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Leg cramps treatment

18 Jul 18

Drug treatment for seizures

If you often experience painful spasms in the lower extremities, in order to quickly get rid of the unpleasant symptom, you need to choose the right medicine for leg cramps. There are several types of medications that will be effective in one case or another. It all depends on the cause of the seizures. If pain occurs frequently, it is best to consult a doctor and get all the necessary tests.

Leg cramps are a common muscle spasm. Sharp pain in the limbs can occur at any time of the day or night, at any age. There are many reasons for this unpleasant symptom - from physical fatigue to taking complex medications. What to do if a spasm of pain caught you completely unexpectedly? First of all, try to relax your legs as much as possible and give a light massage. If the pain is severe and sharp, you can take a paracetamol tablet. However, this method is effective only when the spasm occurs for the first time and is not associated with the development of any more serious disease.

Tablets for leg cramps should be selected depending on the cause of the development of the unpleasant symptom. For example, if the endocrine system is disrupted, a special diet and hormonal and iodine-containing medications are prescribed.

Muscle spasms most often go away very quickly. It is enough to give a light massage, take a contrast shower, and perform a few simple gymnastic exercises. If the pain and cramps have passed, no additional medications need to be taken. If your symptom is more serious and prolonged, then in this case you need to take pills that will relieve muscle spasms and make the cramps less painful.

Such medications include:

  • Asparkam;
  • Magnerot;
  • Quinine;
  • Tablets containing potassium;
  • Drugs that interfere with the absorption of calcium (tablets not only reduce blood pressure, but also eliminate leg cramps).
  • Let's look at each group of drugs in more detail to determine which medication is best for you.

    Any magnesium supplement for leg cramps will be effective. Such medications saturate the body with useful microelements and normalize electrolyte metabolism. The following magnesium-containing drugs will help get rid of cramps:

    The patient will feel relief immediately after taking the first magnesium tablets - the cramps will gradually disappear, the pain will stop. If the medications are effective, do not stop taking them even after recovery. The body needs at least 1-2 months to replenish magnesium deficiency. Such drugs have virtually no side effects and are easily tolerated by the body.

    If leg cramps are caused by dehydration, electrolyte imbalance, alcohol intoxication, heavy metal poisoning, tablets with a high concentration of magnesium are exactly what you need. Doctors recommend taking the drug for 6-7 weeks. Read the instructions carefully; they will indicate the optimal daily dosage of the medication.

    Potassium is a very important element that the body needs. This mineral transmits electrical nerve impulses and promotes proper contraction of muscle fibers. It is the lack of potassium that most often causes leg cramps at night. To make up for the deficiency, you need to regularly take tablets with this trace element (Panangin, Asparkam). Also, pay attention to your diet.

    Enrich it with foods high in potassium, namely:

  • Grapes, apricots, bananas, nectarines;
  • Cabbage;
  • Citrus;
  • Sea fish;
  • Pork and lamb.
  • A properly formulated diet and taking safe medications will allow you to quickly improve your health and forget about the pain from leg cramps.

    Askarkam is considered the most effective and safe remedy that allows you to quickly cope with seizures in the lower extremities. These tablets contain potassium and magnesium - microelements necessary for normal muscle contraction. In addition, Asparkam is used to treat heart pathologies, circulatory disorders, and helps eliminate shock.

    In almost any pharmacy you can buy Asparkam in the form of tablets or injections. You do not need a special prescription to purchase this medication. If cramps torment you very often, you can be treated with Asparkam droppers, which are administered intravenously. This treatment is prescribed by a doctor and depends on the type and severity of the disease. The recovery course lasts at least 10 days. If you prefer to take the medication in tablets, choose the optimal dosage for yourself (1-3 tablets per day).

    You can take Asparkam daily for 1 month. Be sure to read the instructions for the medication, and take into account the fact that the drug has contraindications.

    It is not recommended to take it if:

  • Acute heart failure;
  • Hypermagnesemia, hyperkalemia (excess magnesium or potassium in the body);
  • A severe form of myasthenia gravis.
  • Asparkam can be used to treat seizures in young children. However, before giving the pill to your baby, be sure to consult your doctor. Only a physician can determine the safe dosage of the drug for a small patient.

    The drug Quinine has proven itself well in the treatment of limb cramps. This medication should be taken only after consultation with a doctor, according to a strict dosage. The thing is that quinine can cause unpleasant side effects:

  • Hearing impairment and ringing in the ears;
  • Headache;
  • Nausea;
  • Dizziness;
  • Vision problems.
  • These symptoms usually appear with an overdose or individual intolerance to the main component. Quinine can significantly reduce the concentration of platelets in the blood. This is quite dangerous, because these microparticles ensure normal blood clotting, and their deficiency can lead to severe bleeding. The dosage recommended by the doctor should not be exceeded under any circumstances. Pregnant and breastfeeding women should also not take quinine.

    The course of treatment for severe leg cramps lasts 4 weeks. If the treatment does not produce any results, the drug should be stopped and another, more suitable medication should be selected. If any of the above side effects are detected, quinine should be stopped immediately.

    Very often, the cause of painful cramps in the legs is varicose veins. In this case, doctors recommend using special medicinal ointments. Heparin ointment is the most popular. This remedy quickly relieves inflammation in the muscles and reduces pain. The active substances contained in Heparin ointment enter the blood and reduce its coagulability and prevent the formation of blood clots.

    Warming ointments are also effective for leg cramps. To relieve an unpleasant symptom you can use:

    Such medications warm muscle tissue from the inside, activate its work, and, as a result, relieve cramps. Horse chestnut ointment has a good effect on the condition of the venous system of the lower extremities. This remedy for cramps relieves swelling and spasms, strengthens the walls of blood vessels, and helps relax the calf muscles.

    Tablets for leg cramps must be selected carefully and the dosage must be followed exactly, only then the treatment will be effective. If you don’t have the necessary medications at hand, and an attack of spasm takes you completely unexpectedly, try to get rid of the pain using simple methods.

