Leg-Foot Cramps with Lyrica?

Posted by ktpatton @ktpatton, Jan 23, 2023

I am hoping that someone with similar symptoms could share any advice on lessening the specific pain that I experience. After an EMG test I was diagnosed with moderate neuropathy and mild radiculopathy. It seems to be confined mostly to my feet, where I have a combination of numbness (feeling cold when they are not cold), stinging or burning, soreness, and occasional jolts that are like an electrical shock. Often it is concentrated in my toes, but also affects my whole feet. Occasionally one of my feet seems to "cramp" up. Uric acid tests rule out gout. I have tried various medicines, both prescription and over-the-counter (Gabapentin, Lyrica, Motrin, Meloxicam, etc.) I have soaked my feet in warm water, with and without Epsom salts, tried massaging them, and elevating them. If you have similar symptoms, do you have any suggestions that helped you? Thank you.

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Hello.
I have spasms, tingling, burning, stinging, tightness over bottom of foot and in toes. Tingling and spasms in hamstrings, calves, feet and toes. At times my feet swell.

Cyclobenzaprine round the clock and pregabalin (Lyrica) helps relieve the spasms in the hamstrings and most of the calves spasm and foot/toes, although the cramping in the balls of feet and stiffness is somewhat helped by massage and lots of it. On occasion the ointment lidocaine helps the nerve pain a bit in the toes.

Learn the proper stretches for the muscle group in spasm. It helps, even though you will have to keep doing the stretches to relieve it.

My neurologist wants me to see a neuromuscular doctor to explain the odd sensations, tingling in back, legs and feet and the fact the strong meds taken arent relieving my pain, who I see end of March.

My doctor didn’t grade the pain I have with lumbosacral radiculopathy, diabetic neuropathy, spasms etc. If someone told me my pain was mild, I might growl at them!
I hope you feel better.

REPLY
@nemo1

Hello.
I have spasms, tingling, burning, stinging, tightness over bottom of foot and in toes. Tingling and spasms in hamstrings, calves, feet and toes. At times my feet swell.

Cyclobenzaprine round the clock and pregabalin (Lyrica) helps relieve the spasms in the hamstrings and most of the calves spasm and foot/toes, although the cramping in the balls of feet and stiffness is somewhat helped by massage and lots of it. On occasion the ointment lidocaine helps the nerve pain a bit in the toes.

Learn the proper stretches for the muscle group in spasm. It helps, even though you will have to keep doing the stretches to relieve it.

My neurologist wants me to see a neuromuscular doctor to explain the odd sensations, tingling in back, legs and feet and the fact the strong meds taken arent relieving my pain, who I see end of March.

My doctor didn’t grade the pain I have with lumbosacral radiculopathy, diabetic neuropathy, spasms etc. If someone told me my pain was mild, I might growl at them!
I hope you feel better.

Jump to this post

How is a neuro-muscular doctor different from a neurologist?

REPLY

Hi,
My neurologist said she should be able to give me answers to the “tingling” bordering on painful tingling, in the back down legs, to bottoms of feet.

I had pain one night that was pretty bad and called the neurologists office after hours. The spasms were hitting pretty hard. She said to take more cyclobenzaprine. It helped some. My neurologist told me after this episode first, I needed to go to a pain management doctor and second, go to a NM Doctor for more answers.
I was in such pain I could not walk…
She will take my history and recent history. My neurologist is aware I have issues with swallowing etc. I had Bell’s palsy then facial weakness on other side long ago. Recently my eye crossed involuntarily. Its happened two times this month. Its happened before. But now with everything happening I think the NM doctor will piece together my history and current history with her evaluation and tests and help me.

The pain doctor wants to give me ablation, and epidural that would “deaden the nerves”. But not before the NM doctor. I’m sorry for all the details, but I thought it might help her rationale (I think). A few years ago a pulmonologist ordered a catscan of lungs (pain while breathing) it showed an enlarged thymus. The pet scan was negative for cancer. He than gave me Myasthenia Gravis blood test for I think it was called acetecholine (not sure that is correct spelling) It was negative. Then he put in the order for the musK blood test. I did not have that done. I didn’t like the fact that someone had to come to the house and take my blood. So did not complete his work up. I started to improve after a long few months. I don’t recall how long that went on for but it was a while.

I have autoimmune psoriatic arthritis they found in my sacrum. Not a factor. Between the lower extremities and other things hopefully she can piece together and tell me which is the neuropathy vs sacrum vs the fall I took when strange things started to happen. I have never been convinced all this is neuropathy. So we shall see if she can figure things out.

