CRAMPS

		What causes night leg cramps? What can you do about them? Arthur  /  New York
		A muscle cramp is an involuntary, sustained tightening (contraction) of one or more of your muscles. It can result in intense pain and an inability to use the affected muscles. Night leg cramps are contractions of the leg muscles, usually in the back of the lower leg (calf). They often occur just as you're falling asleep or just as you're waking up. The exact cause of night leg cramps isn't known. Some experts believe they may be due to abnormal processing of electrolytes — essential elements and chemical substances your body needs for basic functions — by muscles. Almost everyone has occasional leg cramps. But they occur most often in older adults. Common causes of night leg cramps include:                             Muscle overexertion                             Prolonged sitting                             Dehydration                             Pregnancy                             Diabetes                             Decreased potassium levels                             Neuromuscular disorders, such as Parkinson's disease                             Certain medications, such as albuterol, niacin, diuretics, and some calcium channel blockers and antipsychotic medications                             Alcohol use If you do get a leg cramp, you may be able to make it go away by:                             Walking on the affected leg                             Massaging the affected muscle                             Straightening your leg and flexing your foot toward your knee until you feel the calf muscles stretch                             Applying a cold pack to the affected muscle                             Taking a hot bath To help prevent night leg cramps:                             Drink plenty of fluids during the day                             Stretch your leg muscles before bedtime If you have frequent and severe leg cramps at night, talk to your doctor. Treatment results vary. But the most effective treatments based on current research are:                             Quinine                             Vitamin B-12                             Gabapentin Night leg cramps should be distinguished from another common cause of night leg discomfort called restless legs syndrome, a condition in which your legs have a creepy, crawly or fidgety sensation unless you move them. This sensation often gets worse as night approaches. Restless legs syndrome is a neurologic condition that requires different treatment from that of night leg cramps.

 

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