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I have shooting very painful pain in legs, especially left,

Customer Question
I have shooting very...

I have shooting very painful pain in legs, especially left, mostly at night

Doctor's Assistant: What seems to make the symptoms worse or better? Any redness or swelling in the leg?

No redness or swelling. I am also subject to painful leg cramps below the knee- both legs

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I have Fibromyalgia and recent urine test revealed traces of blood in urine. On anti biotics for one more day

Submitted: 6 months ago.Category: Medical
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12/26/2017
Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 38,771
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago

The causes to consider for you pain would be;

1) Neuropathy
2) Nocturnal leg cramps
3) Peripheral Vascular Disease
4) Radiculopathy

Following investigations are advised;

1) A complete iron panel including iron levels, ferritin, transferrin saturation, and total iron binding capacity.

2) BUN,

3) creatinine,

4) magnesium,

5) thyroid-stimulating hormone (TSH),

6) vitamin B-12, and folate.

Following measures would be helpful;

1) Avoidance of caffeine, alcohol, or nicotine (if take them).

2) Exercise before the bed time.

The exact cause of cramps below the knees is not well understood, but there are some risk factors that are thought to contribute to this condition:

1) Muscle fatigue,

2) Heavy exercising,

3) Dehydration,

4) Over weight

5) Electrolyte imbalances,

6) Vitamin deficiency,

The medical causes related to the disease process are;

1) Calcium and phosphorus imbalances can cause cramping.

2) Low potassium or sodium (salt) levels.

3) Deficiencies of a nutrient called hesperidin, an antioxidant flavonoid found in oranges and other citrus fruits, have also been linked to nocturnal leg cramps.

4) Overexertion, standing on concrete for long periods, or prolonged sitting (especially with the legs contorted) may contribute to nighttime cramps.

5) Having structural disorders in the legs or feet (such as flat feet) may increase the risk for cramps.

6) Among the many medical causes of muscle cramping include hypothyroidism, Addison's disease, uremia, hypoglycemia, anemia, and certain medications.

Electrolyte imbalances is generally considered the most common main cause. A blood electrolyte level can help you in ruling in or ruling out this. Some researchers believe inadequate stretching and muscle fatigue leads to abnormalities in mechanisms that control muscle contraction. Other factors may also be involved, including exercising or working in intense heat and dehydration.

Prevention of the cramps is the best cure; for that following measures should be employed:

1) Drink water at regular intervals, even when you are not thirsty.

2) Drink more than what you require.

3) Drink fruit juice or a sports beverage if the working conditions are hot and one sweats a lot.

4) If cramps occur frequently, stretching exercises help. Muscle relaxant like chlorzoxazone can also help.

5) Following exercise may help you before you go to bed; Stand about 30 inches from a wall and, keeping the heels flat on the floor, lean forward and slowly move the hands up the wall to achieve a comfortable stretch.

6) A few minutes on a stationary bicycle at bedtime may also help.

7) While in bed, loose covers should be used to prevent the toes and feet from pointing, which causes calf muscles to contract and cramp easily.

8) Propping up the feet up than the rest of the body may also help.

9) During the week, swimming and water exercises are a good way to keep muscles stretched, and wearing supportive footwear is also important.

10) Eating more nuts, seeds, seafood and low-fat dairy would help.

You can consult your physician who would review your medications and medical history. Also, take Calcium and vitamin D with a supplement of magnesium and zinc a day. Gatorade, can help as it contain electrolytes. If still no change, then do follow up with your doctor for a blood test to check the electrolytes. Read the resource which tells you specifically about the night cramps;

http://www.mayoclinic.com/health/night-leg-cramps/AN00499

Once a cramp starts, do the following measures so it is arrested immediately;

1) Straighten the leg, flex the foot upward toward the knee, or grab the toes and pull them toward the knee.

2) Walking or shaking the affected leg, then elevating it, may also help.

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Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago

Was this information helpful to you? I would be glad to answer any further questions.

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