Muscular cramp: causes and management

Eur J Neurol. 2019 Feb;26(2):214-221. doi: 10.1111/ene.13799. Epub 2018 Sep 19.

Abstract

Muscular cramp is a common symptom in healthy people, especially among the elderly and in young people after vigorous or peak exercise. It is prominent in a number of benign neurological syndromes. It is a particular feature of chronic neurogenic disorders, especially amyotrophic lateral sclerosis. A literature review was undertaken to understand the diverse clinical associations of cramp and its neurophysiological basis, taking into account recent developments in membrane physiology and modulation of motor neuronal excitability. Many aspects of cramping remain incompletely understood and require further study. Current treatment options are correspondingly limited.

Keywords: amyotrophic lateral sclerosis; involuntary muscle contraction; muscle cramp; neurogenic and myopathic disorders; spontaneous muscle hyperactivity.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Aged
  • Amyotrophic Lateral Sclerosis / complications*
  • Amyotrophic Lateral Sclerosis / physiopathology
  • Exercise / physiology
  • Humans
  • Motor Neurons / physiology
  • Muscle Cramp / etiology*
  • Muscle Cramp / physiopathology
  • Muscle Cramp / therapy*