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Definition:

Muscle cramps are involuntary and often painful contractions (movements) of the muscles.



Alternative Names:

Cramps - muscle



Considerations:

Muscle cramps are common and may be stopped by stretching the muscle. The cramping muscle may feel hard or bulging.

Muscle spasms are different than muscle twitches , which are covered in a separate article.



Common Causes:

Muscle spasms can cause cramps and are usually brought on by the following:



Home Care:

Slow stretching often brings relief. If muscle cramps continue, see your doctor.



Call your health care provider if:

Call your doctor if your muscle cramps are severe, last a long time, or keep coming back and do not go away with simple stretching.



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.



References:

Skorecki K, Ausiello J. Disorders of Sodium and Water Homeostasis. In: Goldman L, Ausiello D, eds. Goldman: Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 117.

Molitoris B. Acute Kidney Injury. In: Goldman L, Ausiello D, eds. Goldman: Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 121.

Barohn R. Muscle Diseases. In: Goldman L, Ausiello D, eds. Goldman: Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 447.




Review Date: 7/22/2008
Reviewed By: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, 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.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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