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Muscle cramps - Treatment

Alternative Names

Cramps - muscle

Home Care:

At the first sign of a muscle spasm, stop your activity and try stretching and massaging the affected muscle. Heat will relax the muscle when the spasm begins, but ice may be helpful after the first spasm and when the pain has improved.

If the muscle is still sore, nonsteroidal anti-inflammatory medications can help with pain. If the muscle cramps are severe, your health care provider can prescribe anti-spasm medications.

The most common cause of muscle cramps during sports activity is dehydration. Often, drinking water will ease the cramping. However, water alone doesn't always help. Salt tablets or sports drinks, which also replenish lost minerals, can be helpful.

Other tips for relieving muscle cramps:

  • Change your workouts so that you are exercising within your ability.
  • Drink plenty of fluids while exercising and increase your potassium intake (orange juice and bananas are great sources of potassium).
  • Stretch to improve flexibility.

Call your health care provider if:

Call your doctor if your muscle cramps:

  • Are severe
  • Do not go away with simple stretching
  • Keep coming back
  • Last a long time

What to expect at your health care provider's office:

Your health care provider will perform a physical examination and ask questions about your medical history, such as:

  • When did the spasms first begin?
  • How long do they last?
  • How often do you experience muscle spasms?
  • What muscles are affected?
  • Is it always the same location?
  • Are you pregnant?
  • Have you been vomiting, had diarrhea, excessive sweating, excessive urine volume, or any other possible cause of dehydration?
  • What medications do you take?
  • Have you been exercising heavily?
  • Have you been drinking alcohol heavily?

Tests that may be done include:

  • Blood tests for disorders of the following:
    • Calcium, potassium, or magnesium metabolism
    • Kidney function
    • Thyroid function
  • Electromyography
  • Myelography
  • Pregnancy test

Pain relievers (analgesics) may be prescribed.

  • Reviewed last on: 7/23/2010
  • Linda Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Filho JAF, Pestronk A. Muscle pain and cramps. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, eds. Neurology in Clinical Practice. 15th ed. Philadelphia, Pa: Butterworth-Heinemann; 2008:chap 28.

Brinker MR, O'Connor DP, Almekinders LC, et al. Basic science and injury of muscle, tendon, and ligament. In: DeLee JC, Drez D Jr., Miller MD, eds. DeLee and Drez's Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier;2009:chap 1.

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