What causes a charley horse?

• Exercise: while exercise, in general, is a good thing, overuse of a muscle during a work-out or physical activity, not stretching adequately before or after exercise, or exercising in excessive heat or cold are all culprits that can bring on a charley horse
• Nerve compression in the spine
• Inadequate blood flow to the muscle or muscle injuries
• Mineral imbalances, either from taking diuretics which can lead to low potassium levels or from other conditions that result in too little calcium, potassium, magnesium, and sodium in the blood
• Dehydration
• Sleeping or sitting in an uncomfortable position for a long period of time

How can you treat a charley horse?

• Massages or stretches can help alleviate the pain:
  • Using your hands or just your thumbs, steadily apply pressure to the site of the cramp and massage the area to relieve pain
  • Stretch out the problematic leg muscles
• As heat relaxes muscles, the use of a heating pad can loosen the muscle and stop the contraction
• Ice packs may work to numb the pain
• If you often get a charley horse, physical therapy may help you cope with muscle spasms and prevent further complications
• If you are on medications that can alter your electrolytes or you are on dialysis, cramping could be due to an electrolyte imbalance. In this case, those electrolytes could be replaced by diet or medication.

When should you contact your doctor?

• Typically a charley horse is benign and should resolve with massage and stretching. If it continues to be bothersome or is not improving after a few days you should contact your doctor
• If your muscle is still sore after trying at-home remedies, your physician may recommend medication, either a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen or if this is not sufficient, a prescription for antispasmodic medications (muscle pain suppressers)
• In extreme cases where your muscle continues to cramp, especially if your muscle spasms are caused by nerve compression, your physician may recommend surgery to enlarge the space around your nerve to relieve pressure