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Dr Basu
Dr Basu, Experienced Specialist
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Experience:  MD
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I am 58yrs old and have been bothered with cramp in my right

Resolved Question:

I am 58yrs old and have been bothered with cramp in my right leg and foot the past few weeks in bed. Could you tell me what causes this and any remedy for it.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Basu replied 2 years ago.
Dr Basu :

Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.

Dr Basu :

There are few possibilities for bilateral leg cramps.
1. Peripheral neuropathy: this mean the nerves supplying the calf muscles are getting damaged. Lower spine herniated disc, vitamin B12 deficiency, metabolic disorder, autoimmune disorder are some of the causes.
2. Peripheral vascular disease-- this refers to the blockage of the arteries supplying your calf muscle. The stopping distance is known as intermittent claudication.
Atherosclerosis, arterial spasm, pressure on the artery from outside ar some of the causes.
3. Blood clots or DVT-- unlikely but still a possibility.
Hence, you need to get following studies done for further evaluation:
Peripheral vascular study, ABI index, doppler venous ultrasound, MRI scan of the lower spine, EMG and nerve conduction studye of the lower leg nerves.
Blood tests should include: sed rate, CRP, ANA titer, ANCAs, B12 level, vit D level.
Specialist to consult with: Neurologist; vascular surgeon.
Treatment depends on underlying cause.
Symptomatically a muscle relaxant like Flexeril may be tried for now.



Other medications that may help are:




Diltiazem 30 to 60 mg daily at niht time.




Gabapentin 100 to 300 mg daily at bedtime.



Following natural supplements will also help:

Tonic water or quinine --Works very well --but should be avoided if you have a heart condition.


Dr Basu :

Magnesium supplements 400 mg daily

Dr Basu :

Vitamin B6 50 mg daily

Dr Basu :

Vitamin B12 1000 mcg daily.

Dr Basu :

Ginkgo biloba 600 mg daily.

Dr Basu :

Best wishes,

Dr Basu :

It was my pleasure to help you today.
I am Dr Basu experienced in Neurological Diseases.
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Expert:  Dr Basu replied 2 years ago.
Dr Basu : Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.
Dr Basu : There are few possibilities for bilateral leg cramps.
1. Peripheral neuropathy: this mean the nerves supplying the calf muscles are getting damaged. Lower spine herniated disc, vitamin B12 deficiency, metabolic disorder, autoimmune disorder are some of the causes.
2. Peripheral vascular disease-- this refers to the blockage of the arteries supplying your calf muscle. The stopping distance is known as intermittent claudication.
Atherosclerosis, arterial spasm, pressure on the artery from outside ar some of the causes.
3. Blood clots or DVT-- unlikely but still a possibility.
Hence, you need to get following studies done for further evaluation:
Peripheral vascular study, ABI index, doppler venous ultrasound, MRI scan of the lower spine, EMG and nerve conduction studye of the lower leg nerves.
Blood tests should include: sed rate, CRP, ANA titer, ANCAs, B12 level, vit D level.
Specialist to consult with: Neurologist; vascular surgeon.
Treatment depends on underlying cause.
Symptomatically a muscle relaxant like Flexeril may be tried for now.
Other medications that may help are:
Diltiazem 30 to 60 mg daily at niht time.
Gabapentin 100 to 300 mg daily at bedtime.
Following natural supplements will also help:
Tonic water or quinine --Works very well --but should be avoided if you have a heart condition.
Dr Basu : Magnesium supplements 400 mg daily
Dr Basu : Vitamin B6 50 mg daily
Dr Basu : Vitamin B12 1000 mcg daily.
Dr Basu : Ginkgo biloba 600 mg daily.
Dr Basu : Best wishes,
Dr Basu : It was my pleasure to help you today.
I am Dr Basu experienced in Neurological Diseases.
If I have answered all your questions, Please rate my response Excellent (click on the smiley faces) under this chat box only.
Please bookmark my profile for asking further questions!
This is the link to my profile:
http://www.justanswer.com/medical/expert-mysticdoc/
Expert:  Dr Basu replied 2 years ago.
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