A close-up of painful legs at night causing a woman to curl her toes in bed and under a blanket.

Painful Legs at Night

The Real Story Behind Painful Legs at Night — and Your Solution

People with knee, spine, hip pain, and painful legs at night may experience it for several reasons while resting in the evening. Various factors can contribute to this condition, including osteoarthritis, sciatica, restless legs syndrome (RLS), pregnancy, and certain types of injuries or health problems that are interrelated to lower back pain management issues.

It can also occur as a result of venous insufficiency, nerve problems, muscle tension, bone, joint, tissue problems, or even basic daily stress and injury issues. According to one study, 20.9 percent of U.S. adults (51.6 million people) experienced chronic pain in 2021, and 6.9 percent (17.1 million people) experienced high-impact chronic pain causing substantial limitations in daily life.

The results of another survey show that many Americans think traditional health care providers are inadequate to manage their patients’ pain. Pain sufferers often feel stigmatized and unsupported.

If you suffer from aching legs and knees at night, you shouldn’t ignore these symptoms — especially if you are experiencing pain. Any discomfort you experience should be treated immediately.

 

Aging, Disorders, and Conditions Cause Painful Legs at Night

As the cartilage in your joints wear down, osteoarthritis or a host of other health conditions can start to creep in — inflicting painful legs at night. As a result, hips, knees, and your spine may experience pain, causing you to search for a lower back pain management solution.

Stiffness and inflammation are not uncommon either. When you lie down at night, your joints are less supported, which can worsen the pain, especially if it happens to be coming from osteoarthritis.

As a result of nerve irritation or compression, sciatica occurs in the lower back and down the back of the leg. A painful, numb, and tingling sensation can occur in the legs, hips, and buttocks due to this condition. Sleeping can actually worsen sciatic pain. Certain sleeping positions are more likely to compress the affected nerves.

There’s also a neurological disorder known as “restless legs syndrome” (RLS) that causes uncontrollable movements of the legs, particularly at night. An uncomfortable sensation in the legs, such as crawling, tingling, or aching, is often associated with RLS. Sleeping can be difficult due to these sensations at night.

For females, during pregnancy your legs, knees, spines, and hips can also be painful at night. Pregnancy is often associated with increased weight gain and hormonal changes. It’s also possible to experience pain at night from an injury to the legs, knees, spine, or hips. Lying down increases the likelihood that the injured tissues will swell and become inflamed.

 

Some Conditions Often Overlooked

Infectious diseases or aging conditions such as Lyme disease, arthritis, fibromyalgia, blood circulation problems, and medication side effects — as well as nerve disorders such as multiple sclerosis and peripheral neuropathy — can also be the cause of issues if you notice your legs hurt at night or your evenings are void of beneficial spinal pain management for back and hip problems.

A person’s worst nightmare is experiencing pain at night, whether they’re resting, sleeping, or just sitting or lying down. There’s a possibility that you may suffer from a cramp or an unfortunate injury to your muscles, bones, or nerves. Legs, knees, spines, and hips may hurt for many reasons, including trauma and underlying conditions. The symptoms of one condition can also overlap with those of another.

Whether pain occurs steadily, sporadically, or gradually in the lower extremities depends upon the individual. During certain activities or even while resting, it can suddenly strike. It may be the whole leg or only a small area that is being affected. Lower leg pain can be accompanied by a range of sensitivities, such as dull, sharp, achy or stabbing sensations, as well as numbness and burning.

 

Neurological, Musculoskeletal, and Vascular Issues

For some patients, nervous, musculoskeletal, and vascular issues are the most common problems contributing to painful legs at night. Restless leg syndrome, neuropathy, and sciatica are among the conditions that cause neurological pain. Nervous pain can affect your arms and legs even when you rest.

Your knee can pop or crack when it suffers from musculoskeletal pain. As it progresses, arthritis can damage your joints. Musculoskeletal pain can result from bad falls, which injure muscles, tendons, and ligaments. Musculoskeletal issues include stress fractures, compartment syndrome, and cramps.

Thrombosis, vasculitis, varicose veins, varicose eczema, or skin discoloration can also cause vascular pain in adults. Blood is supplied by your heart to muscles and organs in your body. Your legs, knees, spine, and hips require healthy valves in blood vessels to maintain blood flow. During the stretching process, a vessel’s valves become inefficient. Your vessels become clogged with deoxygenated blood, cells, and waste, causing symptoms to appear. This is one particular reason why lower back pain management remains key to solving some of these health and nighttime sleeping obstacles.

 

But Most of all, Vascular Issues

Poor vein circulation may also cause aching legs and knees at night. This can result in mild to severe symptoms. A lack of circulation in the veins can result in swelling, cramping, and soreness. When veins cannot transport blood and oxygen to the lower extremities, muscles and bones may suffer from lower extremity pain. In addition to being swollen and bulging, varicose veins are also painful and uncomfortable.

Various diseases of the arteries and veins affect the body’s circulatory system. With the help of your heart, your veins and arteries pump blood throughout your body. Arteries and veins transport blood to the extremities. Specifically, veins transport oxygen-depleted blood back to the heart.

The first sign of vascular disease is usually limb pain, but each person experiences it differently. There is a wide range of severity when it comes to limb pain. No matter how active or inactive you are, you can feel pain at any time. The first time you feel pain, it’s easy to ignore it and hope it’ll go away on its own. However, you should never ignore pain in your legs.

 

PAD, DVT, and CVI Can Contribute to Painful Legs at Night

In the lower extremities, plaque buildup can also cause painful legs at night. This is especially true when you exert your muscles repeatedly. This inflicts a great pain on your larger muscles from arterial problems. Peripheral Artery Disease (PAD) is common in the following circumstances:

 

PAD

As a result of fatty deposits accumulating inside the arteries, PAD hardens the arteries in the legs. Fat deposits narrow and stiffen the arteries, reducing the flow of oxygenated blood to muscles and soft tissues. There’s a tendency for limbs to suffer from poor circulation. It’s possible to improve circulation and reduce or eliminate symptoms by treating the underlying disease (arteriosclerosis in many cases). When walking, intermittent claudication appears, which disappears when lying down. The disease progresses very slowly. You may even need to seek medical attention if you experience severe pain in your lower extremities while at rest or sleeping. If your legs hurt at night, don’t delay.

 

DVT

Blocking blood completely or partially, venous blood clots can also cause lower extremity pain. An injury to deep veins in the legs can cause deep vein thrombosis (DVT). When a vein becomes clogged, it causes pain, tenderness, swelling, redness, warmth, and aches and stiffness in the lower body. It’s important to note, however, that some people may experience entire lower body aches, while others may not experience any symptoms at all. It can be caused by major surgery, cancer, inactivity, pregnancy, trauma, hormone replacement therapy, inflammatory and autoimmune diseases, obesity, and inherited blood diseases.

 

CVI and a Solution for Painful Legs at Night

When leg veins fail, blood pools in the legs and adds pressure to the vein walls. This inflames the lower extremities and causes pain. This failure of legs veins causes chronic venous insufficiency (CVI). Thrombosis and blood clots can damage blood valves or cause them to fail due to heredity. An affected leg may experience mild pain, swelling, and heaviness due to gravity. In spite of the fact that there is no danger of losing your limb, an inside ankle ulcer can be painful. As a result of these factors, CVI can be characterized and understood. As well as CVI, varicose veins can develop. Varicose veins cause pain, burning, and heaviness.

Finding a lower back pain management solution and the best treatment for hip pain at night is usually one of the best courses of action you can take. Additionally, obtaining a pain management specialist’s recommendations for spinal pain management is important. Your options should be comprehensive and inclusive of as many choices and possibilities that may (or may not) help you in finding success.

 

Don’t Ignore the Pain: Seek Treatment Options

Painful legs at night can be remedied with a variety of treatment options. Medical massage therapy, acupuncture, radiofrequency vein ablation, hip and knee injections, arthroscopy, platelet-rich plasma injections, anesthetic injections, and other injections can all be provided by the right health specialist through conservative treatments, minimally invasive procedures, or surgery.

It may be necessary to develop a customized care plan for each patient, based on their unique circumstances and condition. Doctors usually aim this type of plan at reducing pain, improving range of motion, and preventing injuries. They may prescribe treatments in combination based on the severity of your condition. Oftentimes, a lower back pain management plan that’s right for you is a great place to start your discussion with a pain management specialist.

A patient’s care plan is usually tailored to their unique circumstances and conditions, as well as their input. Treatment objectives always include pain relief, range of motion improvement, and injury prevention. Depending on the severity of the condition and type of intensity from your aching legs and knees at night, your doctor may recommend a combination of treatments.

Doctors perform diagnoses and treatments via minimally invasive and highly effective techniques. This effort reduces the risk of side effects and complications. Whether you suffer from mild pain or chronic pain that makes life miserable, you don’t have to live with pain.

If you are hurting and looking for an effective pain management solution, it can seem impossible to feel good. But it’s not impossible. Your quality of life can be restored by a skilled and experienced pain management doctor.

 

Wellness and Pain Can Help

A range of options for treating painful legs at night are available at Wellness and Pain. We offer conservative treatments, routine visits, and minimally invasive quick-recovery procedures. We can keep you free of problems by providing lifestyle education and home care advice to help you avoid and manage issues, quickly relieving the inhibiting lifestyle conditions when complications arise.

