Calf soreness during pregnancy
Leg cramps during pregnancy | Pregnancy Birth and Baby
Leg cramps during pregnancy | Pregnancy Birth and Baby beginning of content3-minute read
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Along with swelling and varicose veins, leg cramps are a normal but sometimes uncomfortable part of pregnancy. Knowing what to do when you get a cramp and how to prevent cramps from happening can make your pregnancy a bit more comfortable.
This article is about leg cramps only. To find out more about pelvic cramps, check out our article on pelvic pain in pregnancy, or speak with your doctor or midwife.
What are cramps and why are they common during pregnancy?
Cramps are a sudden, sharp pain, usually in your calf muscles or feet. A cramp is a sign that your muscles are contracting very tightly when they shouldn’t be. They usually happen at night and are more common late in your pregnancy. They can be very uncomfortable and it can be hard to know what to do.
There are many suggested reasons for cramps while you’re pregnant – carrying extra weight, changes to your metabolism, having a vitamin deficiency, being too active or not being active enough. The truth is that nobody really knows.
Can leg cramps be prevented?
Certain exercises might help you to prevent cramps.
Gentle exercises, such as walking or swimming, and specific exercises, including calf raises and walking on the spot, are good for helping blood flow in the legs and might help to prevent cramping.
In fact, regular, moderate exercise during pregnancy is a good idea, because it helps your body get used to the physical changes that happen throughout pregnancy.
You could try specific foot and leg muscle exercises such as:
- bending and stretching your foot vigorously up and down 30 times
- rotating your foot 8 times one way and 8 times the other
- repeating with the other foot
Stretching your calf muscles before you go to bed might help to prevent cramps at night.
A magnesium supplement might also help. Talk to your doctor about whether this could work for you.
How to get rid of cramps
To ease a leg cramp, it usually helps if you stretch the muscle by pulling your toes hard up towards your ankle. You can also rub the muscle firmly or walk around for a while. If you have a partner, ask them to help.
Calcium is sometimes suggested as a treatment for cramps, but there isn't any evidence that this works.
When to talk to your doctor or midwife about your cramps
You should talk to your doctor or midwife about your cramps if:
- they are disturbing your sleep
- they are very painful
- you are feeling anxious about them.
If you're not sure what to do when you get a cramp, or don't know the best way to deal with them, talk to your doctor or midwife.
You can also call Pregnancy, Birth and Baby on 1800 882 436 to talk to a maternal child health nurse.
Sources:
NSW Health (Having a baby), The Royal Women's Hospital (Common concerns in early pregnancy), King Edward Memorial Hospital (Minor Symptoms or Disorders in Pregnancy King Edward Memorial Hospital Clinical Guidelines: Obstetrics & Midwifery). ), The Royal Women's Hospital (Active pregnancy), Women's & Children's Health Network (Common health problems in pregnancy)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: February 2020
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Leg pain during pregnancy: Why you have leg cramps in pregnancy
- Pregnancy
- Health & Safety
By Stephanie Watson
|
|
October 18, 2021
Many women experience leg cramps during pregnancy, but no one knows exactly why. The leg pain could be related to carrying around extra weight, not moving as much, or being deficient in certain vitamins. The good news? Most leg pain in pregnancy is minor and short-lived. However, pain that sticks around could be a sign of nerve compression, varicose veins, or a more serious blood clot. Stretching your calf muscle and massaging the leg can relieve cramps when they hit. Taking regular walks, staying hydrated, and having a warm bath before bed are easy ways to prevent leg cramps.
Photo credit: Nathan Haniger for BabyCenter
- Why am I having leg cramps during pregnancy?
- Is there a difference between leg cramps and leg pain?
- How can I relieve leg cramps during pregnancy?
- How can I prevent leg cramps while pregnant?
- Will leg cramps or leg pain cause any problems for my baby?
- When should I call my doctor about leg cramping or pain during pregnancy?
Why am I having leg cramps during pregnancy?
No one really knows why pregnant women get more leg cramps. It's possible that your leg muscles get tired from carrying extra weight. Cramps could also be related to a vitamin deficiency, a lack of exercise, or swelling from fluid buildup in your legs (called edema).
You may first develop leg cramps during your second trimester, and they may get worse as your pregnancy progresses and your belly gets bigger. These cramps can occur during the day, but you'll probably notice them most at night because they can interfere with your ability to get a good night's sleep.
Is there a difference between leg cramps and leg pain?
