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LEG AND FOOT CRAMPING

‘Charley horse” cramping comes on suddenly in toes, forefoot, arch, or calves.  Although it is common for the cramping to wake one up during sleep, it can occur any time.  With lengthening of the muscle involved in the cramp, the muscle will relax and the cramping subside, although there may be residual pain after the cramping has stopped.

The cramping tends to occur multiple times over a period of time vs. one time only.  The cramping either runs it course and stops entirely or a diagnosis made with treatment that resolves the episodes.

Other names or similar foot conditions:

  • Charley horse
  • #@#$*****!!!

Symptoms:

  • Sudden and extreme tightening of muscles in the affected area
  • Commonly occurs during sleep and is significant enough to wake one up in extreme distress

Signs to look for:

  • Sudden and extreme tightening of muscles in the affected area

Possible Causes:

  • Abnormal mineral or hormone levels
  • Diabetes or circulatory problems
  • Overuse (buildup of lactic acid in the muscle)
  • Overstretching during sleep
  • Dehydration
  • Medication related

Goals:

  • Restore flexibility to feet and legs
  • Restore systemic deficiencies
  • Prevent overuse
  • Correct medication use if that is one of the causes
  • Determine if dehydration is involved
  • Footwear that will not cause ankle and calf muscle shortening
  • Bedtime practices for relaxing muscles

Solutions:

Arch Supports:

  • Bio-Orthotics Winstep or Sundance exercising support with metatarsal lift

  • Lower and thinner arch support with longitudinal and metatarsal support, such as the Bio-Orthotics Journey or Silhouette, for use when shoes cannot accommodate the Winstep or Sundance exercising support

Shoes:
  • Extra depth shoes with firm heel counter and flat heel (high heels will cause and/or aggravate this condition)

  • MBT physiological footwear

  • For exercise, wear shoes with titanium springs

Other: 

  • Medical treatment and medication review as appropriate
  • Take calcium (500 mg) with magnesium (250 mg) at night after dinner. If that doesn’t work, drink 8 oz vegetable juice (such as V8) a day

Activities:

  • Attention to adequate water intake
  • Before bed, soak feet/legs in warm water or use heating pad and sleep with feet propped up slightly (a pillow at the end of the bed is sufficient height)
  • If circulatory problem is involved and physician agrees, wearing compression hose to bed can help
  • Rotate weight bearing exercises, such as walking or jogging, with non-weight bearing exercising, such as swimming or bicycling

This information does not constitute a diagnosis of your condition and does not take the place of a doctor’s care.  The information has been compiled from sources available to the general public and referenced below.  Copyright 2005 Carole Romig

Sources  Image:  Text:  G. Copeland, DPM, The Foot Book, jrussellshealth.com,Bottom Line’s Health Breakthroughs 20008

 



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