At Wellness and pain, we personalize patient care plans based on each patient’s condition. We consider unique circumstances to relieve pain, improve mobility and mental space, and improve your overall health.

Close-up of an adult female receiving acupuncture treatment for leg pain after running.

Treatment for Leg Pain After Running

Acupuncture Treatment for Leg Pain After Running

While runners often complain about thigh, leg, foot and heel pain, many don’t realize there is a unique treatment for leg pain after running. Many factors can contribute to the pain, including overuse, improper footwear, and underlying medical conditions.

Running through pain leads to serious conditions for many runners, even when they’re injured and need rest. It’s best to treat it as soon as possible to minimize long-term damage and speed up the healing process, especially when your back of heel hurts after running.

Even chronic pain can be treated with acupuncture therapies. Each patient’s condition is unique, but there are many reasons for the nagging running pains that won’t go away. Root causes often have deeper causes than we realize.

 

Issues Leading to Treatment for Leg Pain After Running

A number of issues can cause thigh pain, including IT band syndrome, which can lead to exploring treatment for leg pain after running. Located on the outside of the thigh, the iliotibial band (IT band) consists of a thick band of tissue. Inflammation of the IT band causes it to rub against the bone of the thigh.

You can also suffer from hamstring strain if your back of leg hurts after running. In the back of the thigh, there’s a group of three muscles called the “hamstrings.” Torn or overstretched muscles in the hamstrings cause hamstring strains. Back pain can occur near the buttocks, behind the thigh.

The quadriceps on the front side of your leg can get hit with deep thigh pain after running. Located along the front of the thigh, the quadriceps muscles are a group of four muscles. An injury to the quadriceps results from overstretching or tearing one of these muscles. Near the kneecap, this can cause pain at the front of the thigh.

In terms of your overall leg, shin splints are pains along the inside of your shinbone. Shinbone inflammation is caused by inflammation of the tendons and muscles attached to the bone. An overuse injury can also cause a stress fracture – a small crack in a bone. Runners are more likely to suffer stress fractures in their legs.

“Compartment syndrome” causes pain and numbness inside muscle compartments in runners. Though rare, runners must seek surgical intervention to correct this condition.

A pinched spinal nerve can also cause leg and thigh pain, as can spinal stenosis, injury or trauma, tendonitis, or deep vein thrombosis (blood clots in your deeper veins, usually in your legs).

 

Foot and Heel Pain: How it’s All Connected

A common complaint among runners is foot and heel pain, with the following being some of the most common causes before runners eventually seek out treatment for leg pain after running:

  • Foot pain caused by Plantar Fasciitis. Plantar fasciitis is an inflammation of the thick band of tissue along the bottom of the foot. This condition most commonly causes a runner’s heel pain.
  • Tendinitis of the Achilles tendon. The Achilles tendon connects calf muscle and heel bone.
  • Spurs on the heels. Bony growths catch muscle and tendons, causing your back of heel to hurt after running. Treatment isn’t always necessary, but spurs can be awfully painful over time.

2023 Foot Pain Trends Report uncovered some illuminating and concerning findings for anyone suffering from foot or heel pain, including:

  • Over 95 percent of Americans say foot pain impacts their day-to-day lives, with 8 in 10 reporting that their foot hurts from running.
  • Back, knee, and hip problems are also reported by 33 percent of those who experience regular foot pain.
  • The average monthly cost of treating foot pain for adults is $228.
  • 88 percent of respondents said that they purchased shoes in order to reduce foot pain.

In this report, survey data is based on 6,030 American adults who reported foot pain within the last 12 months (January – December 2022).

 

At-Home Prevention and Treatment for Leg Pain After Running

Depending on the underlying cause, the thigh, leg, foot, and heel pains will require different overall treatment for leg pain after running. To relieve pain and promote healing, consider the following:

  • Get some rest. Running and other activities that aggravate the pain should be avoided.
  • Ice it. Several times a day, apply ice to the affected area for 20 minutes at a time.
  • A compression process. Reduce swelling by wrapping the affected area in an elastic bandage, also known as “compression” (or “using a compress”).
  • Sitting or lying down, elevate the affected area above the heart.
  • Pain relievers available over-the-counter. Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen, can reduce inflammation and pain.

If your back of heel hurts after running, you can incorporate several activities into your weekly lifestyle. This is also true if your back of leg hurts after running, or you have deep thigh pain after running — such as:

  • Wearing proper footwear. Fitted and supportive running shoes are essential.
  • Gradually increasing your mileage. Try not to take on too much at once. Give your body time to adapt by gradually increasing your mileage and intensity.
  • Listening to your body. Whenever you feel pain, stop running and take a break.
  • Cross-training. Injuries caused by overuse can be reduced by cross-training with other activities, such as swimming or biking.
  • Stretching regularly. You can reduce your risk of injury by stretching your hamstrings, quadriceps, and calf muscles.

 

Consider Acupuncture Therapy Treatment

Utilizing acupuncture therapy as treatment for leg pain after running can be more effective and less invasive than physical therapy, injections or even surgery — a major fact oftentimes overlooked by runners. Additionally, many health problems in general can be remedied by acupuncture therapy.

Acupuncture is used to treat everything from chronic pain to when your back of heel hurts after running. Other health problems that pain management specialists use acupuncture to treat include arthritis, back pain, neck pain, shoulder pain, knee pain, headaches, migraines, sports injuries, jaw pain, sinus congestion, facial pain, neuropathy, and menstrual cramps

In acupuncture therapy, a specialist inserts thin needles into the skin at specific points on the body to treat specific conditions. Each point represents a different organ, emotion, or sense. Treatment plans incorporating acupuncture can reach these areas in a unique way that other treatments cannot.

Acupuncture does more that just relieve pain. It can also treat anxiety, depression, insomnia, headaches, migraines, nausea, menstrual cramps, fertility issues, smoking cessation, and weight loss.

 

Here’s how it Works

Needles cause your body to react, rebalance, or release natural chemicals, including endorphins, your body’s natural painkillers and neurotransmitters. Stimulation of the central nervous system releases norepinephrine and enkephalin into the muscles, spinal cord, and brain. The release of these chemicals promotes physical and emotional wellbeing. Acupuncture therapy can even treat runner’s knee, which is the quintessential ailment for amateur, intermediate, and professional runners alike.

Acupuncture treatment isn’t a one-size-fits-all approach for when your back of leg hurts after running, you have deep thigh pain after running, or your foot hurts from running. Some patients feel a dull ache or a mild pricking, while others feel nothing at all. A tingling or buzzing sensation, a feeling of warmth or heaviness may be experienced by others. Following insertion of the needle, acupuncturists sometimes twirl or move it. It’s possible to experience a slight increase in sensation from time to time.

The most effective way to increase strength, mobility, and leg function is to combine knee and hip exercises, with many pain management specialists and doctors recommending a dual-approach strategy that includes knee braces, manipulation therapy, and even electromechanical therapies such as ultrasound or TENS muscle stimulators.

Acupuncture therapy comes in many different types, each with its own philosophy and approach. The most common type of acupuncture treatment is traditional Chinese acupuncture. In addition to improving health and wellbeing, acupuncture can unblock and balance qi.

 

Wellness and Pain Can Help

A range of options regarding treatment for leg pain after running are available at Wellness and Pain. We offer conservative treatments, routine visits, and minimally invasive quick-recovery procedures. We can keep you free of problems by providing lifestyle education and home care advice to help you avoid and manage issues, quickly relieving the inhibiting lifestyle conditions when complications arise.

At Wellness and Pain, we personalize patient care plans based on each patient’s condition and unique circumstances to relieve pain, improve mobility and mental space, and improve your overall health.

Learn more about acupuncture treatment for leg pain after running or pain in general.

Charlie horses causing a woman to sit mid-run and massage her calf and lower leg in the street.

Charlie Horses

Charlie Horses: Risks, Prevention, and the Right Treatment

Charlie Horses is a common name for muscle spasms, where they can feel like your muscles have tightened up and locked down from involuntary contractions.

Even lying down or sleeping can trigger back of leg cramps at night. It’s painful and can happen suddenly. Calves and quadriceps are the most commonly affected muscles by these types of intense leg cramps, although they can occur in any muscle. In addition to the feet, arms, and abdomen, they can also occur in the hands.

It’s not clear what causes a Charlie Horse, but several factors can contribute to them, including dehydration, a lack of electrolytes (including potassium and magnesium), muscle fatigue, stretching a muscle too far, cold weather, taking certain medications (such as diuretics), and some medical conditions (diabetes, kidney disease, etc.). You can also trigger a Charlie Horse by not stretching enough, exercising in high temperatures, not getting enough magnesium or potassium in your diet, and having a spinal cord injury.

One fact is for sure: The best treatment for leg cramps at night is in reach.

 

Your Risks, Health, and Relationship to Charlie Horses

A pain management specialist or doctor is not needed unless you have Charlie Horses with weakness, numbness, vomiting, diarrhea, or severe sweating (which can cause dehydration). Physical exams and questions about your medical history will be done by your pain management specialist or doctor.

