Time：2023-04-01 09:06:49 source：psychiatricethics.com author：Anxiety disorder Read：328次

Leg cramps in the elderly are not necessarily calcium deficiency, there are several reasons to pay attention to

An elderly friend in his 60s told Hua Zi that his legs were always cramping. He would get cramps when he walked too much during the day, and he would cramp at night when he was sleeping. He thought he was old and lacked calcium, but after taking calcium tablets for a few months, it still didn't relieve him. Hua Zi suggested that he go to the hospital for a check-up, because the symptoms of leg pain caused by walking too much, there may be a problem with the blood vessels in the lower extremities. Soon after, he got feedback, saying that atherosclerosis of the lower extremity was detected in the hospital, and that a section of the artery had been severely narrowed. After the doctor placed a stent, his symptoms of cramps disappeared.

1. Calcium deficiency can lead to "cramps"

If anyone says he has leg cramps, people around him will definitely say he is Calcium deficiency. Because if the level of serum calcium is low, it will make the neuromuscular hyperresponsiveness, resulting in increased muscle tone. A little stimulation at this time will cause the muscles to move involuntarily and enter a state of spasm. Muscle spasms caused by calcium deficiency not only affect skeletal muscles, but also smooth muscle spasms. If it occurs in the bronchi, it will lead to bronchoconstriction and asthma. If it occurs in the gastrointestinal smooth muscle, it will weaken the digestive function and even induce gastrointestinal obstruction.

Second, lower extremity arterial occlusion is also a common cause

In my country, the incidence of lower extremity arterial occlusion can reach 20%, and it is also a common cause of "cramps" symptoms . Atherosclerosis caused by risk factors such as smoking, hypertension, hyperlipidemia, diabetes, etc., not only occurs in the heart, brain, kidney and other important organs, but also affects the lower extremity arteries. Atherosclerotic plaques can cause stenosis or occlusion of lower extremity arteries and reduce blood supply. When the amount of exercise increases, the muscles of the lower extremities cannot get enough blood supply, which will cause pain and fatigue. The patient will be forced to take a short rest before continuing to walk. Known as intermittent claudication, it is a classic symptom of narrowed arteries in the lower extremities. You can check by yourself whether there is stenosis of the lower extremity arteries. When you touch the highest point in the middle of the dorsum of the foot with your hands, you can feel the pulse of the dorsal artery of the foot. If the pulse is weak or disappears, it indicates that the lower extremity arteries are narrowed. People with lower extremity arterial stenosis should quit smoking, control the "three highs", and use statin, aspirin and other drugs under the guidance of doctors to delay the progression of the disease. Use alprostadil, beraprost sodium and other drugs to dilate blood vessels and improve symptoms. In severe cases, the effect of using drugs will be very poor. It is necessary to use color Doppler ultrasound to confirm the specific situation of stenosis, use arterial stents for treatment, and restore blood supply.

3. Other causes of “cramps” in the lower limbs

1. Stimulation of ambient temperature: cold in the lower limbs will stimulate vasoconstriction, abnormal muscles and nerves, and also induce cramp symptoms . The elderly should pay attention to keeping their lower limbs warm. In summer, the air conditioner should not be too cold, and the fan should not be blowing directly. 2. Lumbar disease: Lumbar disease can also cause symptoms of cramps and leg pain. The common reason is that improper sitting posture for a long time causes lumbar disc herniation, stenosis of the spinal canal, and compression of the sciatic nerve. This can cause muscle spasms in the lower extremities. Correction of sitting posture, physical therapy, acupuncture and moxibustion are required, and in severe cases, the position of the lumbar spine needs to be restored through surgery. 3. Body temperature stimulation: When infected by pathogens such as viruses and bacteria, if high fever occurs, it will also cause muscle cramps. Antipyretic drugs should be used to reduce body temperature in time. 4. Central neuropathy: cerebral hemorrhage, cerebral infarction, epilepsy and other central system diseases can cause tonic spasm and symptoms of cramps. To sum up, there are many basic diseases in the elderly, and when the symptoms of leg cramps appear, it is not necessarily all calcium deficiency. It is recommended to seek medical attention in time to determine the cause before treatment. The medicine should be used under the guidance of a doctor. If you have any doubts about the medicine, please consult your doctor or pharmacist. I am Huazi, a pharmacist. Welcome to follow me and share more health knowledge.

(责任编辑：Mental disorder)

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