
What Causes Twitching In Calves With Extreme Leg Cramps?

Muscle stretching exercises may help
Detailed Answer:
Hello
Thanks for posting
I have gone through your query carefully,it seems cervical canal stenosis is the cause of your suffering beside the changes seen in MRI of brain.This needs physical examination by neurosurgeon and if finding are suggestive of that you may need a need a disc removal cervical spine surgery.
As far muscle twitching/cramps are concerned muscle stretching exercises along with drugs baclofen,pregablin,vitamin B12,B 6 beside pregablin may help. Quinine solution also helps in reducing cramps.As these are prescription only drugs,you may discuss with your treating local doctor.You may continue to have low dose prednisolone under medical guidance till you reach any final diagnosis.Cramps are the common side effects of drugs used for asthma and cholesterol lowering drugs like statins.Are you on such drugs?
Hope this helps and I shall be glad to answer any further query.
Take care
Dr.chugh,orthopaedic surgeon


May be vasculitis; rheumatologist may help us
Detailed Answer:
Hello
It's good to see you
After going through the whole discussion and your reports for the month of May and XXXXXXX it seems the disease which is affecting the kidney leading to decrease GFR (chronic kidney disease) may be the reason for your musculoskeletal suffering.
The muscle twitching is because of disturbed kidney function along with changes in brain leading to false impulse generation at brain level.
My suggestion would be -
1. A consultation with the Rheumatologist may help us.
2. Angiography that is blood vessel study of brain and kidney to diagnose vasculitis.
The most useful test to diagnose vasculitis is for "antineutrophil cytoplasmic antibodies"—often referred to as XXXXXXX A positive XXXXXXX test can help detect these types of vasculitis: granulomatosis with polyangiitis (Wegener's), microscopic polyangiitis or eosinophilic granulomatosis with polyangiitis (Churg-Strauss).
Meanwhile you may continue with prednisolone till we reach some conclusion.
Hope this helps to reach any diagnosis and further treatment.
Take care
Dr.chugh


All vasculitis are not associated with rash
Detailed Answer:
Hi
It’s good to see you
After going through your reply, it’s true that vasculitis is associated with rash but not necessarily with each type of vasculitis as in vasculitis of the kidneys which may produce no symptoms at first but is still a serious problem.
The most common tests to diagnose type of vasculitis are:
1. Biopsy—surgical removal of a small piece of tissue for inspection under a microscope
2. Angiography—a type of X-ray to look for abnormalities of blood vessels
3. Blood tests
Glucocorticoids (prednisone and others) are the main treatment. Patients also may be prescribed other medicines that suppress the immune system. These can help severe disease or let patients take lower doses of glucocorticoids.
My suggestion would be find a rheumatologist and meanwhile you may continue with the medicines as discussed earlier.
I hope this whole discussion gives you relief from your suffering and it would be my pleasure to help you further.
Take care and wishing you good health.
Dr.chugh


Steroid sparing drugs may help
Detailed Answer:
Hi
It's really disheartening the suffering you are going through. You may look for rheumatologist; he may be of some help. He may prescribe steroid sparing drugs which acts like steroid but are safer in the long run like cyclophosphamide and so on if he feel so.
I wish I could be of more help to you.
Take care and wishing you good health.
Regards
Dr.chugh

Answered by

Dr. Mukesh Chugh
Orthopaedic Surgeon, Joint Replacement
Practicing since :1997
Answered : 1619 Questions
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