Those with diabetes or thyroid, liver, or nerve disorders tend to suffer from Charlie Horse activity more frequently, as do older adults, athletes, pregnant women, overweight or obese people. There are also several medical and health risk factors leading to back of leg cramps at night, according to a study at the National Library of Medicine, published in 2021:

  • Being diabetic.Type 1 diabetics experience muscle cramps around 60 percent of the time. About 80 percent of people with Type 2 diabetes have this condition.
  • Chronic renal failure.Muscle cramps in the legs are especially common in individuals with chronic renal failure.
  • Amyotrophic Lateral Sclerosis (ALS).There is a 95 percent chance that people with ALS will experience muscle cramps.
  • Having a baby.Pregnant women are more likely to experience muscle cramps at night, especially if they are pregnant.
  • Over 60 years old.Over 60 percent of Americans suffer from nocturnal leg cramps.

Nonetheless, there’s a smart way to treat your bad calf cramps at night.

 

Treatment and Prevention: The Best Paths Forward

Areas on your lower extremity that are impacted by Charlie Horses can benefit from simple stretching. Put your weight on the affected leg and bend your knee slightly if you have a Charlie Horse in your calf or back of your thigh (hamstring). Put your foot up against your head while seated or lying down.

Hold onto a chair and bend the knee of the affected leg if you have a cramp in the front of your thigh (quadriceps). Pull your foot upwards toward your buttocks. When you lie down, lift your foot, bend your ankle, and point your toes toward your shin to get relief. It loosens the tightness by causing the injured muscles to move in the opposite direction of the contracted muscles.

The muscles can also be relaxed with a massage, epsom salt bath, or heating pad. Ice packs or over-the-counter medications such as ibuprofen or naproxen may also be helpful.

Try relaxing your foot muscle when it tightens up to treat foot cramps. Additionally, ibuprofen can be taken over-the-counter to ease any remaining pain.

In most cases, muscle spasms resolve themselves on their own. Heat applied to your cramp — especially back of thigh cramps at night — can help ease the pain, as well as ice after the heat.

The best treatment for a Charlie Horse, however, is prevention. By drinking plenty of water, stretching before and after exercise, and avoiding cramps at night, you can prevent them. Wear comfortable, supportive shoes, eat magnesium, potassium, and calcium-rich foods, and adjust your exercises as needed. See what the American Academy of Orthopedic Surgeons recommends for calf stretches, hamstring stretches, and quadriceps stretches.

 

Additional Cures for Charlie Horses and Night Cramps

Those suffering from Charlie Horses can also benefit from vein ablation, massage therapy, acupuncture, or IV hydration.

Using vein ablation, varicose veins can be treated in a non-invasive manner. Heat, radiofrequency, or chemicals are used to close the vein after a thin catheter is inserted into it. About an hour is usually required for the procedure to be performed outpatient.

A vein can be ablated using laser or radiofrequency energy, helping cure back of leg cramps at night. Laser ablation uses a laser to heat the vein, causing it to close. Varicose veins can be effectively treated with laser ablation and radiofrequency ablation. It depends on the size and location of your varicose veins, as well as your preferences, as to what type of ablation is best for you.

The benefits of massage therapy include the increase in blood flow to the affected muscle, which helps to relax the muscle and reduce pain. Scar tissue and adhesions can also contribute to a Charlie Horse when they are not broken up by massage therapy. Stretching the affected muscle can also help relax it and reduce pain with a deep tissue massage. Firm pressure is used to break up scar tissue and adhesions. In contrast to trigger point massage, myofascial release massage uses gentle pressure to release tension in the fascia, which surrounds your muscles.

 

Acupuncture Therapy and IV Hydration

A Charlie Horse can also be treated with acupuncture therapy. According to some studies, acupuncture reduces the frequency and severity of a Charlie Horse in people with chronic bad calf cramps at night. It’s not fully known how acupuncture relieves the problem. Acupuncture points have been found to relax muscles and reduce pain when stimulated. Inflammation and pain may also be relieved by acupuncture therapy by improving blood flow to the affected area.

Lastly, IV hydration does not directly eliminate a Charlie Horse, but it can reduce its pain and discomfort by increasing fluid and electrolyte levels. Muscle contractions can be prevented by fluids lubricating the muscles and joints. A muscle’s function relies on electrolytes like potassium and magnesium. In dehydration or electrolyte depletion, muscles can contract.

 

Origin and Meaning: Describing Leg Cramps

A Charlie Horse — and the plural “Charlie Horses” — is believed to have originated in the United States in the late 1800s, although its origin is unclear. Several theories exist about the origin of the term. It’s believed that the term originated from the name of a baseball player named Charley Radbourne.

In the 1880s, Radbourne pitched for the Boston Beaneaters. During games, he was known to get daytime leg cramps, which can lead to back of leg cramps at night. Newspaper reporters used the term “Charlie Horse” to describe Radbourne’s leg cramp one day.

It may also be derived from the name of a horse that pulled groundskeepers’ carts in baseball parks. It was common for these horses to get leg cramps from being overworked and tired. In reference to the horses, these cramps became known as a “Charlie Horse.”

The term may have been derived from a horsefly that bites horses, according to another theory. As a result of their ability to cause leg cramps in horses, a horsefly of this sort is called a “Charlie Horse.”

It’s now common to refer to back of thigh cramps at night as a “Charlie Horse,” no matter what the origins of the term are. As well as in informal settings, it’s used in medical settings as well. A leg cramp can also be called a muscle cramp, a muscle spasm, a calf cramp, a shin splint, a night cramp, and a writer’s cramp.

 

Wellness and Pain Can Help

A range of options for treating Charlie Horses are available at Wellness and Pain. We offer conservative treatments, routine visits, and minimally invasive quick-recovery procedures. We can keep you free of problems by providing lifestyle education and home care advice to help you avoid and manage issues, quickly relieving the inhibiting lifestyle conditions when complications arise.

At Wellness and Pain, we personalize patient care plans based on each patient’s condition and unique circumstances to relieve pain, improve mobility and mental space, and improve your overall health.

Keep reading to learn more of what you can do about leg cramps and charley horses.

Leg cramps at night causing a woman dressed in pajamas to wake up and massage her leg in bed.

Leg Cramps at Night

Don’t Let Leg Cramps at Night Keep You Up

Leg cramps at night can occur at any age, but they are most common among older adults, women, pregnant women, dehydrated individuals, and those with certain medical conditions such as nerve damage and muscle fatigue.

The most common cause of bad calf cramps at night is aging. Nearly every adult over age 50 experiences a leg cramp at least once every two months, and one-third of people over 60 will suffer one every two months.

Night leg cramps can be caused by a variety of factors, but there is no one definitive cause.

 

Dehydration and Leg Cramps at Night

Leg cramps at night are almost guaranteed as a result of dehydration. The muscles may be more susceptible to cramping as a result. Dehydration can also cause an imbalance in sodium levels in the blood, which can also cause muscle cramps.

During dehydration, your body pulls water from your muscles. The muscles can become more susceptible to cramping as a result. Dehydration can also cause electrolyte imbalances.

In order for muscles to function properly, electrolytes such as potassium and magnesium are needed. Muscle cramps while sleeping can occur when these electrolytes are out of balance.

Blood can also become thicker when dehydrated. Bad calf cramps at night can also occur as a result of this reduced blood flow to the muscles. It is important to stay hydrated if you are experiencing night leg cramps, and you should also stay hydrated throughout the day, especially with water. Coconut water or sports drinks may help replace the electrolytes your body needs.

 

The Enigma Behind Low Levels of Electrolytes

An electrolyte is a mineral that conducts electricity — and its function and level is highly correlated to leg cramps at night. In addition to contraction and relaxation of muscles, they perform a variety of other functions in the body. It is possible to get muscle cramps when electrolytes are low in the body.

An electrolyte’s role in muscle function can be summarized as follows:

  • The movement of fluids in and out of cells is regulated by potassium. Muscle contraction and relaxation can also be controlled by it.
  • Muscle contraction and relaxation are also facilitated by magnesium. As well as regulating nerve function, it also helps to improve blood flow.
  • In order for muscles to contract, calcium is necessary. As well as strengthening the bones, it helps to keep muscles healthy.

As you can see, muscles may be unable to contract and relax properly if electrolytes levels in the body are low, with cramping resulting. In this case, treatment for nighttime leg cramps should be explored. Muscles can also be more sensitive to pain when electrolytes are low. Cramping can become more painful as a result.

Muscle fatigue can also be caused by low electrolyte levels and may result in muscle cramps while sleeping.

 

Leg Cramps at Night from Nerve Damage

Nerve damage that interferes with signals sent to your muscles can cause leg cramps at night. Because they’re damaged, they cannot send the correct signals.

Nerve damage can prevent nerves from sending the signal to relax muscles. Muscles can contract involuntarily due to this, resulting in cramps. Muscles can also become more sensitive to pain when they suffer nerve damage. Intense cramps can result from this.

Nerve damage can also cause chronic muscle fatigue. Consequently, bad calf cramps at night are more likely to occur.

Even worse: Diabetes, peripheral artery disease (PAD), spinal stenosis, and sciatica are some of the conditions that can cause nerve damage and leg cramps at night. Cramping can result from diabetes damage to the nerves in the feet and legs. As a result of PAD, the arteries in the legs narrow, which in turn reduces blood flow to the muscles and causes cramps. Spinal Stenosis (When the spinal canal narrows) can compress nerves. This effect can also lead to cramps.

