I had severe pain that would make walking impossible until my neuro began to treat the spasms and pain aggressively with medications 6 times per day. I only weigh 112 and take 5 mg Baclofen, 3 times a day; 2 mg Zanaflex 3 times a day and then 4 mg at midnight to make it through the night without spasms; 5 mg Valium 4 times per day and increase this to 10 mg if I have a severe cramp situation where my legs or feet are visiblly splaying and I cannot walk. Also, I take 50 mg of Savella twice a day. I use narcotics only when pain is unbearable or I need to walk around for an extended period of time, cleaning house, shopping at the mall, etc. In addition to these meds, I have to take many others because I am one of the few females with Addison's disease caused by AMN. I never consumed caffeine prior to my diagnosis over 2 years ago, but now purposely drink it twice a day to combat the drowisness caused by these meds. The key for me has been to keep up with dosages and take them prior to when the pain and spasms begin. Also, massage has helped.