    Apply a hot compress. Simply apply a heating pad or a plastic bottle filled with hot water to the sore spot. Warm up the muscle for 15-30 minutes. This will completely relax the muscles of the limbs, and the cramp will go away.

    Leg cramps often occur due to dehydration. A person of normal build should drink at least 1.5 liters of clean water per day (excluding tea and coffee). In a person who experiences a lack of fluid, the skin takes on a yellowish or brownish tint. If you notice changes in skin color, start drinking more water.

    Some patients claim that they can get rid of cramps using ordinary soapy water or a piece of toilet soap placed against the site of the spasm.

    Non-medicinal methods can relieve a single attack of convulsions. If an unpleasant symptom recurs very often and becomes longer and more painful, you should immediately consult a doctor. After a specialist conducts a thorough examination of the body, it will be possible to accurately determine the cause of seizures and begin effective treatment with medications.

    Seizures: causes and treatment. Night leg cramps: causes

    Involuntary muscle contractions often occur even in healthy people. In this article I would like to talk about what cramps are: the causes and treatment of this problem.

    At the very beginning, you need to understand the concepts that will be actively used in this article. So, cramps are involuntary muscle contractions. Often accompanied by pain or discomfort. And if at first glance this problem does not seem terrible, you need to fight cramps. After all, they are often a symptom of a certain disease. In addition, they also negatively affect a person’s quality of life. It is also worth mentioning that there are several types of seizures:

  • Episodic, or random (partial). They occur irregularly and do not pose a threat to health. At the same time, a person’s consciousness does not turn off.
  • Tonic-clonic seizures. Accompanied by loss of consciousness. In this case, a person may foam from the mouth during a seizure. Subtype: myoclonic spasms, which occur most often in children and adolescents. In this case, the whole body is involved in the process. This type of seizure is mainly a symptom of a disease such as epilepsy.
  • Causes of spontaneous seizures

    So, spontaneous seizures: causes and treatment. First of all, I would like to talk about why they can occur:

  • Hypothermia. The most common reason. Most often, such cramps occur while swimming in cold water.
  • Uncomfortable position. If a person is in an uncomfortable position for a long time, his muscles may become “numb” (the nerve canal of the muscle is pinched). In this case, you can cope with the problem with the simplest massage or kneading.
  • Quite often, spontaneous convulsions occur in people who actively smoke or frequently consume coffee. For them, muscle twitching is a common occurrence. You can easily cope with the problem - just stop taking nicotine and caffeine.
  • Why else can seizures occur? The causes and treatment of these symptoms will be discussed further.

  • Lack of vitamins: fat-soluble (D, E), water-soluble (B 2 and B 6 ).
  • Lack of microelements. If a person's body is deficient in potassium, calcium, sodium and magnesium, this can cause frequent cramps. This is especially true for pregnant women.
  • Another cause of seizures: lack of dietary amino acid taurine.
  • Dehydration can also cause cramps.
  • If we are talking about small children (newborns), they experience convulsions mainly at high body temperatures.
  • The cause of muscle twitching may be insufficient blood supply.
  • Too much exercise can also cause cramps.
  • Well, muscle contractions are often an accompanying symptom of a certain disease. For example, epilepsy, infectious or nervous diseases.
  • We next consider the topic of seizures: causes and treatment. So, I would like to dwell a little on the contractions of the muscles of the whole body. Doctors say that in this case, the cause of seizures is certain diseases:

  • Brain damage: tumors, cysts.
  • Infectious diseases.
  • Epileptic seizures.
  • Problems with the gastrointestinal tract (most often poisoning).
  • In this case, seizures occur as a result of too much tension in the nerve cells of the brain. The onset of an attack can be diagnosed by certain indicators (changes in sensations) or as a result of electroencephalography. After an attack, the patient generally always falls asleep, and usually does not remember anything that happened. For treatment, the patient must seek help from a neurologist.

    Treatment and assistance for whole body cramps

    How, in this case, can the patient help himself? Unfortunately, no way. During such attacks, it is necessary for the person to be surrounded by people who can provide some help. If an epileptic attack begins, the patient must be placed correctly: on his side or face down. In this case, everything must be done to ensure that the patient receives air without problems (since attacks are often accompanied by a short-term cessation of breathing). It is also believed that during moments of body convulsions, a person does not control himself and can “swallow” his tongue. To avoid this, the patient must insert a stick or something hard into his teeth to prevent his mouth from closing. What medications can be prescribed for these types of seizures?

  • The drug "Phenobarbital", which is sold exclusively with a doctor's prescription. This is an anticonvulsant drug that also calms the nervous system and has a hypnotic effect.
  • Also, doctors often prescribe the drug “Carbamazepine” in such cases. An excellent remedy in the fight against epileptic seizures. However, it is also not available without a doctor's prescription.
  • The turn has come to consider such a problem as hand cramps. The causes and treatment of this problem - this is what we will talk about now. First of all, it is worth saying that cramps in the hands most often occur in older people. Why?

    1. Lack of important microelements in the body: potassium, calcium and magnesium. It is these substances that provide nerve impulses to muscle fibers.
    2. Lack of fluid in the body.
    3. Frequent stress.
    4. Poor circulation in the hands.
    5. Long-term use of certain medications, especially diuretics.
    6. So, hand cramps: causes, treatment of this problem. It is worth saying that in this case the person does not lose consciousness and therefore can help himself. Stroking and light hand massage and rubbing will be helpful. If possible, it is better for another person (relative, doctor) to do this. If attacks are localized in one area of ​​the arm, they can be prevented by periodically massaging this area of ​​the body (this will improve blood circulation in the arm). And, of course, taking a vitamin-mineral complex will be useful in this case.

