Muscle cramp

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Causes

By Mayo Clinic staff

Overuse of a muscle, dehydration, muscle strain or simply holding a position for a prolonged period of time may result in a muscle cramp. Athletes who become fatigued and dehydrated while participating in warm-weather sports frequently develop muscle cramps. Another common type of muscle cramp — nocturnal cramps — occurs in your calf muscles or toes during sleep.

In many cases, however, the exact cause of a muscle cramp isn't known.

Although most muscle cramps are harmless, some may be related to an underlying medical condition, such as:

  • Inadequate blood supply. Narrowing of the arteries that deliver blood to your legs (arteriosclerosis of the extremities) can produce cramp-like pain in your legs and feet while you're exercising. These cramps usually go away soon after you stop exercising.
  • Nerve compression. Compression of nerves in your spine (lumbar stenosis) also can produce cramp-like pain in your legs. The pain usually worsens the longer you walk. Walking in a slightly flexed position — such as you would employ when pushing a shopping cart ahead of you — may improve your symptoms.
  • Mineral depletion. Too little potassium, calcium or magnesium in your diet can contribute to leg cramps. Some diuretic medications prescribed for high blood pressure cause loss of potassium.

Muscle cramps are also part of certain conditions such as nerve, kidney, thyroid or hormone disorders; diabetes; hypoglycemia; and anemia.

References
  1. Muscle cramp. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00200. Accessed May 4, 2010.
  2. Sheon RP. Nocturnal leg cramps, night starts, and nocturnal myoclonus. http://www.uptodate.com/home/index.html. Accessed May 4, 2010.
  3. Schwellnus MP. Muscle cramping in athletes — Risk factors, clinical assessment, and management. Clinics in Sports Medicine. 2008;27:183.
  4. Katzberg HD. Assessment: Symptomatic treatment for muscle cramps (an evidence-based review). Neurology. 2010;74:691.
  5. Laskowski ER (expert opinion). Mayo Clinic, Rochester, Minn. May 11, 2010.
DS00311 July 16, 2010

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