{"id":16827,"date":"2022-05-10T11:44:32","date_gmt":"2022-05-10T09:44:32","guid":{"rendered":"https:\/\/neurologiaclinica.es\/neurological-diseases-and-disorders\/leg-cramps\/"},"modified":"2025-04-29T10:11:29","modified_gmt":"2025-04-29T08:11:29","slug":"leg-cramps","status":"publish","type":"page","link":"https:\/\/neurologiaclinica.es\/en\/neurological-diseases-and-disorders\/leg-cramps\/","title":{"rendered":"Leg cramps"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"16827\" class=\"elementor elementor-16827\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7b77917c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7b77917c\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-39b4485b\" data-id=\"39b4485b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5ce7aeb8 elementor-widget elementor-widget-heading\" data-id=\"5ce7aeb8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Leg cramps<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-81dc2d2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"81dc2d2\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c3702f9\" data-id=\"c3702f9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-729e145 elementor-widget elementor-widget-text-editor\" data-id=\"729e145\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><h3>What are cramps?<\/h3><p>Cramps are involuntary muscle contractions that are usually located in the muscles of the legs, feet or thighs. They are characterized by the sudden onset of intense pain and sensation of muscle contraction, which can become unbearable. <\/p><p>They may last from seconds to several minutes and the affected muscle may be sore for hours. Recurrent cramps may cause severe insomnia. <\/p><p> <\/p><p>They affect between 40% and 60% of people over 50 years of age, especially women.<\/p><h3>What is its cause?<\/h3><p>The exact mechanism is unknown in most cases, although they are most likely related to muscle fatigue and peripheral nerve dysfunction. In addition, there are a number of factors that increase the risk of onset such as advanced age, pregnancy, dehydration or strenuous physical exercise. <\/p><p>These diseases can also cause cramps: flat feet, hyperextension of the knee (genu recurvatum), anemia, diabetes, hypoglycemia, hypokalemia, hypokalemia, hypocalcemia, hypomagnesemia, hypothyroidism, alcoholism, peripheral vascular disease, venous insufficiency in legs, liver disease (cirrhosis), kidney disease (hemodialysis), Parkinson&#8217;s disease, motor neuron disease (ALS), radiculopathies (lumbar canal stenosis), neuropathies and myopathies.<\/p><p> <\/p><p>Likewise, there are many drugs whose possible side effects include cramps, as should be indicated in the package insert. Some of them are brocodilators, antibiotics (amoxicillin, ciprofloxacin), antidepressants, antipsychotics, beta-blockers, benzodiazepines, angiotensin receptor blockers, diuretics, statins and fibrates, estrogens, angiotensin-converting enzyme inhibitors and others such as, for example, ciprofloxacin, angiotensin receptor blockers, diuretics, statins and fibrates, estrogens, angiotensin-converting enzyme inhibitors or others such as, for example, cisplatin, vincristine, donepezil, naproxen, nifedipine, pyrazinamide, raloxifene, teriparatide, tolcapone.<\/p><h3>How do you get to know a possible cause of cramps?<\/h3><p>The patient&#8217;s history is essential in order to identify a possible cause of cramps, which should take into account the need to differentiate them from other medical disorders such as restless legs syndrome, rhythmic lower limb movements during sleep, sleep myoclonias, intermittent claudication, venous thrombophlebitis, myalgias. The history should also include active diseases, medical history, and all drugs and supplements taken. <\/p><h3>When do they usually occur?<\/h3><p>Cramps usually appear at night, so they can cause insomnia. They appear abruptly without warning, although there are situations such as pregnancy, muscle overload or side effects of certain drugs that may warn of the possibility of cramps appearing. <\/p><h2>What circumstances may facilitate the onset of cramps?<\/h2><ul><li>Sitting without moving for prolonged periods of time.<\/li><li>Sitting with inadequate leg positioning.<\/li><li>Standing still for prolonged periods of time.<\/li><li>During or after physical exercise with repeated muscular contraction.<\/li><\/ul><h3>How can we prevent the onset of leg cramps?<\/h3><ul><li>Ensure adequate hydration and, as a general rule, drink about two liters of water daily. The most recommended liquid is water, although isotonic drinks, herbal teas and juices can also be drunk. Fizzy drinks, coffee, alcoholic and energy drinks are not recommended. It is advisable to start drinking water 1-2 hours before starting a physical activity and every 15 or 20 minutes while doing it.   <\/li><li>It is advisable to walk, ride a stationary bicycle or do other types of physical activity.<\/li><li>Perform muscle stretching. In addition to being effective at the moment of cramp, they are also useful for its prevention. Before and after physical exercise, it is advisable to stretch the muscles involved. If you have leg cramps at night, it is advisable to do stretching exercises before going to bed.   <\/li><li>Wear comfortable and flexible shoes.<\/li><li>Avoid bedding that may force plantar flexion of the feet and, secondarily, shortening of the calf muscles.<\/li><li>Review possible side effects of medications. In the case of following any pharmacological treatment, it is advisable to review the technical data sheet of the medications taken on a regular basis. In any case, the responsible physician should be consulted.  <\/li><\/ul><h2>What can we do if we have a cramp?