Hi, I am 39 years old. While walking for more than 5 minutes, cramp and sensation starts on both the legs. when i stop and take rest for 2 minutes, cramp and sensation go away. This is happening for past 3 months. My blood test report is normal. I went to neurologist. He suggested to take Tryptomer 10 at night for 1 month & Rejunex OD capsule in morning for 1 month. Can you please suggest further?

Ans: Hello Ajay.,
You will need a thorough assessment of the spine and blood supply to leg to be able rule out the root cause of your issue.

Ans: This looks like you have Peripheral neuropathy, a consequence of badly regulated blood sugar. Kindly address this issue with your treating Physician for a smooth regulation of blood sugar. Also please check your weight and manage to maintain your weight closer to ideal weight. Have balanced nutrition and increase your phtsical activity

Ans: Hi Shrinivas,

Please get your vit B12 levels checked and get and X-ray of your lumbar spine to understand if you have a degenerative issue at that level that’s affecting the nerves in your leg.
It’s best to consult an orthopedic

Ans: Hello Anonymous,
Have you done your blood tests especially for Vitamin D3 and Vitamin B12?
Have you done any other tests for your legs like a Doppler test? Do you have varicose veins?
At times leg pain while walking can be caused due to spinal issues too. Have you done any examination of the lumbar spine like x-ray or MRI?
Please let me know on the above and then I can help you better.

Ans: Dear Sir, Than you for your query. As I am a Physiotherapist, my advise would be from Physiotherapy perspective. Considering your history of spine surgery and the recurring cramps in your feet and legs, here are some physiotherapy strategies that might help.Start with stretching exercises before bed. For instance, you can try a calf stretch by standing facing a wall, placing your hands on the wall, and stepping one leg back while keeping the heel on the ground. Hold the stretch for 20-30 seconds and then switch sides. You can also do a hamstring stretch by sitting on the edge of a chair with one leg extended straight out. Lean forward slightly while keeping your back straight until you feel a stretch in the back of your thigh, holding it for 20-30 seconds on each leg.

In addition, focus on ankle and foot mobility. Perform ankle circles while sitting or lying down by rotating your ankles for 20-30 seconds in each direction. You can also point and flex your toes slowly, holding each position for 5 seconds and repeating 10-15 times.Incorporate strengthening exercises like heel raises. Stand behind a chair for balance, slowly rise onto your toes, and then lower back down. Perform 2-3 sets of 10-15 reps. You can also do toe taps by sitting in a chair and lifting your toes while keeping your heels on the floor, repeating 15-20 times.Hydration and nutrition are key as well. Ensure you're well-hydrated throughout the day and consume a balanced diet rich in magnesium, potassium, and calcium to support muscle function. Applying a warm compress to your feet and legs before bed can help relax tight muscles, and elevating your feet slightly when lying down or using a pillow under your calves may improve circulation and reduce cramping. Lastly, it’s recommended to consult a physiotherapist for a personalized assessment. They can provide tailored exercise program and potentially offer manual therapy techniques that specifically address your condition.
These exercises and tips can help alleviate the night cramps, but a physiotherapist’s guidance is important for long-term relief. I wish you quick recovery.