Leg cramps can be painful, but fortunately they're usually short-lived. Pain in your legs that doesn't go away quickly could be a sign of something else.
One possibility is that you have varicose veins. You'll see these thick, ropey, and often twisted veins on your legs. During pregnancy, pressure from your growing uterus allows blood to back up and pool in your veins, causing them to swell up.
The pain might also be sciatica, which is caused by pressure on the sciatic nerve in your lower back. It feels like a sharp or shooting pain that radiates down your legs.
Rarely, leg pain can be a sign of deep vein thrombosis (DVT), when a blood clot forms in one of the deep veins in your leg. Pregnancy can increase your risk for one of these clots. Because DVT can be serious if the clot breaks off and moves into your lungs, it's important to see your doctor if you have signs like swelling, warmth, and redness in your leg.
How can I relieve leg cramps during pregnancy?
These steps can help to ease your discomfort when you get a leg cramp:
- Stretch your calf muscles immediately by straightening your leg, heel first, and gently flexing your toes back toward your shins. (Try not to point your toes while stretching. It can make the muscle contract and worsen the cramp.) This stretch might hurt at first, but it will ease the spasm and gradually make the pain go away.
- After you stretch, gently massage the muscle, walk around for a few minutes, or warm the leg with a hot water bottle to relax the tissue.
How can I prevent leg cramps while pregnant?
Unfortunately, there's no surefire way to prevent leg cramps during pregnancy. But these tips might help make them less likely:
- If you can, avoid standing or sitting with your legs crossed for long periods of time.
- Try to stretch your calf muscles regularly during the day and several times before you go to bed.
- Rotate your ankles and wiggle your toes whenever you sit down, eat dinner, or watch TV.
- Take a walk every day (unless your healthcare provider has advised you not to exercise).
- Lie down on your left side to improve circulation to and from your legs.
- Drink water regularly to stay hydrated during the day.
- Try a warm bath before bed to relax your muscles.
In some studies, taking a magnesium supplement reduced the number of leg cramps during pregnancy. In other studies, these supplements did little or nothing to help. Until we know more about the effects of supplements, a safer way to bump up your magnesium is to add foods like beans, dried fruits, and nuts into your diet.
You may have heard that leg cramps are a sign that you need more calcium, and that calcium supplements will relieve the problem. Though it's certainly important to get enough calcium, there's no good evidence that taking extra calcium will help prevent leg cramps during pregnancy. The same goes for vitamins C and D.
It's always a good idea to check with your doctor before taking any kind of supplement during pregnancy. If they do say it's ok, ask them to recommend a reputable brand.
Will leg cramps or leg pain cause any problems for my baby?
Though leg cramps during pregnancy can feel uncomfortable for a few seconds or minutes, they usually don't cause any long-term problems for you or your baby. The same goes for most causes of leg pain.
DVT is a different story. Although these blood clots are uncommon, they can be life-threatening if not quickly treated.
You're more likely to get blood clots during pregnancy, because the weight of your baby puts pressure on your blood vessels, and because your blood clots more easily now to prevent you from bleeding too much during delivery. If you sit still for many hours at a time your risk increases. This means things like flying or traveling during pregnancy could increase the risk, so just be sure to check in with your doctor if you've had blood clots in the past, or if they run in your family.
When should I call my doctor about leg cramping or pain during pregnancy?
One thing you can do if you have constant leg pain during pregnancy is to talk with your healthcare provider. You can ask them what you can do to prevent leg cramps, and some of the ways you can relieve them when you do get them. Wearing comfortable shoes and drinking plenty of fluids can also be helpful.
Give your healthcare provider a call right away if:
- Muscle pain is constant and not just an occasional cramp.
- Pain is intense.
- You notice swelling, redness, or tenderness in your leg.
- Your leg feels warm to the touch.
If these symptoms don't improve after certain treatment options, like stretching, massaging, or hydrating, it could mean you have a blood clot, which needs immediate medical attention.
Sources
BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. We believe you should always know the source of the information you're seeing. Learn more about our editorial and medical review policies.