<\/h2><p>Stretch the affected muscle with force and, if for example, as it is the most frequent, the cramp is located in the calf, the foot should be flexed upwards with force. This can be done alone or with the help of another person. <\/p><p>Another exercise to perform in case of cramp is to stand in front of a wall and place the feet at a distance of approximately 60-80 cm (depending on height) and, without taking the soles of the feet off the ground, lean the body straight forward with the palms of the hands resting on the wall. This position should be maintained until the cramp subsides. <\/p><p>Other remedies include walking, fully supporting the sole of the foot, or applying local heat or cold.<\/p><p> <\/p><p><strong>When should a medical consultation take place?<\/strong><\/p><p>It is advisable to consult a doctor if you have frequent cramps, very intense pains that are associated with loss of strength or are not related to a clear cause (e.g. intense muscular activity).<\/p><h3>Should diagnostic tests be performed in patients with recurrent cramps?<\/h3><p>Routine blood tests, which include hematological and biochemical parameters, are not usually useful for diagnosis. In some cases blood tests may demonstrate alterations compatible with diseases that are associated with muscle cramps (e.g. liver disease). Other complementary studies (e.g. ultrasound, electroneurography\/electromyography) may also allow diagnosis of diseases that can cause muscle cramps.  <\/p><h3>Is it useful to take magnesium supplements for the prevention of cramps?<\/h3><p>The available data suggest that magnesium supplementation is unlikely to significantly decrease the risk of muscle cramps in older adults.<\/p><h3>What drugs are useful for the prevention of recurrent cramps?<\/h3><p>Possible benefits of the use of vitamin B2 (riboiflavin), vitamin B6 (pyridoxine), vitamin B12 (cyanocobalamin), carisoprodol, chloroquine, diphenhydramine, dilitiazem, gabapentin, hydroxychloroquine, naftidrofuryl, orphenadrine, quinine and verapamil have been described. However, the possible use of any of these drugs must be under medical indication and control. <\/p><h3>Is quinine useful for the prevention of cramps?<\/h3><p>Quinine has been used for the prevention of leg cramps, but it is not recommended for the treatment or prevention of nocturnal leg cramps because it can produce serious side effects.<\/p><p>The ingestion of tonic water has been reported to be beneficial in some cases. Tonic water marketed as a soft drink contains quinine in some cases and, in others, only quinine aroma. In order to avoid the health damage caused by sugary soft drinks, in the case of drinking tonic water, it is advisable to consume tonic water without sugar.  <\/p><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p><a href=\"http:\/\/www.pubmed.com\" target=\"_blank\" rel=\"noopener\"><strong>BIBLIOGRAPHY .<\/strong><\/a><\/p><ul><li>Winkelman JW. Nocturnal legs cramps. UpToDate. Literature review current through: Feb 2021. This topic last updated: Oct 07, 2019.    <\/li><\/ul><\/div><\/div><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p> <\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a748007 elementor-author-box--layout-image-left elementor-author-box--align-center elementor-widget elementor-widget-author-box\" data-id=\"a748007\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"author-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-author-box\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/neurologiaclinica.es\/en\/who-are-we\/\" class=\"elementor-author-box__avatar\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/neurologiaclinica.es\/wp-content\/uploads\/Dr.-Oriol-Franch.jpg\" alt=\"Picture of Dr. Oriol Franch Ub\u00eda\" loading=\"lazy\">\n\t\t\t\t<\/a>\n\t\t\t\n\t\t\t<div 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us\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-02c72a5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"02c72a5\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a6c6dd5\" data-id=\"a6c6dd5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-325b4e9 elementor-widget elementor-widget-heading\" data-id=\"325b4e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">GET INFO:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-84cc5d5 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"84cc5d5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/www.neurologiaclinica.es\/neurologos-en-madrid\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">About our Programs, Units and Treatments<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>What are cramps? Cramps are involuntary muscle contractions that are usually located in the muscles of the legs, feet or thighs. They are characterized by the sudden onset of intense pain and sensation of muscle contraction, which can become unbearable. They may last from seconds to several minutes and the affected muscle may be sore [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":16593,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-16827","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/pages\/16827","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/comments?post=16827"}],"version-history":[{"count":4,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/pages\/16827\/revisions"}],"predecessor-version":[{"id":18003,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/pages\/16827\/revisions\/18003"}],"up":[{"embeddable":true,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/pages\/16593"}],"wp:attachment":[{"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/media?parent=16827"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}