      Now I would like to take a closer look at leg cramps: the causes and treatment of this problem. First of all, I would like to say that it is the calf muscle that most often cramps in the legs. The reasons for this may be the following:

    7. Varicose veins, i.e. poor circulation in the legs.
    8. Flat feet can also provoke the appearance of convulsive syndrome.
    9. Physical overload can cause leg cramps.
    10. As mentioned above, a deficiency of trace elements such as calcium, magnesium and potassium can cause leg cramps.
    11. The cause may also be disturbances in the functioning of the endocrine system.
    12. Let's look further at leg cramps: causes and treatment. To get rid of this problem, you first need to know the source of its occurrence. If this is a symptom of a certain disease, it is necessary to treat it. If cramps occur from time to time, then you need to massage and rub your legs at the site of the twitching (if it is varicose veins, this is strictly prohibited; in this case, you can lightly bandage your legs before going to bed). A vitamin-mineral complex and reducing physical activity on the leg will also be useful.

      Night leg twitching

      Quite often a person experiences nighttime leg cramps. The causes and treatment of this problem will be discussed now. At the very beginning, it must be said that one of the most important reasons for this problem is precisely the deficiency of magnesium and calcium in the body. Also, night cramps can occur as a result of daytime overload of the legs. Such phenomena quite often worry smokers and avid coffee drinkers.

      Getting rid of the problem

      We consider further night leg cramps: causes, treatment. How can you get rid of this problem? So, you won’t have to use any medications here. You just need to find out the cause of the problem and fight it. That is, if a person smokes, he must give up nicotine. If the cause is excessive physical activity, it is necessary to make sure that the legs are less subject to overload.

      Self-help for night cramps

      What else is important to know if a person suffers from leg cramps at night? The causes and treatment for such symptoms are useful for everyone to know. However, you also need to know how to give yourself first aid during an unpleasant and painful muscle contraction.

    13. If you have a cramp in your leg, first of all you need to sit up in bed and lower your legs to the floor. It's good to place them on a cool surface. This will help improve blood circulation.
    14. If the pain during a cramp is severe, the leg should be pinched or pricked.
    15. Throughout the cramp, the leg should be massaged, rubbed, and patted. This will help restore normal blood circulation.
    16. The site of the cramp can also be anointed with apple cider vinegar, alcohol or vodka. Warming ointments also work well.
    17. Preventing leg cramps

      We have already said that a fairly common phenomenon is leg muscle cramps. The causes and treatment of the problem are also discussed above in full. However, to avoid this, it is best to know and apply preventive measures. What will be relevant in this case?

    18. Comfortable shoes are important. It is also good if it is made from natural materials.
    19. Excessive stress on the legs should be avoided.
    20. It is necessary to reduce the consumption of coffee and sugar as much as possible. You need to completely give up nicotine and alcohol.
    21. You definitely need to change your diet. Products should be rich in potassium, magnesium, and B vitamins.
    22. An excellent preventive measure is regular foot massage. To do this, you can either turn to professionals or simply massage and rub your feet yourself before going to bed.
    23. Well, another useful remedy is contrasting foot baths.
    24. Traditional medicine

      What to do if a person is bothered by muscle cramps? Causes, treatment with medications - this information is known. However, with this problem, you can also seek advice from traditional medicine.

    25. Carnation. You can cope with cramps by taking about 500 mg of cloves with sugar daily.
    26. You can also rub the cramp area with mustard oil.
    27. Lemon will help cope with leg cramps. Rub your feet with a slice of lemon every day for two weeks. After your feet are completely dry, you can put on socks. This remedy works great if you have frequent toe cramps (the causes and treatment for this problem are the same as for general toe cramps).
    28. Even if you just take a tablespoon of honey daily before meals, you can get rid of cramps.
    29. site about pain and from pain

      Leg cramps - causes and treatment

      Leg cramps - causes and treatment methods

      Sudden involuntary brain symptoms-convulsions disrupt consciousness, provoke motor, sensory and emotional disorders, as a result of which diseases of the nervous system and other systems of the human body are diagnosed.

      Complications of convulsive syndrome cause a person’s disability, since cramps in the arms and legs are difficult to stop. Often, various diseases, complications (eclampsia) in pregnant women, developing epilepsy in children are “signaled” by the appearance of cramps in the leg, arm or other parts of the body, so it is not recommended to postpone a visit to a neurologist, phlebologist and endocrinologist.

      Causes of leg cramps

      Convulsions appear in the presence of:

    30. Hypoxia is a lack of oxygen in the tissues of the body at the cellular level.
    31. Brain developmental defects.
    32. Neuroinfections: meningitis, encephalitis and others.
    33. Reduced levels of magnesium, calcium and glucose in the blood serum.
    34. Acute respiratory infection (flu or pneumonia), infectious or inflammatory process.
    35. Birth trauma in newborn babies.
    36. Phenylketonuria in children is a metabolic disease.
    37. Brain tumors or traumatic brain injuries, especially hidden ones.
    38. Epilepsy, spasmophilia, eclampsia, neurological and degenerative diseases: multiple sclerosis or encephalomyelitis.
    39. High body temperature (fever).
    40. Gestosis is a complicated course of pregnancy.
    41. Drug poisoning.
    42. Severe degrees of dehydration with impaired salt and water metabolism.
    43. In sensitive people - in the presence of loud sounds, bright light.
    44. Children often experience leg cramps due to a hereditary predisposition, since it has been proven that this pathology can be inherited from relatives suffering from convulsive seizures.

      Leg muscle cramps are initiated by an inadequate state of a person associated with excessive excitement, disturbances in electrolyte metabolism or stress.

      Leg cramps often occur during physical activity; the reasons may be due to dehydration and low levels of potassium and calcium in the blood, which are lost through sweat. With insufficient warm-up or, conversely, with an increase in the volume of training, or with excessive load on certain muscles, leg cramps occur.

      Impaired activity of the lungs and heart causes seizures, which can lead to death. Sometimes a person cannot understand why his legs cramp. Therefore, it becomes necessary to do a blood test, because the increased level of potassium and lactic acid in the blood serum disrupts the heart rhythm and initiates seizures. Incomplete oxidation of glucose after cramps leads to the accumulation of lactate in the muscles and the appearance of pain.