Cleveland Clinic. 2019. How to handle sciatica during your pregnancy. https://health.clevelandclinic.org/how-to-handle-sciatica-during-your-pregnancy/ [Accessed October 2021]
Cedars Sinai. Undated. Hemorrhoids and varicose veins in pregnancy. https://www.cedars-sinai.org/health-library/diseases-and-conditions/h/hemorrhoids-and-varicose-veins-in-pregnancy.html [Accessed October 2021]
March of Dimes. 2020. Blood clots and pregnancy. https://www.marchofdimes.org/complications/blood-clots-and-pregnancy. aspx [Accessed October 2021]
Mayo Clinic. 2021. What causes leg cramps during pregnancy, and can they be prevented? https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/expert-answers/leg-cramps-during-pregnancy/faq-20057766 [Accessed October 2021]
Pregnancy Birth & Baby. 2020. Leg cramps during pregnancy. https://www.pregnancybirthbaby.org.au/leg-cramps-during-pregnancy [Accessed October 2021]
What is venous thromboembolism? 2020. https://www.cdc.gov/ncbddd/dvt/facts.html [Accessed October 2021]
Luo L et al. 2020. Interventions for leg cramps during pregnancy. Cochrane Library. https://www.cochrane.org/CD010655/PREG_interventions-leg-cramps-during-pregnancy [Accessed October 2021]
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90,000 caviar of the legs in women during pregnancy: what to do, the causes, treatmentParete
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Content:
Causes of
pain, which doctor will help solve the problem of
How to get rid of pain in the calves of the legs
How to prevent the appearance of pain in the legs
During the period of bearing a child, the body experiences an increased load. Chronic diseases are aggravated and new ones may appear. If the calves of the legs hurt during pregnancy, this is not always associated with pathology. But you need to find the right way to reduce discomfort, which depends on the cause of the condition.
A woman has pain in her calves due to varicose veinsCauses of pain in her legs
All changes in the body of the expectant mother are aimed at preserving the fetus and preparing for childbirth. From early gestation, the concentration of progesterone and the hormone relaxin increases. Together they act on the connective tissue, which leads to the following effects:
- the ligamentous apparatus relaxes;
- reduced vein tone;
- worsens the outflow of blood;
- increased fluid retention.
Connective tissue is part of the ligaments. Under the influence of relaxin, it relaxes, becomes loose. This is an adaptive reaction, which leads to a divergence of the pubic joint and an increase in the volume of the pelvis. But the action of the hormone is universal, it extends to other parts of the body.
Venous walls and valves are formed by connective tissue cells and fibers. During pregnancy, there is a decrease in tone, the valves do not close completely. Blood in small quantities flows in the opposite direction, which leads to vasodilation. At the same time, the calves of the legs hurt in women, and later swelling appears, spider veins appear under the skin.
If not treated early, varicose veins develop. The risk of getting sick increases in the following situations:
- sedentary lifestyle;
- overweight;
- work in a standing position;
- large weight gain during pregnancy;
- hereditary predisposition;
- smoking;
- initial degrees of varicose veins before conception;
- connective tissue pathology.
Pain may appear when walking. Sometimes it extends not only to the calves, but also to the arch of the foot. This is a sign of developing flat feet. An additional symptom is a flattening of the foot, a decrease in the clearance and an increase in the size of the shoe. With longitudinal flat feet, you can notice that one of the toes has become longer.
Women's calves hurt due to micronutrient deficiencies. In pregnant women, the need for potassium, magnesium, and calcium increases several times. These substances are involved in the transmission of nerve impulses, blood clotting, maintaining vascular tone. If the pain appears at night and is accompanied by cramps, a feeling of crawling, it is necessary to tell the doctor about this.
The cause of pain in the calf muscles is sometimes a shift in the center of gravity. This becomes noticeable in the later stages as the abdomen grows.
At the same time, the pelvis is shifted back, and the lumbar region is forward. The load on the muscles changes, spasm and pain appear. Less often, pain in pregnant women occurs due to myositis. This is inflammation of the muscles, which can develop after injury, hypothermia.
Which doctor will help solve the problem
Pain in the legs does not need to be endured - if you eliminate its provocateur, the discomfort will also go away. Which doctor should a pregnant woman consult:
- gynecologist;
- surgeon;
- orthopedist;
- phlebologist.
The first specialist to examine a woman should be a gynecologist. It is necessary to indicate the time of the onset of pain, whether it worries after sleep or at the end of the day. To clarify the diagnosis, the doctor will prescribe a biochemical blood test and electrolytes. A decrease in calcium, potassium or magnesium is a direct indication for the appointment of vitamin and mineral preparations. Pregnant women are recommended the following combinations:
- calcium with vitamin D3;
- magnesium with vitamin B6;
- potassium as part of vitamin complexes.
Magnesium is recommended to be taken throughout pregnancy in courses of three weeks with a short break between them.