We wouldn’t be complete if we didn’t mention sciatica. It causes pain that radiates down the leg from the lower back, caused by pressure on the sciatic nerve, which can also cause cramping.

 

A Deeper Analysis of Muscle Fatigue and Cramping

Muscle fatigue can cause leg cramps at night. This makes the muscles more prone to a slew of other conditions. And unfortunately, they can last all night, in the worst of cases. Fatigue also makes muscles less able to contract and relax. There is a possibility this will result in a muscle cramp as well.

In fact, muscle fatigue increases your chances of experiencing tightness or cramping. Nerve pressure can cause bad calf cramps at night.

Muscle fatigue also increases the likelihood of knotting and muscle cramps while sleeping. It’s also possible for these knots to exert pressure on the nerves, resulting in cramps. As a result of fatigue, muscles are less likely to relax as easily when stretched.

 

Stretching the Muscle for Leg Cramps at Night

Stretching can often prevent leg cramps at night. As a result of stretching, the muscles loosen up and become more flexible, which prevents them from becoming tight or cramping. However, that’s not the entire story.

Stretching muscles can also worsen muscle cramps. In this case, stretching can make it more difficult for the muscle to relax, due to its already contracted state. The best thing you can do if you have a leg cramp is to relax your muscles. You can use a gentle massage or heat to relax the affected muscle. If the muscle is not too painful, you can stretch it.

You should consider exploring treatment for nighttime leg cramps if the cramp is severe or does not go away after a few minutes. Having cramps could be a sign of an underlying medical condition.

Nonetheless, the following tips will help you prevent bad calf cramps at night:

  • Make sure you stay hydrated. Drink plenty of fluids throughout the day, especially water. Dehydration can cause muscle cramps.
  • Make sure you eat a balanced diet. Eat a balanced diet that includes fruits, vegetables, and whole grains. Electrolytes are important for muscle function, so these foods are good sources.
  • Regularly stretch your legs. It’s beneficial to stretch the muscles in order to loosen them and make them more flexible. Doing this can prevent muscle cramps.
  • Don’t sit or stand for long periods of time. Leg muscles can become cramped after sitting or standing for a long time.
  • Make sure you wear comfortable shoes. A tight pair of shoes can cause cramps in your legs, as they tend to put pressure on the muscles.

 

Try These Too!

In addition to these above remedies for muscle cramps while sleeping, you can also try:

  • Not drinking alcohol and caffeine before bed. These substances can cause dehydration and cramping.
  • Gently stretching the muscle. You can also apply heat or gently massage the muscle.

 

Talk to a Specialist About Leg Cramps at Night

Talk to your doctor about ways to reduce your risk of leg cramps at night — especially if you’re taking medications that can cause them. You may experience leg cramps if you are taking certain medications, such as diuretics or statins.

Underlying medical conditions, such as vessel insufficiency, may be the cause of your cramps. This is especially true if you suffer from frequent or severe leg cramps. An expert in pain management usually only needs a brief consultation and diagnosis before performing vessel ablation, sclerotherapy, or another minimally invasive procedure.

The best course of action is to see your doctor if you suffer from bad calf cramps at night on a regular basis or if they become severe enough to make walking or standing difficult. Your doctor will most likely ask questions about your medical history, medications, and recent changes in your activity level. As well as asking about your diet, they might also ask how much fluid you consume daily.

Seek emergency medical attention if a leg cramp lasts more than 10 minutes or is unbearably painful. Additionally, it could be poisonous or infectious if the cramping occurs after touching substances. Leg cramps are usually not a cause for concern and occur occasionally. Exercise or long periods of sitting may cause them. Pregnancy and aging may also increase them.

Gentle stretching and massaging of the muscle can relieve the pain from muscle cramps while sleeping. You should consult a doctor if you experience leg cramps regularly or if the cramp lasts for a long time. You shouldn’t hesitate to seek treatment for nighttime leg cramps. The condition could be a sign of an underlying health condition.

 

Wellness and Pain Can Help

A range of options for treating leg cramps at night are available at Wellness and Pain. We offer conservative treatments, routine visits, and minimally invasive quick-recovery procedures. We can keep you free of problems by providing lifestyle education and home care advice to help you avoid and manage issues, quickly relieving the inhibiting lifestyle conditions when complications arise.

At Wellness and Pain, we personalize patient care plans based on each patient’s condition and unique circumstances to relieve pain, improve mobility and mental space, and improve your overall health.

Keep reading to learn more of what you can do about leg cramps and charley horses.

Treating severe muscle cramps, a man receives massage therapy on his calf.

Treating Severe Muscle Cramps: Massage Therapy & Your Health

There are more than a few remedies to consider for treating severe muscle cramps, with massage therapy being one of the most powerful options available. In addition to receiving relief, massage therapy offers a host of additional healthy benefits.

Besides increasing blood flow to the muscles, massage therapy can also remove waste products and deliver oxygen and nutrients. As a result, cramps can be reduced in pain and inflammation by relaxing the muscles. This is especially good news for those who feel it the most in their quads. Cramp in quad muscle issues are huge red flags for many patients.

Moving down the leg, calf cramps are usually caused by sudden and sharp contractions of the muscle in the calf, lasting for a few seconds or minutes at a time. Muscle cramps can be eased by stretching gently in the painful moment. Maintaining a healthy diet and getting enough sleep can help prevent leg cramps, too. In fact, looking just above the calf, hamstring muscle cramps can be caused by a variety of similar reasons.

Massage therapy can ease tension and relieve cramps by relaxing the muscles. As a second benefit, this treatment increases blood flow to the muscles, which can help deliver oxygen and nutrients and remove waste products. Lastly, massages release endorphins, which are the body’s natural hormones that alleviate pain.

All in all, muscle tension is reduced through massage therapy, which may prevent cramps from developing in the first place.

 

Spasms and Attacks: Treating Severe Muscle Cramps

It’s fairly common for muscles to spasm or cramp, particularly in the legs — which means treating severe muscle cramps should be a victim’s first priority. Spasms can occur in any muscle, including your back, hands, feet, or toes. The duration of these attacks can vary from a few seconds to 10 or 15 minutes. Seeing a doctor may be a good idea if you have chronic muscle cramping.

Various muscles contract suddenly and involuntarily during a muscle cramp. Different muscle groups may be affected by these contractions. Affected muscles include those on the back of your lower leg, the back of your thigh, and the front of your thigh, such as your quad. Cramp in quad muscle problems are a big deal for many patients.

It’s also possible to experience cramps in the arms, hands, and feet, as well as in the abdominal wall. You may also experience aching calf muscles at night before or during sleep, or you might find it difficult to walk when you awaken due to the pain. Muscle cramps are characterized by a sudden sharp pain, sometimes lasting several minutes. Cramping can also be accompanied by a bulging lump of muscle tissue under the skin.

 

Overuse is an Important Factor

Overusing your muscles can lead to cramps. Ironically, exercise can be a cause of this, although that’s not a good reason to quite exercising. It’s how you exercise that’s important. Also, dehydration and muscle injuries can cause cramps. When the body loses excessive amounts of fluid, it is considered dehydrated.

When you exercise, walk, or engage in physical activities, you might encounter leg and foot cramping caused by reduced blood supply to those regions. Additionally, inadequate levels of essential minerals such as calcium, potassium, sodium, and magnesium can also impact proper muscle function.

Muscle cramps can be caused by certain medical conditions as well. Alcoholism, pregnancy, kidney failure, and hypothyroidism are conditions that can cause cramps in your legs when walking or standing.

What’s interesting and sometimes frustrating: sometimes muscle cramps have no known cause. This makes treating severe muscle cramps the number-one focus for many young, middle-age and older adults.

 

Science Behind the Pain: Treating Cramps

Rather than being caused by muscles themselves, muscle cramps are thought to be caused by hyperactivity of the peripheral or central nervous system, which makes treating severe muscle cramps that much more of a science for pain management specialists and doctors. Muscle fibers may be damaged due to inadequate blood supply or even a physiological response your body produces when it senses low energy and metabolite accumulation in muscle cells.

According to studies, electrode motor units that deliver electrical impulses throughout your body fire at about 300 per second during involuntary muscle cramping. This rate is significantly faster than during voluntary contractions. Muscle tightness and pain are caused by this rapid firing rate. A cramp occurs when a muscle contracts even further while already in its most shortened natural position. In patients with well-developed muscles, or those in pregnancy and those suffering severe cramps, all groups of individuals are more likely to experience cramps in the absence of fluid or when suffering from electrolyte imbalances.

Since the general definition of a cramp is an involuntary contraction of a group of muscle fibers, you may develop them in any muscle. However, they typically occur in the calves at night. Muscle contractions may precipitate cramping. In fact, cramp in quad muscle complications may transpire after contractions in this area of your leg.

According to recent surveys, more than one-third of respondents nationwide say they experience aching calf muscles at night before or during sleep. As people age, they are also more likely to experience these cramping problems.

 

PAD and Treating Severe Muscle Cramps

Peripheral artery disease (PAD) is frequently a cause of leg and foot pain at night. This leads many PAD patients to look into treating severe muscle cramps. The most common areas of pain in your legs due to peripheral artery disease are your calf, thigh, and buttocks muscles. You may only be able to walk for a short distance if you’re in severe pain.