      Causes of leg cramps at night

      If single muscle spasms are not dangerous for a person, then night leg cramps may be accompanied by complications such as:

    45. pulmonary edema;
    46. cerebral hemorrhage;
    47. arrhythmia;
    48. muscle rupture;
    49. spine fracture;
    50. trauma associated with impact from a fall during loss of consciousness;
    51. cardiac arrest.
    52. Leg cramps occur at night or closer to the morning, during sleep, and are caused by diseases associated with the spine, lack of B vitamins and magnesium in the body. Therefore, a person feels cramps and pain in the legs and arms.

      When swimming for a long time in bodies of cool water, cramps of the toes or calf muscles often occur, especially in the elderly and children, which leads to an accident. Blood vessels narrow due to muscle strain under the influence of low water temperature. Also, convulsive syndrome occurs in cold water with diseases of the spine and low levels of calcium in the blood. This must be taken into account and not swim in a body of water far from the shore.

      Leg cramps are often confused with spasms of the calf muscles or thighs - myoclonus, which occurs during sleep without loss of consciousness. Medical scientists have determined why leg cramps occur during myoclonus. Muscle cramps due to a violation of the extrapyramidal system of the brain, concomitant diseases, and a decrease in calcium levels in the blood. If a muscle spasm occurs, repeating after 1-2 months, we can assume the occurrence of varicose veins of the lower extremities and calcium deficiency. In this case, the calf muscles in women cramp at night. Muscle spasm can occur when one muscle group is suddenly overstrained when moving from one position to another.

      Often the doctor is asked by coffee lovers and heavy smokers about how to get rid of leg cramps, not knowing that they appear when there is an excess intake of caffeine and nicotine in the body. Therefore, it is recommended to reduce the consumption of coffee and sugar, or switch to coffee substitutes, as well as to light types of cigarettes, reduce their number or quit smoking.

      Causes of cramps during pregnancy

      In women, leg cramps during pregnancy appear as a result of the lack of necessary microelements and vitamins in the blood plasma due to poor appetite, vomiting due to toxicosis in the first trimester. In the second and third trimesters, the fetus actively grows, its structures are formed - the rudiments of teeth, bones, so the mother does not have enough nutrients: phosphates, sodium, potassium, magnesium and calcium, the entire group of vitamins B and C for her own body, especially with poor nutrition, which leads to convulsive contractions of the legs. If the blood glucose level decreases, and pregnant women rarely eat food, but in large quantities, including late heavy dinners, varicose veins of the legs develop, then muscle convulsions may occur at night and in the morning.

      In pregnant women, the load on the veins increases in the presence of increased blood flow in the pelvis. If, with healthy veins, pregnant women cope with such a load, then varicose veins contribute to the stagnation of blood in the veins of the legs, which is why swelling and cramps appear. When blood flow deteriorates, the muscles do not receive the necessary nutrition and the removal of metabolic products slows down. Against this background, convulsions develop.

      A pregnant woman should not smoke or drink drinks containing large amounts of caffeine, including strong tea. Smoking leads to the development of chronic oxygen deficiency, and caffeine strains the muscles and dehydrates them, which leads to cramps in the legs.

      Emergency treatment for leg cramps

      If you suddenly experience leg cramps, what should you do? To relieve a cramp you must:

      - relax the muscles of the body and, while breathing deeply, stretch the spasmed muscle;

      - when the calf muscle spasms, pull the toes towards themselves, loosen the tension and tension and repeat the stretching several times more intensely and with effort, but without forcing muscle stretching;

      - perform a light massage of the muscle from the periphery to the center, gently warming it up to avoid a new cramp;

      - to activate blood circulation you need to walk;

      - to ensure the outflow of blood and prevent repeated convulsions, then you need to lie on your back and place your legs on a bolster;

      - using the folk method - prick the spasmodic muscle with a pin.

      If a pregnant woman has cramps in her legs, what to do:

      1. Perform the exercise: lie gently on the floor, raise your legs, bending your knees and resting your toes against the wall. Hold your legs in this position for 10 seconds. Repeat 5-10 times and perform the exercise 2-3 times a day and at night.
      2. Switch to fractional meals and eat at least 5-6 times a day to increase blood glucose and microelements.
      3. Wear comfortable shoes, the heel of which should be a stable heel and no higher than 3-5 cm. After being forced to stand on your feet for a long time, alternately roll your feet: toe-heel, heel-toe, raising on the toes and lowering on the heels (not too sharply) for normalization blood circulation in the calf muscles.
      4. Wear special anti-varicose tights and stockings, remembering to correctly select the size and degree of pressure (compression) of the product, which depends on the condition of the venous system. In this case, it is worth seeking help from a doctor.
      5. Massage your feet on special massage mats made of rubber, with natural stones (sea, jade, tourmaline and others) to activate reflexogenic points and improve blood circulation.
      6. Rub your feet on a massager in the form of abacus or roll a ball with your feet.
      7. Take foot baths with sea, lake or Dead Sea salt added to water at room temperature - 4-5 liters - 2-3 tbsp. l. salt.

      Treatment of leg cramps in children

      Every caring mother worries when her child develops leg cramps; treatment depends on the cause of the spasm. Therefore, for emergency therapy, do the following:

      - Warm the leg with warming ointment and knead the foot.

      - Give a light massage, especially before bed, help you stand on your toes, lightly (not painfully) pinch the muscle.

      — They carry out diagnostics in the clinic for the presence of flat feet and carry out treatment, receive recommendations from the pediatrician for emergency therapy.

      — Regularly include in your child’s diet dishes made from cottage cheese, hard cheese, legumes, apples, dried apricots and bananas (in the absence of allergies) to increase the level of calcium and potassium in the blood.

      Adults, especially the elderly and pregnant women, also need to take care of their diet, including the above foods.

