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Home > Pain Management > What Causes Muscle Cramps and How to Identify Them

What Causes Muscle Cramps and How to Identify Them

May 15, 2023
3 min read
By Dr. Arif Maghribi Khan, MBBS, MD | Mental Health Counselor

In this article:

  • Causes of Muscle Cramps
  • Symptoms of Muscle Cramps
  • Risk Factors for Cramping
  • When to See a Doctor
  • Final Word

A muscle cramp is a spontaneous contraction of a muscle that happens unexpectedly and does not relax.

muscle cramps: causes and symptoms
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Muscle cramps cause a constant, involuntary, painful, and localized contraction of a complete group of muscles, an individual muscle, or a few muscle fibers.

Commonly, the cramp can prevail from a few seconds to a few minutes due to unknown reasons or known causes such as the presence of diseases. The muscle area of the cramp usually has a knot.

The specific cause of cramps is not well comprehended and likely causes rely on the physiological or pathological condition of the patient. (1)

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Causes of Muscle Cramps

Although the precise cause of muscle cramps is unidentified (idiopathic), muscle cramps can be associated with the following.

1. Heat and excessive sweating

Research says anything that increases the excretion of salt such as via sweating raises the risk of cramps. The early investigations of muscle cramping stipulated that sweating can result in muscle cramping. (2)

2. Inadequate stretching

There are data that indicate stretching causes an incredible reduction in the electromyographic activity of the affected muscle. In fact, irregular stretching habits are associated with an elevated risk of cramping. (3)(4)

3. Electrolyte depletion

It is said that intake of salt is a good prevention strategy for cramps. The loss of salt or electrolyte imbalance is definitely responsible for cramps, although the exact mechanism is not known. It can be due to the disruption of physicochemical equilibrium.

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Studies have shown that the addition of salt to drinking water was helpful in reducing the rate of cramping. (5)

Symptoms of Muscle Cramps

The symptoms of muscle cramps include:

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signs and symptoms indicative of muscle cramps
  • Sudden sensation of uncontrollable and painful spasms in the muscle
  • Muscle twitching

Risk Factors for Cramping

Researchers have made multiple attempts to characterize the main risk factors predisposing to cramps, and these include: (6)

  • High-intensity exercise
  • Long duration of running (> 30 km)
  • Older age
  • High body mass index (BMI)
  • Short daily stretching time
  • Irregular stretching habits

When to See a Doctor

Muscle cramps usually vanish and resolve on their own and are infrequently serious enough to need medical attention.

Nonetheless, visit your doctor if your cramps cause a lot of discomfort or are associated with swelling, redness, or other symptoms.

Final Word

Muscle cramps are a common complaint of people who exercise a lot. If this discomfort or cramp does not resolve or becomes worse, visit your doctor.

Severe cramps may be an indication of a serious underlying illness that requires medical attention. However, in most cases, the cramps are not serious and go away on their own.

Continue Reading Continue Reading5 Vitamins and Minerals That Help With Muscle Cramps
References
  1. Bordoni B, Sugumar K, Varacallo M. Muscle Cramps. [Updated 2022 Sep 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499895/.
  2. Eichner ER. The role of sodium in ‘heat cramping’. Sports Med. 2007;37(4-5):368-370. doi:10.2165/00007256-200737040-00024.
  3. Maughan RJ, Shirreffs SM. Muscle Cramping During Exercise: Causes, Solutions, and Questions Remaining. Sports Med. 2019;49(Suppl 2):115-124. doi:10.1007/s40279-019-01162-1.
  4. Panza G, Stadler J, Murray D, et al. Acute Passive Static Stretching and Cramp Threshold Frequency. J Athl Train. 2017;52(10):918-924. doi:10.4085/1062-6050-52.7.03.
  5. Veniamakis E, Kaplanis G, Voulgaris P, Nikolaidis PT. Effects of Sodium Intake on Health and Performance in Endurance and Ultra-Endurance Sports. Int J Environ Res Public Health. 2022;19(6):3651. Published 2022 Mar 19. doi:10.3390/ijerph19063651.
  6. Maughan RJ, Shirreffs SM. Muscle Cramping During Exercise: Causes, Solutions, and Questions Remaining. Sports Med. 2019;49(Suppl 2):115-124. doi:10.1007/s40279-019-01162-1.
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