The symptoms of peripheral artery disease are progressive. Pain may only occur during the day for some people. For others, they experience pain when asleep or at rest.

Blood vessel claudication is characterized by leg pain or muscle cramps caused by peripheral arterial disease. Claudication symptoms can be triggered by activities such as walking and climbing stairs; however, pain usually subsides after resting for a few minutes.

Peripheral artery disease reduces blood flow to the lower extremities — usually the legs and feet — due to blocked arteries. Quite a few people suffer from it. Approximately 15 percent of people over age 70 in the United States have been diagnosed with it, and several million younger Americans have the disease. Atherosclerosis is to blame in many cases, where coronary artery disease and heart attacks can both be caused by hardening of the arteries.

If you’re experiencing quad muscle cramping problems, it’s crucial not to delay getting tested and discussing treatment options with your pain management specialist or doctor. This is especially important if you suspect peripheral artery disease. It’s important to get diagnosed as soon as possible so your specialist can determine if minimally invasive treatments can slow down or stop the disease’s progression.

 

Treating Cramps: Massage Therapy & More

Even though muscle spasms are usually short-lived and not serious, they can be painful and warrant researching why so many other patients are increasingly treating severe muscle cramps. An especially effective way to relieve muscle spasms is to stretch. Staying hydrated and using home treatments such as massage, ice, and heat may also be helpful.

Physical pain from muscle cramps — especially hamstring muscle cramps — can also be relieved with massage therapy. The muscle that spasms should be gently rubbed. Or if you have a persistent lower-back or buttock spasm, try pinching the area around it hard for several minutes. If you cannot reach the area, someone else may need to pinch it.

 

Getting the Most out of Massage Therapy

In order to get the most out of massage therapy for different types of severe muscle cramps, follow these tips:

  • Get a massage from a qualified therapist. People with cramp in quad muscle problems and other types of cramping should find a massage therapist who is qualified and experienced.
  • Describe your pain in detail.Tell your massage therapist where and how severe your pain is when scheduling your appointment.
  • The therapist should hear you loud and clear.Tell your therapist how you feel during the massage, explaining in detail. Don’t hold back. Let your therapist know if you’re experiencing any pain.

There are other treatments for general leg cramps and hamstring muscle cramps besides stretching and massage therapy. They include using hot or cold therapy, hydrating with water, light exercises before bed, anti-inflammatory topical creams, at-home hyperventilation therapy, prescription medication, and non-prescription remedies such as anti-inflammation drugs, pickle juice, supplements, and natural muscle relaxants.

Overall, you’ll need to find out the exact potential cause in order to find a long-term solution to your cramps. You should rule out potential underlying issues such as peripheral arterial disease or thyroid problems first. If you experience cramps that make it impossible to exercise, or if they seem to occur spontaneously without any cause, see a health care provider. Any underlying medical condition should be ruled out by a pain management specialist or doctor.

 

Wellness and Pain Can Help

A range of options for treating severe muscle cramps are available at Wellness and Pain. We offer conservative treatments, routine visits, and minimally invasive quick-recovery procedures. To ensure your well-being, we offer lifestyle education and home care guidance to prevent and effectively manage complications. Our aim is to promptly alleviate inhibiting conditions when you experience quad muscle cramping.

At Wellness and Pain, we personalize patient care plans based on each patient’s condition and unique circumstances to relieve pain, improve mobility and mental space, and improve your overall health.

A woman sitting on the edge of her bed, massaging away pain in lower extremities.

Pain in Lower Extremities: Aches, Stiffness, & Relief

Conditions that affect your arteries and veins — and cause pain in lower extremities — are called vascular diseases or circulatory diseases. Your heart pumps blood through your body via a network of veins and arteries. While the veins and arteries of a healthy individual are elastic vessels that transport blood, veins in particular carry blood from your lower half back to your heart after arteries have transported oxygen-rich blood to those extremities.

The first symptom of vascular disease is usually leg pain, but each person experiences it differently and usually complains of entire lower body aches. There is a wide range of severity when it comes to leg pain. Active or inactive, you may feel the pain at any time. In the beginning, it’s easy to ignore the pain and hope it will disappear on its own. However, you should never ignore any sort of leg pain.

 

Leg Pain and Other Pain in Lower Extremities

Leg discomfort may also be a symptom of an underlying vascular condition related to pain in lower extremities, especially when you spend all day on your feet. When you are experiencing leg pain, you will no doubt become very uncomfortable. Depending on the severity of your pain, it may range from a dull ache to a sharp shooting sensation. It may be a temporary problem or a chronic one.

Although lower body aches and stiffness are a simple annoyances for many, the pain may affect mobility and quality of life for many others. You should never ignore leg pain, no matter how much you hope the problem will resolve itself.

 

Peripheral Artery Disease and Pain in Lower Extremities

Resting relieves the pain caused by arterial problems in the large muscles of your lower half. However, plaque buildup can cause pain in lower extremities when those muscles are exerted again. This is where Peripheral Artery Disease (PAD) comes into play.

As a result of fatty deposits building up inside the arteries, PAD hardens the arteries in the legs. By stiffening, clogging, and narrowing the arteries, fat deposits reduce oxygenated blood flow to muscles and soft tissues. It is common for the limbs to have poor circulation. Treating the underlying disease (arteriosclerosis for most) improves circulation and reduces or eliminates most symptoms.

 

PAD and the Rest of Your Body

Temporary Ischemic Attack (TIA) is a condition in which the arteries of the brain and carotid artery harden. Heart disease occurs when the arteries supplying the heart become hardened or clogged. PAD occurs when the leg arteries harden, causing entire lower body aches.

PAD progresses very slowly. Since the same biological processes as heart disease and stroke also cause PAD, the conditions directly connect to each other. If you have PAD, it is likely that arteriosclerosis affects more than just your legs, and you will need medical attention.

There are several symptoms associated with poor circulation. They include numbness, tingling, throbbing pain, and muscle cramps. Intermittent claudication characterizes PAD. Walking causes this to appear. Resting relieves it. The presence of severe pain in lower extremities while at rest may even indicate the disease is progressing. Known as Critical Limb Ischemia (CLI), severe blockages of blood flow to the limbs which causes skin ulcers, sores, and gangrene characterize your pain.

 

PAD and Smoking

Smoking may increase your risk of vascular disease throughout the entire body, which can also lead to leg amputations. Also, as a result of uncontrolled blood sugar levels, diabetic neuropathy destroys small blood vessels and nerves, increasing the risk of amputation. In the same way that heart disease and stroke are preventable, PAD is also preventable.

Over 200 million people worldwide suffer from Peripheral Artery Disease, again, a condition where leg arteries become blocked, reducing blood flow and increasing the risk of heart attack and stroke. Those who get less than five hours of sleep have a 74 percent greater chance of developing peripheral artery disease than those who get seven to eight hours of sleep. This has become the catalyst for lower body aches at night for so many millions of individuals according to a study recently published in European Heart Journal—Open, an academic journal of the European Society of Cardiology.

 

Deep Vein Thrombosis and Pain in Lower Extremities

Venous blood clots can also block blood flow completely or partially, causing pain in lower extremities. Deep Vein Thrombosis (DVT) occurs or develops in the deep veins of the leg. A clogged vein causes pain, tenderness, swelling, redness, warmth on the leg, and lower body aches and stiffness.

However, while some individuals experience entire lower body aches, many people do not experience any symptoms whatsoever. Some of the causes include major surgery, cancer, inactivity, pregnancy, trauma, hormone replacement therapy, inflammatory and autoimmune diseases, obesity, and inherited blood diseases.

An illustration of a blood clot forming and causing pain in the lower extremities.

Pulmonary embolism (PE) is the most serious consequence of DVT. When they travel there, clots direly affect the lungs. It is a life-threatening complication when a pulmonary embolism occurs.

Recent media attention has focused on DVT, so much so that there is a bipartisan effort in Congress to establish an awareness month for DVT and PE. About 900,000 Americans suffer from these conditions each year, and it is estimated that 100,000 Americans die from PE every year. Early detection and treatment of pain in lower extremities can often prevent these deaths.

 

Chronic Venous Insufficiency and the Pain That Follows

Chronic Venous Insufficiency (CVI) results from leg veins failing, causing blood to pool in the legs, pressure to form on the walls of veins, and bad pain in lower extremities. There’s a possibility blood valves can fail due to heredity or damage to the vein after suffering from Deep Vein Thrombosis or a blood clot (see above).

Gravity can aggravate symptoms of mild pain, swelling, and heaviness in the affected leg. Even though there’s no threat of losing your limb, a painful ulcer can develop on the inside of the ankle. These related factors characterize CVI.

Additionally, CVI is a known cause of varicose veins. Pain, burning, and heaviness are symptoms of varicose veins. Inflammation of the vein causes CVI (also known as “phlebitis”) and leads to pain in lower extremities.

You can treat your venous disease by seeing a vascular specialist when and if you have aching legs with swelling at the end of each day, or if you suffer from entire lower body aches. The right experts can help with pain in the thighs, buttocks, and/or claves that rest does not relieve. Either way, you should see a vein specialist if you have CVI symptoms or DVT.

About 40 percent of adults are affected by venous insufficiency. As you age, your chances of developing venous insufficiency increase, especially when it comes to lower body aches at night. Women are also more likely to suffer from it than men.