      Treatment of leg cramps using folk remedies:

    53. Take decoctions of birch buds, cinquefoil or chamomile instead of tea (for 1 tbsp boiling water - 1 tsp of raw material)
    54. Rub the sore spots with mustard or chamomile oil.
    55. Boil poppy petal powder (1 tbsp) in milk (1 cup) and add honey (1 tsp) and take 100 ml.
    56. Infusion: mix 1 part each of anise, fennel and cumin with 2 parts of peppermint leaves. Pour boiling water (1 tbsp) over the mixture (2 tsp) and leave for half an hour. Take small sips throughout the day.
    57. To get rid of leg cramps, you need to treat the underlying disease, take care of your diet, do exercises, take baths, massage, use massagers and foot mats.

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      Causes of leg cramps at night

      Leg cramps at night are short-term painful spasms, often in the calf muscles, during sleep at rest or when moving.

      Cramps in the leg at night occur in most people (about 90%), and occur at least once a year in a third of adults. They are observed from early childhood to old age.

      The nighttime leg cramps discussed in this article are not related to epilepsy. Read the article: Epileptic seizures.

      More often, cramps in the leg muscles occur during critical age periods, there are reasons for this:

    58. at the age of 4-7 years - during the period of increased growth and motor activity;
    59. 12-14 years - during age-related changes in the body;
    60. in athletes 5-35 years old - due to intense muscle work;
    61. in young women 18–43 years old - during a period of increased need for microelements;
    62. Leg cramps are especially common in pregnant women
      • at 20 weeks, 25 weeks, 31 weeks, 34-35 weeks;
      • peak frequency at 38-39-40 weeks of pregnancy;
      • over the age of 50 - due to osteoporosis (decreased bone density);
      • 60 years and older occurs in almost everyone.
      • The medical term “Crampy” from the English word “ crampi, cramp ” is translated as cramp, spasm.

        Cramps are periodic painful cramps in the calf muscles , occurring spontaneously or provoked by movement, most often caused by a lack of calcium, magnesium, and potassium in the body.

        Painful muscle spasms

        Leg cramps - everyone knows what they are

        Leg cramps are described : unexpectedly at night, during sleep or when moving, severe pain, spasm and tension occurs in the calves, forcing you to wake up, shake your leg or knead the lower leg area and foot. The muscle is tense, dense, the foot is extended, the toes are drawn together. Feels hot due to pain in cramped leg. The spasm does not last long and goes away on its own or with rubbing after 5-60 seconds.

        Cramps are not accompanied by loss of consciousness. Such leg cramps are not considered epileptic seizures. But they need treatment, especially frequent ones, as they reduce the quality of life and indicate problems in the body.

        Calf cramps causes

        The main causes of leg cramps

        1. Leg cramps most often occur in healthy people :

      • They may occur as a result of unusually intense physical activity.
      • In athletes due to muscle work.
      • Against the background of stress due to prolonged muscle tension.
      • They become more frequent during critical age periods (reasons: growth, restructuring of the body, increased loss of microelements).
      • In the pool during cooling and intense muscle work during swimming.
      • 2. Neurological diseases as causes of leg cramps

      • Idiopathic or familial cramps.
      • Radiculopathy and vertebral hernia as a manifestation of osteochondrosis (accompanied by pain in the back).

      Osteochondrosis and leg cramps

    63. Neuropathy due to trauma, nerve compression, tumor.
    64. Infectious - allergic polyneuropathy.
    65. Polio.
    66. Amyotrophic lateral sclerosis.
    67. Progressive spinal amyotrophies.
    68. Multiple sclerosis.
    69. Myogenic spasms (local or diffuse myositis; Becker muscular dystrophy).
    70. Myotonic disorders (congenital myotonia).
    71. Parkinsonism.
    72. 3. Disturbances in the metabolism of microelements in the body

      · Deficiency of magnesium, calcium and vitamin D, potassium.

      Causes leading to impaired metabolism of calcium, magnesium, potassium:

      Leg cramps during pregnancy

      • Pregnancy.
      • Electrolyte disturbances due to dehydration with vomiting, diarrhea, and sweating.
      • Hypothyroidism is hypofunction of the thyroid gland.
      • Hyperparathyroidism is an overfunction of the parathyroid glands.
      • Tetany is a calcium metabolism disorder.
      • Uremia is intoxication of the body with metabolites of nitrogen metabolism in renal failure.
      • Liver diseases (cirrhosis, liver failure).
      • Gastrectomy is a condition after removal of the stomach.
      • Alcohol abuse.
      • Special diets, fasting.
      • 4. Diseases as common causes of leg cramps

      • Diabetes
      • Varicose veins of the extremities
      • Metabolic liver disorders
      • Kidney diseases
      • Thyroid diseases
      • Damage to the parathyroid glands
      • Vascular atherosclerosis
      • Alcoholism and nicotine addiction
      • Tumors of any etiology
      • Orthopedic pathology: flat feet, developmental anomalies of the limbs, osteochodropathies, bone fractures.

      High heels cause leg cramps

      5. Situationally determined causes of leg cramps at night:

      Tight and uncomfortable shoes,

      staying in an unusual position for a long time,

      leg cramps in a cast.

      6. Side effects of medications (iatrogenic):

    73. Diacarb, Triampur, Vincristine, Salbutamol, Nifidipine, Proserin, Penicillamine, aminocaproic acid and others
    74. After drinking alcohol
    75. After hemodialysis
    76. Against the background of intoxication (insecticides, strychnine and others)
    77. Which leg cramps do not require treatment?

    78. A cramp can cramp any part of the left or right limb - thigh, foot, fingers, and there may even be pain in the groin. But more often a spasm of the calf muscles occurs, manifesting itself as acute pain in the lower leg.
    79. For infrequent, not intense muscle spasms, therapy is not required.

    80. Which seizures are considered infrequent: 1-2 times a month. We count the number of painful spasms over 6 months and divide by 6.
    81. For example, in January there were 3 episodes of leg cramps, in February - 0, in March - 4, in April - 1, in May - 1, in June - 0. We calculate the average: (3+0+4+1+1+ 0):6=1.5 times in 1 month.

