BACKGROUND Patients on hemodialysis often experience muscle cramps that result in discomfort, shortened treatment times, and inadequate dialysis dose. Cramps have been associated with adversely affecting sleep and health-related quality of life, depression and anxiety. There is limited evidence available about massage in dialysis; however, massage in cancer patients has demonstrated decreases i...

A case of stingray injury is reported. Local symptoms and signs include intense pain, oedema around the wound, erythema and petechiae. Systemic symptoms and signs include nausea and vomiting, muscle cramps, diaphoresis, syncope, headache, muscle fasciculations, and cardiac arrhythmias. Treatment aims to reverse local and systemic effects of the venom, alleviate pain, and prevent infection. Anti...

A 56-year-old middle-eastern male with a long-standing history of poorly controlled type 2 diabetes mellitus presented to us complaining of severely painful bilateral upper and lower extremity cramps occurring shortly after his rapid-acting insulin analog injection(s). The cramps had started 6 months ago and have been occurring intermittently in non-predictable episodes since then. He had other...

Neuromyotonia with all its synonyms is a disorder of peripheral nerve hyperexcitability characterized by regular or irregular myokymia, muscle cramps and stiffness, delayed muscle relaxation after contraction, and hyperhidrosis associated with well-described spontaneous electromyographic features. Herein, we report clinical and electrodiagnostic findings of a pregnant woman with neuromyotonia w...

BACKGROUND Nocturnal leg cramps are painful, involuntary muscle contractions commonly seen in elderly. While mostly harmless, they can severely impair quality of life and often disrupt sleep. Adverse drug effects may be responsible for a fraction of nocturnal leg cramps but often go unrecognized, resulting in additional prescribing intended to deal with adverse effects that might be better addr...

Introduction Hydroquinine hydrobromide (Inhibin) has been approved for marketing in the Netherlands for the treatment of nocturnal cramps when treatment with drugs is considered necessary. It is available in the Netherlands since March 1990 as an over-the-counter drug with a dose of 200 mg with the evening meal and a further 100 mg at bedtime for 14 days. According to the Summary of Product Cha...

A 44-year-old man presented in May, 2001, with muscle cramps. He had no medical history of note, but volunteered the fact that he had been drinking up to 4 L of black tea per day over the past 25 years. His preferred brand was GoldTeefix (Tekanne, Salzburg, Austria). Since this type of tea had given him occasional gastric pain, he changed to Earl Grey (Twinings & Company, London, UK), which he ...

Cardiovascular Abnormal electrocardiogram Predisposition for digitalis toxicity Atrial ventricular arrhythmias Hypertension Neuromuscular Smooth muscle Constipation/ileus Bladder dysfunction Skeletal muscle Weakness/cramps Tetany Paralysis Myalgias/rhabdomyolysis Renal/electrolyte Functional alterations Decreased glomerular filtration rate Decreased renal blood flow Renal concentrating defect I...