8 Answers
I am prescribed quinine for leg cramps, better for you do give your doctor a visit.
12 years ago. Rating: 9 | |
Night leg cramps are sudden, painful, involuntary contractions of muscles in your leg. In most cases, night leg cramps involve your calf muscles, but muscles in your feet or thighs may cramp as well. The risk of having night leg cramps increases with age. Pregnant women also have a higher likelihood of experiencing night leg cramps.
Most of the time, true night leg cramps occur for no known reason, and they're harmless. However, in rare situations, night leg cramps can be associated with an underlying disorder, such as peripheral artery disease ordiabetes.
Restless leg syndrome is sometimes confused with night leg cramps, but it's a separate condition and pain is not a prominent feature. Still, restless leg syndrome is a possibility to consider if you are having leg cramps at night.
For most people, night leg cramps are merely an annoyance — something that jerks you awake on an infrequent basis. But in some cases, you may need to see a doctor.
Seek immediate medical care if you:
- Experience severe and persistent cramping
- Have night leg cramps after being exposed to a toxin, such as lead
Schedule an office visit if you:
- Have trouble functioning during the day because leg cramps interrupt your sleep
- Develop muscle weakness and atrophy along with leg cramps
Self-care
Activities that might help prevent night leg cramps include:
- Drinking plenty of fluids to avoid dehydration
- Wearing shoes that have proper support
- Stretching your leg muscles, or riding a stationary bicycle, for a few minutes before you go to bed
- Untucking the bed covers at the foot of your bed
Activities that might help relieve night leg cramps include:
- Flexing your foot up toward your head
- Massaging the cramped muscle with your hands or with ice
- Walking or jiggling the leg
- Taking a hot shower or warm bath
12 years ago. Rating: 8 | |
Differential diagnosisCauses of cramping include[1] hyperflexion, hypoxia, exposure to large changes in temperature, dehydration, or low blood salt. Muscle cramps may also be a symptom or complication of pregnancy, kidney disease, thyroid disease, hypokalemia, hypomagnesemia or hypocalcemia (as conditions), restless-leg syndrome, varicose veins,[2] and multiple sclerosis.[3]
Electrolyte disturbance may cause cramping and muscle tetany, particularly hypokalaemia and hypocalcaemia. This disturbance arises as the body loses large amounts of interstitial fluid through sweat. This interstitial fluid comprises mostly water and table salt (sodium chloride). The loss of osmotically active particles outside of muscle cells leads to a disturbance of the osmotic balance and therefore shrinking of muscle cells, as these contain more osmotically active particles. This causes the calcium pump between the muscle lumen and sarcoplasmic reticulum to short circuit; the calcium ions remain bound to the troponin, continuing muscle contraction.
As early as 1965, researchers observed that leg cramps and restless-leg syndrome result from excess insulin, sometimes called hyperinsulinemia.[4] Hypoglycemia and reactive hypoglycemia are associated with excess insulin (or insufficient glucagon), and avoidance of low blood glucose concentration may help to avoid cramps.
[edit] Smooth muscle cramps
Smooth muscle contractions lie at treatment[clarification needed] may be symptomatic of endometriosis or other health problems. Menstrual cramps may also occur before a female menstrual cycle.
[edit] Skeletal muscle cramps
Skeletal muscles can be voluntarily controlled. Skeletal muscles that cramp the most often are the calves, thighs, and arches of the foot. A so-called Charley horse, this kind of cramp is associated with strenuous activity and can be intensely painful—though skeletal cramps can occur while relaxing. Around 40% of people who experience skeletal cramps are likely to endure extreme muscle pain, and may be unable to use the affected limb. It may take up to seven days for the muscle to return to a pain-free state.
[edit] Nocturnal leg cramps
Nocturnal leg cramps are involuntary muscle contractions that occur in the calves, soles of the feet, or other muscles in the body during the night or (less commonly) while resting. The duration of nocturnal leg cramps is variable with cramps lasting anywhere from a few seconds to several minutes. Muscle soreness may remain after the cramp itself ends. These cramps are more common in older people.[5] They happen quite frequently in teenagers and in some people while exercising at night. The precise cause of these cramps is unclear. Potential contributing factors include dehydration, low levels of certain minerals (magnesium, potassium, calcium, and sodium), and reduced blood flow through muscles attendant in prolonged sitting or lying down. Nocturnal leg cramps (almost exclusively calf cramps) are considered 'normal' during the late stages of pregnancy.[citation needed] They can, however, vary in intensity from mild to extremely painful.
Various medications may cause nocturnal leg cramps:[6]
Diuretics, especially potassium sparingLong acting adrenergic beta-agonists (LABAs)Hydroxymethylglutaryl-coenzyme A reductase inhibitors (statins)
Besides being painful, a nocturnal leg cramp can cause much distress and anxiety.[7]
Usually, putting some pressure on the affected leg by walking some distance will end the cramp.[8]
[edit] Iatrogenic causes
Statins cause myalgia and cramps among other possible side effects. Additional factors, which increase the probability for these side effects, are physical exercise, age, female gender, history of cramps, and hypothyroidism. Up to 80% of athletes using statins suffer significant adverse muscular effects, including cramps;[9] the rate appears to be approximately 10–25% in a typical statin-using population.[10][11] In some cases, adverse effects disappear after switching to a different statin; however, they should not be ignored if they persist, as they can, in rare cases, develop into more serious problems. Coenzyme Q10 supplementation can be helpful to avoid some statin-related adverse effects, but currently there is not enough evidence to prove the effectiveness in avoiding myopathy or myalgia.[12]
[edit] Pathophysiology
Main article: Muscle contraction
Skeletal muscles work as antagonistic pairs. Contracting one skeletal muscle requires the relaxation of the opposing muscle in the pair. Cramps can occur when muscles are unable to relax properly due to myosin fibers not fully detaching from actin filaments. In skeletal muscle, ATP must attach to the myosin heads for them to disassociate from the actin and allow relaxation — the absence of ATP in sufficient quantities means that the myosin heads remains attached to actin. An attempt to force a muscle cramped in this way to extend (by contracting the opposing muscle) can tear muscle tissue and worsen the pain. The muscle must be allowed to recover (resynthesize ATP), before the myosin fibres can detach and allow the muscle to relax.
[edit] Treatment
Stretching may be helpful in treating simple muscle cramps [13]. With exertional heat cramps due to electrolyte abnormalities (primarily sodium loss and not calcium, magnesium, and potassium ) appropriate fluids and sufficient salt improves symptoms.[14]
[edit] Medication
Quinine is likely effective, however, due to side effects its use should only be considered if other treatments have failed and in light of these concerns.[15] Vitamin B complex, naftidrofuryl, lidocaine, and calcium channel blockers may be effective for muscle cramps.[15]
[edit] Prevention
Adequate conditioning, stretching, mental preparation, and adequate fluid/electrolyte balance are likely helpful in preventing muscle cramps. [16].
12 years ago. Rating: 4 | |
If you take Lipitor, it causes depletion of Magnesium.
Drink 1 quart of pure water per 50 lbs. of bodyweight per day and take 1/4 tsp. Himalayan salt along with the water every day.
Take 450IU of vitamin E every day.
Take MSM {methyl sulfate) and Vitamin C (!000mg of Vit C) a day. MSM
M is a compound found in natural foods and contains sulfur.} All three have found to be working w, Leg cramps. Only try one at a time and give each at leat a week to work.
12 years ago. Rating: 1 | |