Treatment of nocturnal leg cramps by primary care patients over the age of 60

Lorenzo, Mathieu; Schaeffer, Mickaël; Haller, Dagmar M.; Maisonneuve, Hubert

doi:10.1093/fampra/cmx062

Cited by 13 publications

(9 citation statements)

References 14 publications

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“…This result fits well with the conclusion of a recent cross-sectional study designed to identify more treatment options for this highly prevalent nonspecific disorder. 26 In a recent review, a pre-sleep stretching program combined with quinine use in NLC was proven to be ineffective, and a Cochrane review concluded that magnesium is unlikely to provide prophylaxis in older adults with NLC. 4 Due to conflicting evidence, the modest benefit and the additional risks of using quinine as a widely used treatment option increase the doubt about providing this drug.…”

Section: Discussionmentioning

confidence: 99%

Pilot testing a stretching regimen for prevention of night time nocturnal leg cramps

Hallegraeff

Greef

2020

Geriatric Nursing

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Section: Discussionmentioning

confidence: 99%

Pilot testing a stretching regimen for prevention of night time nocturnal leg cramps

Hallegraeff

Greef

2020

Geriatric Nursing

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“…Idiopathic cramps notably include nocturnal leg cramps 2,15 . Although nocturnal muscle cramps occur at night, 20% of cases can have leg cramps primarily during the daytime 16 .…”

Section: Discussionmentioning

confidence: 99%

Clinical features of muscle cramp in 14 dogs

Gagliardo

Ruggeri

Paola

et al. 2020

Veterinary Internal Medicne

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Background Muscle cramps (MCs) are prolonged, involuntary, painful muscle contractions characterized by an acute onset and short duration, caused by peripheral nerve hyperactivity. Objectives To provide a detailed description of the clinical features and diagnostic findings in dogs affected by MCs. Animals Fourteen dogs. Methods Multicenter retrospective case series. Cases were recruited by a call to veterinary neurologists working in referral practices. Medical records and videotapes were searched for dogs showing MCs. The follow‐up was obtained by telephone communication with the owner and the referring veterinarian. Results Three patterns of presentation were identified depending on the number of affected limbs and presence/absence of migration of MCs to other limbs. In 9/14 (64%) of dogs, MCs were triggered by prompting the dogs to move. 8/14 (58%) dogs were overtly painful with 6/14 (42%) showing mild discomfort. The cause of MCs was hypocalcemia in 11/14 (79%) dogs: 9 dogs were affected by primary hypoparathyrodism, 1 dog by intestinal lymphoma and 1 dog by protein losing enteropathy. In 3/14 cases (21%) the cause was not identified, and all 3 dogs were German Shepherds. Conclusions and Clinical Importance Muscle cramps can manifest in 1 of 3 clinical patterns. Muscle cramps are elicited when dogs are encouraged to move and do not always appear as painful events, showing in some cases only discomfort. The main cause of MCs in this study was hypocalcemia consequent to primary hypoparathyroidism. In dogs having MCs of unknown etiology, idiopathic disease or paroxysmal dyskinesia could not be ruled out.

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“…It was part of a larger study exploring the association between lifestyle and NLC. 21 We carried out a case-control study in 2013. The study consisted of a 6-month screening phase which was followed by an 11-month data collection phase.…”

Section: Methodsmentioning

confidence: 99%