Nocturnal leg cramps are sudden contractions of the lower leg and foot muscles. They often awaken you from sleep. The calf muscles are most often involved.
The Calf Muscles
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The specific cause of nocturnal leg cramps is unknown. These cramps may be related to imbalances in local muscle chemistry. Many activities and diseases are associated with nocturnal leg cramps including:
Those over 50 are at increased risk for leg cramps. The following factors also increase your chance of developing nocturnal leg cramps:
You will be asked about your symptoms and medical history. A physical exam will be done.
Your bodily fluids may be tested. This can be done with blood tests.
Talk with your doctor about the best plan for you. If no specific cause can be found, treatment options include the following:
No medication has proven to treat nocturnal leg cramps. Quinine, while often effective for reducing the frequency and intensity of cramps, has a significant risk of major allergic reactions. The other prescription medications carry risks as well. So, they are not generally recommended. They may be used in severe cases.
American Academy of Family Physicians
American Academy of Orthopaedic Surgeons
The College of Family Physicians of Canada
Women's Health Matters
Allen RE, Kirby KA. Nocturnal leg cramps. Am Fam Physician. 2012 Aug 15;86(4):350-5.
Butler JV, Mulkerrin EC, et al. Nocturnal leg cramps in older people. Postgrad Med J. 2002;78:596-598.
Garrison SR, et al. The effect of magnesium infusion on rest cramps: randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2011;66(6):661-666.
Nocturnal leg cramps. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 7, 2013. Accessed December 16, 2013.
2/11/2011 DynaMed's Systematic Literature Surveillance. Available at: http://www.ebscohost.com/dynamed: El-Tawil S, Musa T, et al. Quinine for muscle cramps. Cochrane Database Syst Rev. 2010;(12):CD005044.
Last reviewed December 2013 by Peter Lucas, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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