 

Don’t Ignore Pain in Lower Extremities

Don’t ignore the pain in lower extremities if you are experiencing these symptoms. You should seek immediate medical attention if you are suffering from any of the above discomforts.

A range of orthopedic leg pain treatment options can treat lower extremity conditions. Through conservative treatments, minimally invasive procedures, or surgery, the right health specialist can offer a variety of treatments, providing medical massage therapy, acupuncture, radiofrequency vein ablation, hip and knee injections, arthroscopy, platelet-rich plasma injections, anesthetic injections, and viscosupplementation injections.

Depending on a patient’s condition and unique circumstances, a customized care plan can be created for entire lower body aches. Pain relief, range of motion improvement, and injury prevention are usually the goals of such a plan. Depending on the severity of the condition, a combination of treatments may be prescribed.

Patient care plans are usually personalized and developed based on their unique conditions and circumstances, as well as their input. Pain relief, range of motion improvement, and injury prevention are always the highest treatment objectives. Based on how bad the condition is, your doctor or health specialist may use a combination of treatments.

 

Wellness and Pain

When it comes to pain in lower extremities, you’re better off visiting us immediately to pinpoint what’s happening to your legs and body — and your health. Practitioners at Wellness and Pain confidently provide these important evaluations, apply their professional expertise, and offer the caring and sensitive non-invasive testing you need to improve any symptoms you are experiencing.

A woman with nervous legs syndrome awaiting diagnosis in a doctor's office.

Nervous Legs: What They Are and How to Treat Them

Many individuals know what it’s like to have nervous legs at night. As you lie in bed, ready for sleep, your legs start crawling, tingling, or itching just as your body begins to relax. Despite your best efforts, you can’t ignore the uncomfortable sensations, and eventually, you get the urge to move.

After stretching and pacing, you feel relieved for a moment. When you lie down again, your leg spasms start back up.

It’s estimated that one out of ten people suffers from leg spasms, and finding help and support isn’t always easy. There are a lot of people who don’t receive proper treatment for leg spasms. There aren’t many explanations for it, and sufferers are often dismissed simply as “nervous.”

Sometimes you don’t realize how much these distressing symptoms can affect your life until you’ve experienced them yourself. It’s possible that some doctors don’t even take symptoms seriously or realize that leg spasms are real. Meanwhile, twitchy legs are becoming more common and recognized in society. If your legs feel heavy and numb, or you suffer from aching legs, you can find relief through leg muscle spasm treatment.

 

Nervous Legs: Studies and Facts to Consider

There is a strong genetic component to having nervous legs, according to some studies, with 60 percent of people suffering from it having a family member with it as well. Approximately 40 to 90 percent of patients have a first-degree relative who has the disease, like their parents, siblings, or children. There are a few genetic changes that increase leg spasms, but more are likely to be found.

In a 2021 review published in the journal Sleep Medicine, scientists also found a link between nervous legs and irritable bowel syndrome (IBS). While this is just one of dozens of other bodily associations, illnesses, and conditions, there’s still a lot to learn about all of them.

Approximately half of the patients in certain countries experience seasonal exacerbations in spring and summer too. Patients with moderate severity are more likely to experience those seasonal effects.

Regardless of the cause or a number of other associations, there’s help out there. You can calm your jittery legs and enjoy a peaceful and refreshing night’s sleep at home by practicing simple lifestyle changes, implementing self-help remedies, and ultimately getting the right treatment for your leg spasms.

 

Signs and Symptoms of Nervous Legs

It’s hard to describe nervous legs. You’ll probably feel itchy, tingly, prickly, crawling, burning, pulling, tugging, and aching. There are people who say it feels like bugs crawling up their legs, like a carbonated drink bubbling in their veins, or an itch deep within their bones. There are times when the symptoms are painful, but most of the time they’re just uncomfortable and disturbing.

Leg spasms are neurological. You may not be able to sleep for hours because of these sensations. Anyone can get them, but it’s more prominent in women and older adults. Early adulthood can trigger mild symptoms, which then get worse with age. Symptoms tend to get worse after 50 and can disrupt your sleep quite frequently after that point.

There’s a theory that nervous legs are caused by low iron levels in the brain. Dopamine imbalance is also thought to play a part in it.

Some interesting facts about muscle pain and spasms in legs are:

  • You can experience a strong, often irresistible urge to move your legs, accompanied by uncomfortable sensations deep within them.
  • Symptoms worsen when you rest. Whenever you’re sitting, lying down, or trying to relax, you can experience those uncomfortable leg sensations.
  • Symptoms worsen at night. Nighttime is when nerves flare up. If the symptoms are more severe, they will usually start earlier in the day and get worse at night.
  • When you’re sleeping, your legs twitch or kick. People with nervous legs at night are also more likely to have periodic limb movement disorder (PLMD), which involves jerking or cramping of the legs at night.

It should also be noted that in very severe cases, leg spasms can affect your arms too.

 

Self-Help Tips for Nervous Legs

You can overcome nervous legs by avoiding triggers, such as:

  • Finding out how your body reacts to caffeine. Caffeine triggers nervous legs in some people. However, recent studies show it might actually be good for others. Keep track of your symptoms after cutting out coffee, tea, and soft drinks.
  • Stress management. When you’re anxious and overwhelmed, your symptoms can get worse. Meditation and deep breathing are great ways to keep stress in check.
  • Exercise, but not too much. Getting regular exercise can significantly ease jittery leg symptoms, but be careful not to overdo it, especially close to bedtime. Strenuous exercise can exacerbate leg spasms, so don’t exercise so intensely that your joints or muscles hurt afterward.
  • Getting rid of cigarettes. Cigarettes, vaporizers, and e-cigarettes all contain nicotine, which can impair blood flow to the muscles.
  • Limiting or eliminating alcohol. Be cautious about drinking in the evening if you have leg spasms. In addition to disrupting sleep, alcohol also makes you more likely to wake up with nervous legs.

Get regular exercise and stretches every day, improve your sleep, and avoid long periods of inactivity.

 

Treatment for Leg Spasms: Your Next Step

Knowing what you want from a visit to your healthcare provider will help you get the most out of finding a remedy for your nervous legs. Make a list of questions you want answered before your visit. Ask your provider questions.  Take notes, if necessary, so you can remember what he says.

If you get a new diagnosis, write it down, along with any new medicine, treatment, or test. If your provider gives you any new instructions, be sure to also write those down. Understand why you’re getting a new medicine or treatment. Make sure you know what the side effects are.

Check if there’s another way to treat your condition. Make sure you know why a test or procedure is recommended and what the results could mean. If you choose not to take the medicine or not to have a test or procedure, you should know ahead of time what to expect.

Make a note of the date, time, and purpose of your follow-up appointment. If you have questions after returning home, know how to reach your provider.

Several research papers have found that self-education and using other valuable resources may help patients with nervous legs. This can be used, along with appropriate and targeted treatments for leg spasms, to get better results.

Note that leg spasms can be a lifelong condition that might get worse with age, but some people go into remission and don’t have any symptoms for days to years. Keep your doctor updated on how you’re doing. If you start to feel worse, they might suggest different lifestyle changes or medications. It can help to talk to other people who know what you’re going through, whether it’s a family member who has it or a support group.

 

Wellness and Pain

When it comes to nervous legs, you’re better off seeing a doctor who truly cares about you and your health. Physical therapy, vein ablation, massage therapy, and acupuncture therapy are vital options you should consider.

Practitioners at Wellness and Pain confidently provide these important evaluations, apply their professional expertise, and offer the caring and sensitive leg muscle spasm treatment you need to improve any symptoms you are experiencing.

Restless leg syndrome causing a woman to kick and stir in her bed.

Restless Leg Syndrome: Causes, Symptoms, and Treatment

Restless leg syndrome (RLS) causes uncomfortable sensations in the legs and a powerful urge to move. Sitting or lying down usually triggers it mostly in the evenings or at night. A way to temporarily feel better is to get up and move around.

Unfortunately, as you get older, RLS gets worse. These sleep disturbances can interfere with your daily life on so many levels.

Thankfully, the right treatment, life changes, and some self-care can help relieve symptoms of RLS leg pain in most patients.

 

Restless Leg Syndrome: Causes and Risks

In most cases, restless leg syndrome doesn’t really have a known cause. Some think a brain chemical called “dopamine,” which controls muscle movement, may be to blame for the condition.

The condition can also run in families, especially if it starts before the age of 40. A gene for restless legs may be present within certain chromosomes.

Symptoms can also be temporarily worsened by pregnancy or hormonal changes. RLS may strike for the first time during pregnancy, especially during the last trimester. After delivery, symptoms usually go away.

You can get RLS at any age, even as a child. The condition is more common in women as they age than in men. Extreme restless leg syndrome isn’t usually caused by anything serious. It can, however, come with other conditions:

  • Spinal cord disorders: Injuries or damage to the spinal cord can cause restless leg syndrome. The risk of developing RLS is also higher if you’ve had any sort of anesthesia injected into your spinal cord.
  • Kidney failure: Iron deficiency is often accompanied by anemia in people with kidney failure. Iron levels in your blood can drop if your kidneys aren’t working right. RLS may be caused or worsened by this and other changes in body chemistry.
  • Peripheral neuropathy: Often, chronic diseases like diabetes and alcoholism cause nerve damage in both the hands and feet.
  • Parkinson’s Disease: RLS is more common in people with Parkinson’s Disease and those who take a special compound that activates dopamine receptors in treatment of such (called dopaminergic agonists).
  • Lack of iron: Even without any sort of anemia being present, iron deficiency can worsen or cause RLS. In some cases an iron deficiency may be caused by bleeding from the stomach or bowels, heavy menstrual periods, or donating blood too frequently.

