title: Curious case of muscle spasm.
abstract: If no improvement is seen with ongoing treatment for current diagnosis, then diagnosis should be questioned. History taking and physical examination remain essential tools in care of the patient in addition to the current technological advancement.
authors.affiliation: UT Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, Texas 75235-9003.
authors.forename: Natalie
authors.initials: N
authors.lastname: Stratemeier
authors.affiliation: Internal Medicine, V A North Texas Health Care System 4500 S Lancaster Rd, 111 E, Dallas, Texas 75216.
authors.forename: Disha
authors.initials: D
authors.lastname: Kohli
authors.affiliation: UT Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, Texas 75235-9003 ; Internal Medicine, V A North Texas Health Care System 4500 S Lancaster Rd, 111 E, Dallas, Texas 75216.
authors.forename: Padmashri
authors.initials: P
authors.lastname: Rastogi
keywords: Clinical diagnosis; Isaac syndrome; chronic pain; difficult patient; muscle spasm; shared decision making