    82. The cause of pain in the legs at night can also be being in an uncomfortable position, when the vessels are compressed, blood flow in the muscle is reduced, and ischemia occurs. Feels like “pins and needles” (synonyms: tingling, numbness, paresthesia) and pain.
    83. Help consists of changing body position, relaxing muscles, and massaging the painful area of ​​the leg.

      My legs are cramping, what should I do?

      • Leg cramps can occur when you are tired.
      • Such physiological pain syndromes go away on their own after rest and sleep. Sometimes a few days of rest may be required.

        If there are frequent, recurring leg cramps, the causes of these conditions should be identified.

        The mechanism of leg cramps in various diseases

        1. Leg cramps appear as a result of increased excitability of spinal cord neurons, peripheral motor neurons or the membrane (sarcolemma) of the muscle cell.

        The cause of muscle spasm is an unstable short-term depolarization of the axons (nerve cell extensions) of the motor nerves, which send frequent volleys of nerve impulses through the neuromuscular synapses (the areas where the nerve and muscle connect).

        Such frequent pathological impulses lead to the occurrence of myokymia (sharp spontaneous contractions of individual muscle bundles), tetany with calcium and potassium deficiency, and pseudohypoparathyroidism .

      • Tetany is a clinical syndrome in the form of convulsive attacks that occur due to a violation of calcium metabolism in the body.
      • The word “tetany” comes from the ancient Greek word “???????”, meaning tension, cramp, numbness, muscle spasm.

        2. While maintaining normal innervation, a mechanism for disrupting the process of muscle relaxation is possible. The muscle is painfully tense, contracted, and cannot relax despite attempts.

        • This condition is observed in congenital myotonia. Myotonia congenita is a rare hereditary neuromuscular disease , with a long tonic muscle spasm appearing after initial voluntary movements.
        • In liver pathology (Mack-Ardle disease and some other glycogenoses), painful muscle spasm is caused by a lack of energy to relax the contracted muscle.
        • 3. Let's figure out why healthy people experience leg cramps.

          Most healthy people (up to 90%) sometimes experience leg cramps at night. Almost everyone knows spasms in the muscles of the left or right leg, feet, and toes that occur after unusually intense physical activity.

          Leg cramps are provoked by changes in body position during sleep or movement. But most often, painful tension in the legs occurs during sleep without provocation.

          The muscles are tense, tight, painful, and improvement occurs after shaking, stretching or vigorously rubbing the painful area of ​​​​the legs.

          Severe spasms can damage parts of the muscle fibers, resulting in soreness in the spasmed muscle groups for several days.

          Hypothesis of the mechanism of occurrence of leg cramps at night in healthy people

          Low content of the enzyme myadenylate desaminidase, release of metabolites and accumulation of energy metabolism products in perineural tissues.

          Pathogenetic treatment aimed at the mechanism of seizures

          Reduces the frequency of leg cramps with medications :

        • Quinine 300 mg,
        • Diphenhydramine (diphenhydramine) 50 mg per dose,
        • Procainamide 5000 – 1000 mg.
        • Treatment can be one-time or course. The course of treatment and prevention of leg cramps is indicated for 3-7 days, depending on the severity of pain symptoms.

          5. Leg cramps in athletes

          Every athlete periodically experiences muscle cramps, the cause of which is prolonged physical activity, overwork and profuse sweating.

          Athletes are advised to have a sufficient amount of fluid and salt to replenish losses due to intense sweating.

          Repeated frequent leg cramps at night and during physical activity often occur due to a deficiency in the body of calcium (synonyms: hypocalcemia, tetany) and magnesium (hypomagnesemia).

          At the same time, the total level of calcium in the body may be reduced or normal, but the level of ionized calcium may decrease sharply during hyperventilation due to fear and anxiety, especially in neurotic individuals.

          Idiopathic malignant pseudotetany

        • Malignant pseudotetany has been described, when movement in any muscle causes muscle spasm.
        • The disease is hereditary in nature, as family cases have been described.
        • In case of peripheral nerve disease, as well as against the background of complete health, muscle spasms may be felt. But when you feel the muscles are not tense, they are relaxed. Such subjective symptoms of apparent muscle spasm are called illusory spasm .

          The therapeutic psychotherapeutic effect to relieve such illusory spasms is to conduct additional examination methods - electroneuromyography (ENMG). ENMG registers high-amplitude discharges of action potentials only during true spasm , and during illusory spasm no deviations are detected.

          With osteochondrosis of the spine, due to a decrease in height or the presence of herniated intervertebral discs, compression of the roots and vessels emerging from the narrowed intervertebral foramen occurs (radiculoischemia).

          Narrowing of the intervertebral foramen is the cause of polyradiculopathy

          Radiculopathy is manifested by irritating pain along the root, painful muscle spasms in the limbs.

          Leg cramps with a vertebral hernia are also associated with impaired blood flow and pinched roots. They are more persistent in nature.

          Leg cramps may intensify due to stress, cooling, or physical exertion. The seasonal nature of exacerbations is typical: in spring and autumn. Men who engage in physical labor, obesity, and depression are more likely to suffer.

          Such muscle cramps at night, associated with radicular syndrome, are periodic during exacerbation of chronic back pain.

          If cramps in the limbs at night are associated with osteochondrosis, then help lies in the comprehensive treatment of the underlying degenerative-dystrophic process.

          A quick way to help with leg cramps is to warm up, rub, move, and lightly massage.

          Why is the pain worse at night?

          Pain syndrome intensifies at night due to factors:

        • There are no distractions during the day; concentration only on the pain syndrome.
        • “Night is the kingdom of the vagus,” that is, at night, parasympathetic innervation predominates and pain is more intense, hyperpathic in nature.
        • With a decrease in active movements at rest, blood stagnates in the muscles, the level of metabolism decreases, and the pain intensifies.
        • Leg cramps what to do

          Anticipation of the onset of leg cramps, when the muscle just begins to tense, helps prevent a full-blown painful spasm. You need to relax, change your position, you can stand up or slowly stretch and rub your leg.

