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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Chronic Calf Pain And Muscle Cramping

It is possible that I have been suffering from undiagnosed hypermyatonia for 10 years. Severe bilateral chronic calf pain. Deep ache with muscle cramping. Narcotics and tizanidine are the only things that help. Could I have this condition and who would I see in Chicagoland area to diagnose/ treat? Thank you. Linda Johnson
Thu, 25 Sep 2014
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case.

Massaging the tonic muscle with your hands or oil
Drinking plenty of fluids to avoid dehydration
Stretching your leg muscles or riding a stationary cycle.
Taking diet rich in calcium and potassium or oral supplements of the same
Check your vit B12 and Vit D 3 levels.

Till time, avoid lifting weights, You can consult physiotherapist for help.
Physiotherapy like ultrasound and interferential therapy will give quick relief.

Medicine like baclofen may help you.
You can find doctor near your locality on our website.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello,
Thanks for your query.

The Cramps are caused by hyper excitability of the nerves that stimulate the muscles. Cramps at rest are very common, especially in older adults, but may be experienced at any age, including childhood. Rest cramps often occur during the night. While not life threatening, night cramps (commonly known as nocturnal cramps) can be painful, disruptive of sleep, and they can recur frequently (that is, many times a night, and/or many nights each week).
The cause of cramps is as following-
1. Low blood levels of either calcium or magnesium directly increase the excitability of both the nerve endings and the muscles they stimulate. This may be a predisposing factor for the spontaneous true cramps experienced by many older adults. Cramps can also occur in excessive vomiting, dehydration.
2. On drugs which causes excessive urination. Leading to low calcium, Magnesium, potassium level. Drugs given for asthma, angina and Parkinsonism also lead to cramps. Cholestrol lowering drugs like statin also cause cramps on chronic use.
3. Several vitamin deficiency states may directly or indirectly lead to muscle cramps. These include deficiencies of thiamine (B1), pantothenic acid (B5), and pyridoxine (B6).
Most cramps can be stopped if the muscle can be stretched. For many cramps of the feet and legs, this stretching can often be accomplished by standing up and walking around. Gently massaging the muscle will often help it to relax, as will applying warmth from a heating pad or hot soak. If the cramp is associated with fluid loss, as is often the case with vigorous physical activity, fluid and electrolyte (especially sodium and potassium) replacement is essential. Certain drugs like baclofen are helpful.
A simple way to prevent night cramp is stretch your calf muscle before going to bed 3-4 times and each time holding for 10-15 seconds. Quinine water tonic is also useful to prevent night cramps before going to bed.

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Suggest Remedy For Chronic Calf Pain And Muscle Cramping

Hello, I have studied your case. Massaging the tonic muscle with your hands or oil Drinking plenty of fluids to avoid dehydration Stretching your leg muscles or riding a stationary cycle. Taking diet rich in calcium and potassium or oral supplements of the same Check your vit B12 and Vit D 3 levels. Till time, avoid lifting weights, You can consult physiotherapist for help. Physiotherapy like ultrasound and interferential therapy will give quick relief. Medicine like baclofen may help you. You can find doctor near your locality on our website. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.