In case of swelling on the legs, the appearance of spider veins, you need to consult a surgeon or phlebologist. Signs of varicose veins are:
- the appearance of cyanotic stripes under the skin;
- swelling after prolonged standing or sitting;
- cold extremities;
- heaviness in the legs;
- convulsions;
- paresthesia - a feeling of crawling goosebumps;
- pain in the legs.
To make a diagnosis and choose the right method of therapy, the doctor will prescribe the following examination methods:
- Ultrasound of the veins with Doppler;
- duplex scanning;
- bandage samples.
MRI, occlusal plethysmography, scintigraphy for pregnant women is performed only in severe cases.
If a woman is suspected of having developed flat feet, she will need to consult an orthopedist-traumatologist, who will be able to choose the necessary treatment.
If the cause is varicose veins, compression underwear helpsHow to get rid of pain in the calves
Correction of the condition depends on the cause of the pathology. Women with micronutrient deficiencies are prescribed vitamin-mineral complexes.
In case of varicose veins, the doctor will select compression stockings. Pregnant women should not wear medical stockings due to pressure on the abdomen. Therefore, stockings are selected for them. The compression class depends on the symptoms of varicose veins:
- 1st class - with the initial degree of pathology, with the appearance of swelling, pain in the legs and spider veins, pressure 15–22 mm Hg. Art.;
- 2nd class - used for severe symptoms of varicose veins to prevent complications, pressure up to 32 mm Hg. Art.;
- 3rd class - in severe forms of the disease, pressure up to 46 mm Hg. Art.
Compression underwear is put on in the morning immediately after waking up, without getting out of bed. This allows you to avoid the appearance of pressure on the veins, reduce their blood supply.
Drug therapy is selected individually. The doctor prescribes phlebotonics, which include diosmin. It increases the tone of the veins, improves microcirculation, reduces venous congestion. The action extends to the lymphatic vessels, improves lymphatic drainage.
Women who are prone to thrombosis due to varicose veins may need anticoagulants and antiplatelet agents, which reduce blood clotting.
Pregnant women stop giving them one week before the expected date of delivery. Repeatedly prescribe anticoagulants on the next day after childbirth.
Elimination of flat feet involves the choice of shoes with a small heel and the use of orthopedic insoles. They are selected by the doctor individually, taking into account the type of flat feet and the curvature of the arch of the foot. Helps foot massage, walking barefoot and hardening.
If the calves of the legs in women hurt due to flat feet, you need to choose special insolesHow to prevent the appearance of pain in the legs
Pregnant women need special exercises to prevent leg pain. They will help maintain muscle tone, improve venous blood flow.
Shoes with high heels worsen the condition of the feet, increase the load on them. It is discontinued in the first trimester. But a flat sole is also harmful. Recommended heel height 2-2.5 cm.
Women who are expecting a child should stop smoking and drinking alcohol, tobacco smoke components and ethyl alcohol have a bad effect on the state of blood vessels. Food should be varied and contain a large amount of vegetable fiber. This will prevent constipation, which impairs blood flow in the pelvis and contributes to venous congestion. Pain in the legs while carrying a child is a sign of increased stress. For treatment, you need to make an appointment with a doctor and undergo an examination.
Read also: what to do if your lower back hurts during pregnancy
* The information provided cannot be used for self-diagnosis, treatment determination and does not replace a visit to a doctor!
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There are many reasons why the calves hurt. It can be excessive physical activity, wearing uncomfortable shoes, or even the development of severe pathology. Only a doctor can determine what caused the appearance of unpleasant symptoms after an examination.
Causes of pain
Unpleasant sensations are caused by various causes, and in each individual case the pain will be expressed in different ways, accompanied by additional manifestations.
Women and girls during puberty, during menstruation or during menopause may feel a pulling pain in the muscles of the legs. This is due to hormonal changes in the body. Children during the period of growth and development may feel pain, accompanied by convulsions. Most often they occur at night.
In addition, painful sensations are the result of bruises and injuries after physical exertion. Improper exercise leads to stretching of the muscles and tendons, which provokes the appearance of pain. Often, pain can be felt in only one, right or left muscle. A similar situation often arises when a warm-up was not carried out before sports training, or during classes a person unsuccessfully stepped on his foot and stretched his calf.
Problems with one limb are also observed with nerve pinching, since damage to nerve fibers most often affects a small area. In addition, impaired blood flow often affects the condition of only one leg. As a result, swollen veins appear on it.