          First aid for leg cramps

        • Do not panic. Stand up on feet. You can shake your leg. Walk around.
        • Prick the tense area with your nails in several places.
        • Raise your foot and pull your toe towards you.
        • Relax your legs. Rub the muscles of the back of the shin from bottom to top.
        • A technique that allows you to eliminate a cramp in the leg : grab your toes with both hands, slowly and forcefully pull the foot toward you, stretching the muscle.
        • Leg cramps what to do

          • For leg cramps, you can use warming ointments:

            Espol, Efkamon, Viprosal, Capsicam, Larkspur, Golden Root balm, Bom-benge, Bengay, Finolgon, Fastum gel, Apizatron, Nicoflex, multicomponent ointment from Thailand, ointment with bee venom, ointment with snake venom and other products available in the medicine cabinet Houses.

          • After the contracted muscle has relaxed, you need to lie down, preferably with your legs raised at an angle of 30 degrees using a cushion placed under your knees.
          • For muscle spasms in athletesthose forced to fall from pain are assisted by a doctor or teammates: lying on his back, the athlete raises both legs up, and assistants pull the foot, bringing it into a flexion position. This lengthens, stretches and relaxes the calf muscle.

            Leg cramps in athletes

          • If there is no effect from stretching, you can squeeze the tense muscles with your hands, pinch, prick with your nails, shake the limb, rub or massage.

            Afterwards, take a comfortable position, for example, placing a cushion of blanket under your leg for complete relaxation and better blood flow.

            Leg cramps treatment for various diseases

            We have identified a wide range of different diseases that can cause painful muscle spasms. After reading this article, you will be able to identify a possible pathology and take action.

            The most common cramps are not very painful, periodic, not frequent (1-2 times a month). Such conditions are not cause for concern and do not require special treatment.

            Which doctor should I contact for leg cramps?

          • For more frequent and painful episodes or worsening spasms, find a specialist. To do this, you should first contact a pediatrician , if we are talking about children under 18 years of age, or a therapist . After conducting a screening survey and examination, the local doctor will give the necessary recommendations and referrals for tests and to specialists.
          • For diseases of the nervous system, he will refer you to a neurologist .
          • If the seizures are unprovoked, then you should contact an epileptologist and conduct an EEG to exclude the diagnosis of epilepsy.
          • In case of pathology of the musculoskeletal system, see an orthopedist .
          • For liver disorders - an endocrinologist , gastroenterologist or infectious disease specialist.
          • In case of kidney pathologies - see a nephrologist , you should first conduct a general urine test, a general blood test, a urine sample according to Zimnitsky and Nechiporenko, a biochemical blood test, an ultrasound of the kidneys and bladder.
          • For varicose veins of the lower extremities, get a referral to a phlebologist, vascular surgeon or surgeon, and an ultrasound examination of the vessels of the extremities is also required.
          • If a tumor is suspected, a consultation with an oncologist and a general blood test are required.
          • In case of pathology of the endocrine system (diabetes mellitus, obesity), see an endocrinologist , blood test for sugar and other biochemical tests.
          • What to do for leg cramps in different situations

            For calcium, magnesium, potassium deficiency

            You should include in your diet foods that contain the missing microelements: dried apricots, nuts, raisins, grapes, bran.

            What vitamins are needed for leg cramps?

            Drug treatment with calcium preparations: Calcemin Advance, Calcium D3-Nycomed, Complivit Calcium D3, Calcium Sandoz Forte; biological supplements from the pharmacy chain: Mountain calcium, Sea calcium.

            Magnesium preparations: Magnerot, Magne B6, Magnelis B6, Complivit magnesium, Magnesium plus.

            Potassium preparations: Asparkam, Panangin, Potassium orotate, Potassium normine, Potassium - magnesium - asparaginate (contains potassium and magnesium)

            It is better to take for leg cramps in pregnant women, nursing mothers and menopause:

            Elevit, Materna, 1 tablet 1 time per day for a long time (1-3 years).

            Diet for leg cramps

            Products with a high content of the missing elements calcium, magnesium, potassium, vitamin D.

            dill, lettuce, green onions, parsley, seaweed, bran, buckwheat, oats, rye, millet, legumes, dried apricots, prunes, figs, dates.

            fermented milk products (cheese, cottage cheese, kefir, fermented baked milk, yogurt), sesame seeds, cabbage, nuts.

            fish, egg yolks, dairy products, butter.

            Vitamin D is also formed in the skin under the influence of ultraviolet radiation. By sunbathing in the sun, you get vitamin D.

            Meat, fish, jacket potatoes (potato skins), bananas, avocados.

            Causes of pathological loss of microelements K, Na, Ca

            • Some medications remove microelements : sorbents (Enterosgel, Smecta), antacids used to treat heartburn (Maalox, Almagel, baking soda), diuretics (diacarb, triampur).
            • During stress, the hormone cortisol is formed, which reduces absorption in the intestine and excess excretion of calcium in the urine.
            • In special diets with an increased amount of protein, reduced carbohydrates. Metabolism is reorganized to produce energy not from glucose, but from fats. A large number of ketone bodies are formed, which increase the excretion of calcium in the urine.
            • During pregnancy, 2 times more microelements are required for the growth and development of the fetus. This need should be compensated for by additional subsidies of vitamins for pregnant women.
            • As athletes sweat more, potassium loss increases.
            • With a lack of sun, residents of northern countries sunbathe little. There is a deficiency of vitamin D, which promotes the absorption of calcium in the intestines. A lack of vitamin D is manifested by calcium deficiency conditions: rickets in children and osteoporosis in adults.
            • Shoes for leg cramps

              Incorrectly chosen shoes can lead to increased leg cramps. Shoes should be comfortable, comfortable, in which your feet don’t hurt or get tired by the end of the day.

              The choice of heels is so important for women: stable, no higher than 5 centimeters, preferably 3-4 cm high.

              When changing heel heights, after wearing low heels for several weeks and deciding to show off in high heels, the leg muscles are under unusual tension all day. In such a situation, the risk of leg cramps increases significantly.

