Yes, there are several alternative medications and non-pharmacological treatments for anxiety or muscle spasms that can be used instead of or in conjunction with Valium. For anxiety, doctors may recommend other benzodiazepines such as alprazolam or lorazepam, or non-benzodiazepine medications such as buspirone or SSRIs (selective serotonin reuptake inhibitors). Non-pharmacological treatments such as CBT (cognitive-behavioral therapy), relaxation techniques, or exercise may also be effective for managing anxiety. For muscle spasms, doctors may recommend other muscle relaxants like baclofen or tizanidine, or physical therapy to improve muscle strength and flexibility.