Suggest treatment for leg muscle cramps during the night

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Posted on Fri, 5 Sep 2014 in Elderly Problems
Question: I am recently getting a leg or muscle cramp in my left thigh when I sleep/sometimes on it & some times nor. Have to get up because of it, sometimes tingling also in toes or feet. Have been up for 4 hours today & the leg cramp or tightness is staying there(left front calf), also tingling or falling asleep of feet when sitting on toilet & @ computer. When I was writing also had sensations in hand on same side w/stiffness or strain in forearm, now noticing sensations in right hand( last 3 fingers. I do have neuropathy in my hands due to B-12 defiency(not sure if only reason),carpal tunnel also, last fasting sugar 115, on crestor, bp med,low thyroid med. B-12 inj., Stelara inj for psoriasis.
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Answered by Dr. Prakash H Muddegowda 58 minutes later
Brief Answer:
Neuropathy progressing possibly due to Vit B12 def

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.

Based on your clinical history and present query, my opinion is as follows:
1. The tingling sensation you are feeling in your toes, feet and finger appears to be secondary to B-12 deficiency. It appears to be increasing as your are under B-12 therapy. You need to get your serum B12 assay done to increase the dose or the frequency of B-12 therapy. Try to improve with additional diet Vit B12 like eggs, and fish.
2. The muscle cramps appear to be secondary to reduced potassium. Serum potassium estimation will confirm. You need to improve your diet of potassium with apricots, green leafy vegetables, banana, beans, fish.

Low thyroid or hypothyroidism is also known to cause neuropathy. However as you are already having possible neuropathy secondary to B-12 deficiency, we will consider this as first.
Falling asleep of feet is due to nerve compression, and you need to change your position frequently to avoid nerve compression.
Have a balanced diet, with moderate exercise.
Hope it helps.

Any further queries, happy to help again.
Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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