              5. How to get rid of cramps due to varicose veins

              Local treatment: foot contrast baths or showers train vascular tone, relieving congestion, swelling, pain and heaviness in the legs.

              Method of performing a foot contrast shower for leg cramps:

            • After a hygienic shower before bed, direct the shower to your feet and slowly (up to 20-30 seconds at a time) turn the tap to the hot side until the temperature is tolerable.
            • Then, also slowly (up to 20-30 seconds) turn the tap to the cold side to a temperature that can be safely tolerated.
            • We repeat this 5 times in each direction.
            • We finish with hot or warm water.
            • Rub dry with a towel.
            • We repeat 2-4 contrast showers per week, in courses of 1 procedure every 1-6 months.
            • How to conduct coniferous-sea baths

              At the pharmacy we buy sea salt and pine extract.

              Forms of release of pine extract: in liquid form, in dry form, in briquettes; as well as a ready-made mixture of sea salt for baths with pine needle extract.

              For baths, flavored mixtures can also be used: bath salts with the addition of extracts of medicinal plants, aromas, oils.

              Pour the mixture into a large bathtub (200 liters) at the rate of 100-150 grams of salt per bath. The water temperature should be comfortable for you (about 36-38 degrees C). Immerse yourself in a salt bath for 15-20 minutes, then rinse with water.

              How to give a pine-sea bath to children under 1 year old

              If a pine-sea bath is performed for an infant, we recommend

            • The volume of water in a baby bath is 30 liters,
            • calculation of sea salt 2 tablespoons,
            • 1 dessert spoon of pine extract,
            • water temperature 37.5-38 degrees C,
            • bathing duration is 10-20 minutes.
            • After a bath, the child should be rinsed with clean water. Wrap in a towel.

              In a large bath for children under 1 year of age, increase the amount of water and salt with pine concentrate by 3 times :

              100 liters of water, 5-6 tablespoons of sea salt, 2-3 tablespoons of dry or liquid pine concentrate.

              Since the bath is used for external use, a slight deficiency or excess of soluble substances will slightly affect the result (a spoon more or less does not matter).

              You can use pine-sea foot baths

              In a bowl of water with a volume of about 10 liters, dissolve 1-2 tablespoons of sea salt and 1 tablespoon of pine concentrate.

              Baths for leg cramps

              There are always instructions on the packages, there may be variations. Follow the instructions.

              What to do to prevent cramps in the legs and arms

              1. Contrasting foot or shared showers

              2. Coniferous-sea general or foot baths

              Massage elements: stroking movements from bottom to top of the legs and circular movements; rubbing with palms and the edge of the palm, sawing; kneading deep muscle groups along the muscles; vibration, tapping with the edge of the palm, fists, fingertips; acupressure. You can use electric massagers.

              4. Physical therapy for leg cramps

            • Sitting, bend your legs and pull your toes towards you for 8-12 seconds, stretching the calf muscle. Repeat 3-6 times with a break of 5-10 seconds.
            • Standing, we rise on our tiptoes, stretch our arms up, and breathe deeply. Then lower your heels to the floor. Repeat 3-6 times with a break of 5-10 seconds.
            • Standing, bend your torso and reach your toes with your hands, without lifting your heels from the floor, stretching your calf muscles. Repeat 3-6 times with a break of 5-10 seconds.
            • 5. Avoid prolonged sedentary work.

              You should take breaks to exercise. You can at least just get up and walk around, warm up.

              During heavy physical work, when you have to stand on your feet for a long time, find an opportunity to rest for 5-10 minutes: sit down or take a lying position with your legs elevated.

              6. Treatment of cramps and heaviness in the legs with varicose veins

              For varicose veins of the lower extremities, compression stockings and positional treatment are recommended.

            • Lying on a flat surface with your legs raised 20-30 degrees using a pillow, rest for 10-30 minutes.
            • This allows you to relieve heaviness and blood stagnation in the distal parts of the legs.
            • After such an unloading technique, we put on special compression knitted stockings.
            • You can use an elastic bandage, wind it loosely in a spiral from bottom to top.
            • It is important to avoid high heels and uncomfortable, ill-fitting shoes.

              7. Leg cramps during pregnancy

              Causes of leg cramps in pregnant women

            • Increased need for microelements due to the growth and development of the fetus.
            • Additional pressure from the enlarged uterus on the vessels in the pelvis and nerve roots to the lower extremities. This impedes blood supply, causes hypoxia, spasm and paresthesia.

            Muscle spasms during pregnancy can occur in the lower leg, foot, thigh, or fingers.

            Measures to eliminate muscle spasms in pregnant women :

            Warm relaxing bath with medicinal sedative plants (mint, lemon balm, peony root, hops).

            Rational nutrition during pregnancy with the necessary content of proteins, carbohydrates, fats and microelements.

            Among the necessary foods for a pregnant woman: dairy products, fish, meat, vegetables and fruits, herbs, seafood. With a slight decrease in salt, to prevent fluid retention and edema during pregnancy. Balanced nutrition in terms of calories to avoid pathological weight gain.

            Sufficient physical activity is recommended: walking, physical therapy, swimming, yoga.

            Comfortable low-heeled shoes and maternity clothing that reduces vascular compression.

            A comfortable psychological climate and avoidance of stress are important. Listening to soothing music relieves overall stress.

            Continue to engage in creativity and what you love within reasonable limits.

            Get enough rest and sleep.

            Prevention of exacerbation of chronic diseases.

            Supervision by qualified doctors during planning and throughout pregnancy.

            This entire set of measures reduces or completely eliminates seizures in pregnant women.

            So, after reading this article, you have become an expert on nighttime leg cramps. Now you know the common and rare causes of muscle spasms: neurological, metabolic, endocrine, vascular and others.

            We learned that typical cramps occur in pregnant women, athletes, children and the elderly.

            Do you know how to provide first aid for painful spasms? What are effective preventive measures: diet, shoes, exercise, lifestyle.

            We learned about drugs for the treatment of cramps in the limbs. Which doctor should you consult when your legs often cramp?

            Here is a short video : Cramps in pregnant women

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