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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Leg Cramps

My mother has had problems with severe cramps in her legs for the last 30 years. The cramps are getting much worse. At 76, she perfers to die rather than have these horrible cramps that occur. They are horrible and she cannot stand these any longer. She is a diabetic, has high cholesterol, high blood pressure - takes medicines for all. She screams to the tops of her lungs and goes outside - no matter the temperature - walking, screaming, and praying. She eats raviola for breakfast (!) trying to eat enough postassium daily. She has been to severl doctors to no avail. I feel she has peripheral vascular disease, diabetic neuropathy, or some type of vascular disease and I do not know what kind of tests to ask her doctor to do about it. She stays cold a lot and says she has no feeling but numbness in her feet much of the time. Which tests should she have? She is afraid ALL the time of getting these painful cramps; we can t go out to eat, to the movies, nothing ... she lives in fear of the painful cramps. I am 53 and getting them as well upon occasion and when I get one, it is terrible to get out. Should she have any of the following tests? 1)Peripheral Vascular Disease Test, 2)Angiography and Doppler Studies, 3) Idiopathic Test, or 4) Hypocalcaemia, 5) a venous study of her legs with ultrasound ... What tests would you recommend?
Thu, 30 Oct 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for your query.

After going through your suffering, it seems you have developed muscle spasm (cramp).The cramps are caused by hyper excitability of the nerves that stimulate the muscles. May I know are you taking any medicine which causes excessive urination? Leading to low calcium, Magnesium, potassium level. Drugs given for asthma, angina and Parkinsonism also lead to cramp.
A simple way to prevent cramp is-
1. Warm up and stretch your calf muscles before running stretch your calf muscle before going to field 3-4 times and each time holding for 10-15 seconds.
2. Talk to qualified trainer for proper running form and footwear.
3. You may run in a heel-toe pattern and avoid letting the balls of your feet hit the ground first.
4. Stay properly hydrated before, during and after you run and eat a balanced diet with adequate minerals, particularly potassium and magnesium. Taking a multivitamin can also help.
As far as treatment on field is concerned, my advice would be- as you start to feel your calf locking up, stop running and grab the affected muscle. Squeeze the muscle to complete the contraction, and then massage it to relax it further
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 Treatment For Severe Leg Cramps

Hello, Thanks for your query. After going through your suffering, it seems you have developed muscle spasm (cramp).The cramps are caused by hyper excitability of the nerves that stimulate the muscles. May I know are you taking any medicine which causes excessive urination? Leading to low calcium, Magnesium, potassium level. Drugs given for asthma, angina and Parkinsonism also lead to cramp. A simple way to prevent cramp is- 1. Warm up and stretch your calf muscles before running stretch your calf muscle before going to field 3-4 times and each time holding for 10-15 seconds. 2. Talk to qualified trainer for proper running form and footwear. 3. You may run in a heel-toe pattern and avoid letting the balls of your feet hit the ground first. 4. Stay properly hydrated before, during and after you run and eat a balanced diet with adequate minerals, particularly potassium and magnesium. Taking a multivitamin can also help. As far as treatment on field is concerned, my advice would be- as you start to feel your calf locking up, stop running and grab the affected muscle. Squeeze the muscle to complete the contraction, and then massage it to relax it further I do hope that you have found something helpful and I will be glad to answer any further query. Take care