciatica pain to reactivate causing intense muscle spasms? My Urologist seems clueless as to the cause of the muscle spasms.

Help much appreciated!

 

[Mprtz]

Muscle spasms are brief involuntary contractions. More severe and lasting contractions are usually referred to as cramps. Since you say they are really bad I'm thinking they may be the latter (cramps).

What part of the leg is spasming or cramping? I got a lot of calf cramps at night early on in TRT when my E2 was too high.

My suggestions are to check estradiol (E2) when possible, and consider supplementing with magnesium.

 

[Systemlord]

Muscle spasms are brief involuntary contractions. More severe and lasting contractions are usually referred to as cramps. Since you say they are really bad I'm thinking they may be the latter (cramps).

What part of the leg is spasming or cramping? I got a lot of calf cramps at night early on in TRT when my E2 was too high.

My suggestions are to check estradiol (E2) when possible, and consider supplementing with magnesium.

I contacted my Urologist late last night and he seems to think starting dose was too high and this is just my body reacting to the new fuel. The cramping pretty much all day but amps up at night in my left thigh/left buttocks (see video below) and a little bit of minor cramping in arms, shoulders at night as well. Last night I could feel both my buttocks muscles cramping and while this was occurring my left shin feels numb. I'm going to insist that my doctors at least run a blood test since it's been two months since I started TRT.

https://youtu.be/2aoe5ZNXTaA

 

[Mprtz]

200 mg every three weeks is really on the low side, but the main problem is that with the half life of test cyp you really need to inject at least weekly.

I severely doubt that the test dose is to blame. Some guys inject 5 times that every week and don't necessarily get cramps. A spike in estradiol might cause it, or it could be something totally different.

Definitely get bloodwork including metab0lic profile to check the electrolytes.

 

[daleb]

Axion is a gel. Anyways I'd suggest to get a mag-rbc lab and a cmp. Test increases insulin sensitivity which means Ur cells are using glucose more efficiently which means they will go through more electrolytes and water. The best electrolyte miss I've found is from the world health organization called flu rehydration packets sold on amaz0n. Have your urologist order you mag sulfate injectibles because when a persons mag is low it's almost impossible to normalize it with diet. A good starting dose is 250mg. Or 1/2ml.

 

[Systemlord]

My doctors advises me not do self injections because hes afraid I'll hit a nerve in my buttocks, also having to come in every week for the rest of my life would get old real fast, that's why he's doing it every 3 weeks. He will not teach me to self injections so I'm kind of limited. Sucks!

 

[Mprtz]

He may be a lost cause if he is inflexible on this point. Injections every 3 weeks is never going to work (unless using undecanoate, which I don't think is approved in the US at this point).

Young children can learn to self inject. It's a pity he has so little confidence in you - and that's a two way street.

EDIT: if he's only advising not to self inject, maybe you can just overrule him there. It's quite easy to learn and even those with a phobia for needles (like me) usually are able to get past it very quickly.

 

[Systemlord]

My doctor is actually going to lower my dose on the next injection so that I don't get muscle cramps in my legs. He doesn't seem at all interested in doing the blood test even though I've been on trt treatment for 2 months. The first time I started trt treatment I got muscle cramps the same day, after stopping treatment muscle cramps went away in about a week. When I got injectable version testosterone a week later I got muscle cramps in two days and he still thinks it has nothing to do with the trt treatment and doesn't seem interested in doing a blood test.

I don't know about you but if I was a doctor and my patient complain of leg cramps after starting treatment not once but twice, I would at the very least do a blood test to see what might be causing it instead of just blowing it off. It's difficult to find good quality doctors with my healthcare provider, it seems no matter how many times I switch doctors I keep running into doctors like these they're lazy, inexperienced and just plain dumb. I'm going to change health care providers because this cannot continue.

 

[Mprtz]

Your doctor doesn't seem to be up on TRT, but I do think he is probably right about the cramps having nothing to do with your injections.

 

[Systemlord]

Any advice on how I can find a urologist specializes in TRT treatment? I find that those who treat diabetes and nutritional deficiencies tend to be lacking when it comes to TRT treatment. I don't want a doctor that's good all-around, one that specializes in one area.

 

[IMT staff]

Terrible injection schedule, the wide varying swings in your TT, FT and E2 levels could be part of the problem.

Its not the dosage that is the issue, its dosage frequency.

 

[Systemlord]

I think I know what's causing my leg cramps, I have had edema before as a kid and it feels very much like that, could a testosterone shot cause my legs to store too much water causing them to get hard and cramp up? If so can hey urologist somehow control the water build up in my legs? I'm going to be paying for a urologist out of pocket because things are getting really bad, 5 days after my testosterone shot my low T symptoms have returned with a vengeance and now the cramping is starring to go away, it feels like as my legs cramp slightly pressure in my legs is being released relieving my leg pain.


Thanks forvany input!

 

[appleton111]

I think I know what's causing my leg cramps, I have had edema before as a kid and it feels very much like that, could a testosterone shot cause my legs to store too much water causing them to get hard and cramp up? If so can hey urologist somehow control the water build up in my legs? I'm going to be paying for a urologist out of pocket because things are getting really bad, 5 days after my testosterone shot my low T symptoms have returned with a vengeance and now the cramping is starring to go away, it feels like as my legs cramp slightly pressure in my legs is being released relieving my leg pain.


Thanks forvany input!

what symptoms are showing up?

 

[Systemlord]

Symptoms are heart palpitations, brain fog, severe fatigue, insomnia, inability to concentrate. My legs cramps are starting to come to an end as the injection starts to wear off. My doctor still thinks my legs cramps have nothing to do with injection even though every time I start treatment 2 days later my legs cramp up. It's possible the T injection makes my sciatica go a little nuts do to the extra fuel as it's the only thing that makes sense. I just spoke with my doctor and he says I cannot have an injection every week, I cannot see him for 2 weeks. Injections every 3 weeks 1 ML 200mg every 3weeks.

 

[Systemlord]

Well it's been about a week since my testosterone shot wore off last Saturday and my muscle cramps and spasms have almost completely disappeared. I'm able to walk again also without much issue. Going to get a blood test a few days after my next testosterone shot.