 

The Bewildering Enigma of Restless Leg Syndrome

According to research, many Americans suffer from restless leg syndrome, along with a handful of sleep disorders or similar characteristics.

According to a 2020 research paper from the National Library of Medicine, 70 percent of American adults don’t get enough sleep at least one night a month, and 11 percent don’t get enough sleep every single night. On top of these facts about the general population, it’s good to note that:

  • Jerking leg syndrome affects about 15 percent of the U.S. population.
  • Because RLS has multiple causes and varies so much in response to treatments, it’s always been a challenge to manage.
  • No matter your family history, you can get RLS at any age.
  • Symptoms, causes, and implications for patients of “primary restless leg syndrome” and “secondary restless leg syndrome” can be similar, but there are some notable differences as well.
  • Acupuncture, light therapy, repetitive transcranial magnetic stimulation, and transcutaneous spinal direct current stimulation can often largely reduce RLS symptoms.
  • Kicking leg syndrome often occurs with another sleep disorder called Periodic Limb Movement of Sleep (PLMS), characterized by periodic episodes of repetitive, stereotyped leg movement during sleep. According to the studies, around 80 percent of people with RLS have PLMS. The movements associated with PLMS often consist of flexion or extension at the ankle. In some cases, this may also occur at the knee, or it may occur on one side, or go back and forth between the left and right sides.

Given these facts, the symptoms of restless leg syndrome are even more interesting.

 

Restless Leg Syndrome Symptoms

Leg twitching is the main symptom of restless leg syndrome. Restless sensations that often start while you’re sleeping characterize RLS. Most people get this feeling after lying down or sitting for a long time, like in a car or a plane.

Movement can also relieve symptoms. Stretching, shaking the legs, pacing or walking helps RLS leg pain symptoms. However, it’s also possible for symptoms to get worse in the evening. Nighttime leg twitching, unfortunately, can be a common symptom. It can be associated with periodic limb movement of sleep, which causes the legs to twitch and kick while you sleep, possibly all night long.

Symptoms of RLS include unpleasant sensations in the legs or feet. It will usually happen on both sides. Arms, however, are usually less affected. Nonetheless, symptoms include itching, pulling, crawling, throbbing, creeping, aching, and electric sensations, which generally happen inside the limb rather than on the skin. It may sometimes be hard to even explain the sensations. Patients consistently describe and report leg movement, but they do not typically report muscle cramps and numbness as symptoms.

The severity of symptoms from restless legs changes a lot. What’s even more interesting is, symptoms can disappear for a while before returning.

 

How to Alleviate the Symptoms

A sleeping disorder like restless leg syndrome can be made worse by personal habits. There may be times when they’re a big part of the problem. You can reduce symptoms and sleep better by trying some (or all) of the following tips, or go further by exploring RLS treatment. For now, the tips include:

  • Massage your legs regularly.
  • Get some exercise every day.
  • Avoid napping during the day.
  • Stretch your legs every morning and evening.
  • Avoid using your bed for anything but sleeping or sexual activity.
  • Request a blood test to evaluate how your kidneys and iron may be functioning.
  • Do your best not to worry about anything at bedtime.
  • Before going to sleep, avoid alcohol, caffeine, and nicotine.
  • Always let your doctor know what medications you’re taking.
  • Before going to sleep, soak your legs in warm water.
  • Avoid eating a heavy meal before bedtime.
  • Work on keeping a regular sleep schedule.

Consider severe RLS treatment when you have tried nearly everything possible in your own power to alleviate your restless leg syndrome.

 

When to See a Doctor for Restless Legs Syndrome

The fear of not being taken seriously makes some people never seek medical attention for restless leg syndrome. However, since RLS leg pain can interfere with your sleep and make you drowsy during the day, it is also affecting your quality of life. Get checked out by your doctor if you think you might have RLS.

If your diagnosis is positive, write down the name of the RLS treatment or test. Keep a note of any new instructions you get from your doctor. Make it a priority to know why you’re getting a new medicine or treatment. Also, make sure you know the side effects. You may wish to ask your doctor if there’s another way to treat your condition.

Know why you’re seeing a health specialist for RLS and what you expect from that visit. Make a list of questions you want answered before your visit. You may wish to have someone else present with you during the visit so they can help you remember what your doctor says.

Understand why a restless leg syndrome test or procedure is suggested and what the results mean. If you choose not to take the medicine or not to have a test or procedure, know what to expect. Make a note of your follow-up appointment date, time, and purpose. Make sure you know how to get in touch with your provider.

 

Wellness and Pain

When it comes to restless leg syndrome, it’s best to see a specialist or doctor who truly cares about your health. Oftentimes, our Wellness and Pain practitioners will recommend and offer radiofrequency ablation, which uses energy to heat inside the vessel walls, causing damaged vessels to close. We also use sclerotherapy to close off problem vessels with a foam that causes scarring. Injecting this foam into these vessels allows blood to flow to healthy ones.

Our services include vein ablation, massage therapy, acupuncture, and IV hydration. Wellness and Pain practitioners provide these important evaluations, apply their professional expertise, and offer the caring and sensitive RLS treatment you need.

A woman bending over to massage her swollen legs caused by standing all day.

Swollen Legs

5 Common Causes of Swollen Legs + An Alarming One

The term “Swollen Legs” is a multitasker. It refers to a variety of conditions that all revolve around one commonality: Fluid build-up (But more on this later).

Regardless of the exact condition, swollen legs can be a sign of substantially worse problems waiting for you down the road. Not to mention the discomfort you might be bearing right now. Symptoms like swelling, stiffness, numbness, and tingling are just the start. In severe cases, the skin becomes stretched, ulcers appear, and difficulties standing and walking become prevalent.

Swollen legs can sneak up on you. After all, we’re always going somewhere—Always doing something—and it can be easy to brush off the little things. However, it won’t be easy to brush off the big ones.

Here are some common causes of swollen legs:

  1. Fluid Build-Up
  2. Prolonged Sitting or Standing
  3. Injury or Trauma
  4. Blood Clots
  5. Venous Insufficiency
  6. Heart Failure

 

Fluid Build-Up and Swollen Legs

The technical term for fluid build-up is “Edema.” It’s a condition characterized by an excess of watery fluid collecting in the tissues and cavities of your body. This watery fluid is just that: Water. Well, for the most part. It varies based on which underlying condition caused it and often contains blood plasma, interstitial fluid (The fluid that surrounds your cells), and other proteins.

What can complicate edema, even more, is how skin does not swell with it; it’s your tissue beneath the skin that swells, not the skin itself. Your skin is forced to stretch and make room for it. This causes a range of secondary symptoms that lessen the quality of your life just as much as the edema does. Things like dryness and itching are precursors to ulcers and sores.

Temporary fixes for swollen legs caused by fluid build-up are limited. Not to mention, they’re reactive. Not proactive. These don’t prevent swollen legs. They only alleviate the symptoms, things like massages or elevating the legs.

Fluid build-up is a big deal and is often at the core of most other conditions involving swollen legs.

 

Prolonged Sitting or Standing

It’s been said before, here at Wellness and Pain, “The human body was made to move.” When you don’t move enough, issues arise. Prolonged periods of sitting or standing can cause swollen legs. They impede the normal flow of blood and fluids throughout your body. Whether you experience leg swelling after sitting at a desk all day or tired legs from standing all day, what comes down must go up… Or was it the other way around?

Anyway, your heart is always working, always sending blood down your extremities, and trying to pull it back up. When you move, this is easy. When you don’t, the flow of blood and fluid in the legs becomes impeded, which causes fluid to accumulate in those tissues and cavities. Your legs can become achy and tired. They can feel painful and heavy.

Temporary fixes for swollen legs caused by prolonged sitting or standing include movement and exercise. Compression stockings also help alleviate swelling. Again, these are only after the fact.

 

Swollen Legs from Injury or Trauma

Even if you don’t suffer chronically from swollen legs, you can still be susceptible to them. Anyone can.

Acute injury or trauma to your legs can damage the lymphatic system and blood vessels—Your lymphatic system is the network of organs and vessels throughout your body responsible for aiding your immune system. It also drains lymph (The colorless fluid containing white blood cells that coats your tissues) into your bloodstream. So, pretty important.

Inflammation can trigger greater blood flow and fluid leakage in the affected area, resulting in more swelling. More swelling can mean more inflammation. And so on. In worst cases, blood clots can form, either partially or completely halting the flow of blood in that area. However, just because blood stops flowing doesn’t mean fluids stop leaking. It only gets worse.

Temporary fixes for swollen legs caused by injury and trauma can be tricky. Applying ice or a cold compress can help. So can rest. Of course, seek help from a healthcare professional.

Blood Clots

Though blood clots can have various causes, from pre-existing conditions to injury or trauma, they often result in a shared symptom: Swollen legs (More specifically the affected leg). A blood clot (Thrombus) is a gel-like clump of blood that is typically the last step in coagulation. These are good when they occur in the right places. A vein is not one of them.