After a long stay in an uncomfortable position or muscle tension, stabbing pain may occur. In addition, tingling can be the result of a lack of vitamins and minerals in the body, dehydration, and taking certain types of medications.
Long walking, standing for a long time or jerky movements can cause sudden pain and cramps in the calf area.
Pain is often caused by an unhealthy lifestyle. Extra pounds increase the load on the legs when walking. During the rest period, body fat impairs the outflow of blood. As a result, swelling and cramps appear. Disturbances in the circulatory system and, as a result, problems with the legs, also cause bad habits and a sedentary lifestyle.
Complications after infectious diseases, accompanied by an inflammatory process, cause a feeling of heaviness and burning in the legs. With the development of pathology, the pain intensifies and can remind of itself even at rest.
Leg problems often occur in women during pregnancy. The growing fetus adds weight, putting extra pressure on the calf muscles. As a result, the outflow of blood worsens, convulsions and aching pain in the back of the leg occur.
Possible diseases
Pain in the calf muscles can be caused by diseases accompanied by:
- circulatory disorders;
- congestion;
- thickening of the vascular walls.
Varicose veins is a common cause of sudden acute pain in the lower extremities. Violation of the outflow of blood causes overflow of the veins, which is manifested by heaviness and discomfort, convulsions and edema.
Soreness and discomfort in the legs cause complications of varicose veins, for example thrombophlebitis . The acute form of the pathology begins suddenly and is accompanied by severe cutting pain in the legs, which eventually becomes permanent.
Inflammatory processes in the muscles, or myositis , initially cause discomfort only when walking. Over time, the discomfort increases, swelling appears, redness of the skin over the affected muscles is observed. The transferred trauma can provoke unilateral development of myositis.
Infection with helminths can cause parasitic myositis, accompanied by fever and pain in the muscles, including the calves.
Myopathies or dystrophic changes in muscle tissue caused by hereditary metabolic disorders, lead to the appearance of pulling pain when walking, weakness and fatigue.
The development of neuralgia is accompanied by attacks of acute pain along the nerve fibers. Attacks do not last long, and between them there is no discomfort.
Deficiency of calcium in the body causes bone thinning or osteoporosis. The disease is accompanied by constant convulsions and painful sensations.
Often, problems with the lower extremities occur against the background of systemic diseases:
- osteochondrosis;
- vascular atherosclerosis;
- obesity;
- diabetes and other diseases.
Spinal problems , such as a pinched herniated disc, can cause constant pain that does not subside even at night. A sudden movement can cause a sharp shooting pain.
Recommended treatments
Regardless of what caused the pain, seek medical attention. A treatment regimen can only be drawn up after a comprehensive examination, since pain in the legs is only a symptom. Its appearance does not allow us to draw a conclusion about the presence of a particular pathology.
Only timely diagnosis makes it possible to correctly identify the problem and quickly deal with it. For example, diseases caused by disorders of blood circulation respond well to treatment in the early stages of development. However, if the symptoms of the disease are ignored for a long time, then the changes become irreversible, and the pathology becomes chronic. In this situation, all therapeutic measures will be useless, and the problem will have to be solved surgically.
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How to relieve pain
To treat pain, your doctor may prescribe ointments and drugs that:
- reduce inflammation;
- anesthetize;
- warm up and increase blood flow in the veins.
Traditional medicine recipes help relieve unpleasant symptoms. Compresses from decoctions of medicinal herbs help to reduce swelling, stop inflammation and relieve pain. To prepare such a tool, you need to take 1 tbsp. l. succession, St. John's wort, bearberry and cherry stalks. Add to this mixture 1 tsp. birch leaves, carrot seeds and immortelle grass. Mix the ingredients. Pour 2 tbsp. vegetable raw materials 1 liter of boiling water. Insist for 12 hours. Soak a clean cloth in the decoction and apply to the affected area. Carry out the procedure 3 times a day.
In case of an injury that caused the appearance of a tumor, a therapeutic bandage is used, which is able to provide rest to the muscles. It is necessary to beat the egg white, add 1 tbsp. vodka and flour. Mix everything thoroughly. Apply the mixture to an elastic bandage and bandage the leg in the area of injury. The procedure is carried out daily.
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To treat bruises, you can prepare a healing ointment from wormwood herb and medical vaseline. Mix the components taken in a 1: 1 ratio and put in the oven to languish for 40-50 minutes. Cool the resulting ointment and apply to problem areas several times a day.
Preventive measures
In order to prevent pain and improve the patient's condition, it is necessary to follow some recommendations.