An illustrative depiction of a blood clot blocking a vein in swollen legs.

They block the flow of blood, causing fluid to accumulate and pressure to build. The affected area and surrounding tissues can swell, become discolored and warm, and radiate pain. Your veins can become visibly enlarged.

IMPORTANT: Blood clots are serious, and they have no temporary fixes. You must seek medical attention immediately, as blood clots in your legs can be potentially life-threatening.

Venous Insufficiency and Swollen Legs

“Venous insufficiency” might sound like a complicated term. It’s not. Let’s break it down. “Venous” simply refers to your veins, and “Insufficiency” is the same as “Inadequate” or “Lacking.” It means the veins in your legs aren’t quite what they used to be.

Normally blood is circulated through your heart and into the rest of your body. Your legs actually have valves within their vessels that assist in re-circulating that blood back to your heart. After all, that’s a long way to travel against gravity—Think of them as little pit stops. As time passes, they can wear out, not working the same. Blood and waste products that need to be filtered begin to accumulate in your legs. Soon, you may notice your legs are swollen, fatigued, and feel abnormally heavy.

As with swollen legs caused by blood clots, there is no temporary fix for venous insufficiency. The problem is too far gone. You may alleviate symptoms, but medical attention is required.

 

Bonus: Heart Failure

Yes, heart failure. It sounds like a serious thing, and that’s because it is. Thankfully, it doesn’t solely refer to your heart suddenly stopping. It refers to your heart being unable to pump effectively. If your heart can’t pump effectively, it can’t pull all that blood and waste from your legs.

This can lead to stasis (Pooling of blood) in your legs, causing them to swell and feel tight or heavy. It’s not always the case, but swollen legs can certainly be an early sign of heart failure.

A while back, The National Library of Medicine put out an article on the warning signs and symptoms of heart disease. In it, they say, “Swelling (edema) in your lower legs is another sign of a heart problem. When your heart doesn’t work as well, blood flow slows and backs up in the veins in your legs. This causes fluid to build up in your tissues. You may also have swelling in your stomach or notice some weight gain.” (Warning signs and symptoms of heart disease: Medlineplus Medical Encyclopedia)

 

A Permanent Fix for Swollen Legs

So yeah, the term “Swollen Legs” is a multitasker. With so many causes, conditions, and concerns, it can be easy to get lost in the sea of temporary fixes. It can be treated after the fact, right? They’re only symptoms. But what happens when you’ve treated them so many times you don’t know what else to do? What happens when the symptoms become too far gone? What if there are no temporary fixes?

With so much on the line, it’s important to know there is a solution right for you. There’s a healthcare specialist waiting who can get to the root of your symptoms. You don’t have to troubleshoot anymore, and you don’t have to treat after the fact. No more guessing. There is a swollen legs treatment that works.

Severe leg cramps causing a woman to stop walking and massage her ankle.

Severe Leg Cramps

Severe Leg Cramps and Where They Can Occur

Asking someone where severe leg cramps can occur might seem like a silly thing to do. But there’s more to it—Actually, there’s a lot more. These sudden and intense episodes of pain are utterly debilitating. Oftentimes, they’re accompanied by tightness and spasms and can feel like someone is twisting your leg into impossible knots. Your entire body is affected, making it difficult to move. You are not the only one either. The Medical University of South Carolina recently put out a newsletter stating, “It is estimated that 60 percent of adults have cramps from time to time.” They further explain that “The frequency increases as we age.” (Muscle Cramps & Spasms)

So, let’s get to the meat of the matter!

You are right. Of course, severe leg cramps occur in the legs. More specifically, the muscles of the legs, and there are a lot of them. In fact, the largest muscle of the human body can be found there. You might be sitting on it right now. It is the gluteus maximus! If that wasn’t enough, the longest muscle can be found there too—You won’t be sitting on this one. It’s the sartorius, a thin muscle that runs down the upper thigh. Not to mention all the other intricate muscles that work to support your hips, knees, and ankles.

Here’s where most people report having severe leg cramps, from the most common to the least:

  • Thighs
  • Inner legs
  • Hamstrings
  • Feet (Yes, the feet too)

The human body was made to move, to go places and do things. It is the legs that make that happen. All the more reason to understand their major muscle groups, how they work together, and exactly where your cramp might be occurring.

Thigh Cramps

The thigh is an absolute powerhouse. More muscle means more chance for severe leg cramps. Made up of numerous key muscles that work together to not only facilitate movement and stabilize lower extremities, the primary ones are the:

  • Quadriceps femoris
  • Hamstrings (Even more on this later)
  • Adductors

The quadriceps femoris (“Quad” for short) is a large muscle group located at the front of your thigh. It’s responsible for extending your knee and straightening your leg. The hamstrings are located in the exact opposite place: The back of your thigh. They are responsible for flexing your knee and bending your leg. Finally, the adductors are a group of muscles located on the inner portion of your thigh and are connected to your pelvis. They work in unison to bring your legs back center.

Highlighted muscles of the upper and lower leg in motion before sustaining severe leg cramps.

Whether it be walking, running, or jumping—Anything, really—these key muscles work together in a beautifully coordinated way. They are what propels your body forward. The quad extends your knee, and your foot pushes off the ground. Then, your hamstring works to slow the subsequent descent of your body. All the while, your adductors maintain your balance in preparation for the next step.

 

Inner Leg Cramps

Just like the thigh, the inner leg contains several key muscles that work together harmoniously to control the movement of your ankles and knees. On top of that, they specialize in stabilizing your ankles and knees. Some of the primary muscles susceptible to severe leg cramps are the:

  • Tibialis anterior
  • Soleus
  • Gastrocnemius
  • Plantaris

Located on the front of your shin, the tibialis anterior is responsible for two very fancy-sounding movements. The first, dorsiflexion (Lifting the foot upward). The second, inversion (Turning the foot inward). The soleus is located just under your gastrocnemius (Or the larger calf muscle). It helps with plantar flexion (Which is pointing your foot downward). The gastrocnemius also helps with this. Finally, the plantaris is a small, slender muscle that runs between the soleus and gastrocnemius, helping with the same movements.

FUN FACT: The plantaris is commonly considered to be a vestigial (Accessory) muscle and is often harvested for tendon grafts elsewhere in the body.

These key muscles work together in controlling and stabilizing the movement of your knees and ankles. The tibialis anterior and soleus work nonstop to control what direction your foot points. At the same time, the gastrocnemius and plantaris work to ensure you have the power needed for sudden movements.

 

Hamstring Cramps

Like a lot of muscle groups that are often referred to as just one muscle, the hamstring is an entire group of them. They’re located on the back of your thigh and work together to produce movement by coordinating strength and stability between your hips and knees. They are the:

  • Biceps femoris
  • Semitendinosus
  • Semimembranosus

The biceps femoris is the most lateral muscle of the group (Or the one furthest away from the center of your body and inner thigh). It acts on both the hip and the knee. The semitendinosus is just one step over and is responsible for hip extension and knee flexion. Then the semimembranosus is the largest and most medial muscle of the hamstrings (Or the one closest to the center of your body and inner thigh). It also helps with hip extension and knee flexion.

When these muscles contract, they work together to produce movement at the hip and knee joints. For example, when running, the hamstrings contract to extend the hip and flex the knee. This allows your leg to swing backward into the next phase of the gait cycle (The time between two steps). Sustaining severe leg cramps here will bring your day to a screeching halt.

 

Severe Leg Cramps in the Legs and Feet

If you thought the legs were complex, just wait. The foot has numerous muscles that work together to deliver stability, support, and flexibility to your foot and lower leg. They can be susceptible to severe leg cramps too. Some of them we have already talked about. Others are new. They are the:

  • Tibialis anterior
  • Gastrocnemius
  • Soleus
  • Peroneus longus and brevis
  • Flexor digitorum longus
  • Extensor digitorum longus

The peroneus longus and brevis wrap around the outside of your lower leg and foot. They are responsible for everting your foot (Or turning it upward). They also assist in dorsiflexion. The flexor digitorum longus and extensor digitorum longus are located deep within the calf. They run down the length of the lower leg and connect to the foot. However, they do two vastly different jobs. The flexor digitorum longus helps to flex your toes, while the extensor digitorum helps to extend them.

These muscles play a crucial role—If not the most crucial role—in maintaining balance and stability. This is especially true when you walk on uneven or rocky surfaces. Not to mention, they provide natural shock absorption that helps to protect the bones, joints, and tissues of your entire body.

By working together in an intricately coordinated way, the muscles of your foot provide the foundation for movement for all your lower extremities. Severe leg cramps throw a wrench in that.

Severe leg cramps causing a woman to stop walking and massage her ankle.

Treatment for Severe Leg Cramps

Understanding the major muscle groups of your legs, how they work together, and exactly where your leg cramp might be occurring is integral in determining the best course of action and treatment for severe leg cramps. Many of these muscle groups are interconnected and dramatically dependent on each other. A cramp in one can send a rippling effect throughout the others. This causes a severe detriment to the quality of your life and your enjoyment of it.

You were made to go places and do things, to experience life at its fullest. So don’t let something treatable get in your way. Don’t let it slow you down. And never, under any circumstances, let it make you stop moving.

ANY and ALL leg muscle cramps can be treated with the proper information and a caring specialist.

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