I probably said more than you were asking about. But to understand this and me I thought to give more background. I will include the periods of confusion I’ve been having. Some of this scares me. But I will go because I trust my doctor.

Anyhow, that is what I am going to tell her about. That and the strange sensations. I had one EMG in June of 21 or 22. That doctor just said its in the back. I could not feel the needle she was moving around in my foot. I think thats not right. I digress. I hope I answered your question!

Take care.

REPLY
@nemo1

Hello.
I have spasms, tingling, burning, stinging, tightness over bottom of foot and in toes. Tingling and spasms in hamstrings, calves, feet and toes. At times my feet swell.

Cyclobenzaprine round the clock and pregabalin (Lyrica) helps relieve the spasms in the hamstrings and most of the calves spasm and foot/toes, although the cramping in the balls of feet and stiffness is somewhat helped by massage and lots of it. On occasion the ointment lidocaine helps the nerve pain a bit in the toes.

Learn the proper stretches for the muscle group in spasm. It helps, even though you will have to keep doing the stretches to relieve it.

My neurologist wants me to see a neuromuscular doctor to explain the odd sensations, tingling in back, legs and feet and the fact the strong meds taken arent relieving my pain, who I see end of March.

My doctor didn’t grade the pain I have with lumbosacral radiculopathy, diabetic neuropathy, spasms etc. If someone told me my pain was mild, I might growl at them!
I hope you feel better.

Jump to this post

Thank you very much for your input.

REPLY
@nemo1

Hi,
My neurologist said she should be able to give me answers to the “tingling” bordering on painful tingling, in the back down legs, to bottoms of feet.

I had pain one night that was pretty bad and called the neurologists office after hours. The spasms were hitting pretty hard. She said to take more cyclobenzaprine. It helped some. My neurologist told me after this episode first, I needed to go to a pain management doctor and second, go to a NM Doctor for more answers.
I was in such pain I could not walk…
She will take my history and recent history. My neurologist is aware I have issues with swallowing etc. I had Bell’s palsy then facial weakness on other side long ago. Recently my eye crossed involuntarily. Its happened two times this month. Its happened before. But now with everything happening I think the NM doctor will piece together my history and current history with her evaluation and tests and help me.

The pain doctor wants to give me ablation, and epidural that would “deaden the nerves”. But not before the NM doctor. I’m sorry for all the details, but I thought it might help her rationale (I think). A few years ago a pulmonologist ordered a catscan of lungs (pain while breathing) it showed an enlarged thymus. The pet scan was negative for cancer. He than gave me Myasthenia Gravis blood test for I think it was called acetecholine (not sure that is correct spelling) It was negative. Then he put in the order for the musK blood test. I did not have that done. I didn’t like the fact that someone had to come to the house and take my blood. So did not complete his work up. I started to improve after a long few months. I don’t recall how long that went on for but it was a while.

I have autoimmune psoriatic arthritis they found in my sacrum. Not a factor. Between the lower extremities and other things hopefully she can piece together and tell me which is the neuropathy vs sacrum vs the fall I took when strange things started to happen. I have never been convinced all this is neuropathy. So we shall see if she can figure things out.

I probably said more than you were asking about. But to understand this and me I thought to give more background. I will include the periods of confusion I’ve been having. Some of this scares me. But I will go because I trust my doctor.

Anyhow, that is what I am going to tell her about. That and the strange sensations. I had one EMG in June of 21 or 22. That doctor just said its in the back. I could not feel the needle she was moving around in my foot. I think thats not right. I digress. I hope I answered your question!

Take care.

Jump to this post

Thank you for your input.

REPLY

I have neuropathy in my feet that extend up to my calves. I also was getting cramps at night that were excruciatingly painful. My rheumatologist suggested that I take Magnesium oxide 500mg, but warned me that given that I’m a small person, I may experience diarrhea as a side effect, in which case I should cut the tablet in half. I now take 250 mg at bedtime and I no longer experience cramps. Perhaps you can try and see if it works for you. Best wishes.

REPLY
@hw43

I have neuropathy in my feet that extend up to my calves. I also was getting cramps at night that were excruciatingly painful. My rheumatologist suggested that I take Magnesium oxide 500mg, but warned me that given that I’m a small person, I may experience diarrhea as a side effect, in which case I should cut the tablet in half. I now take 250 mg at bedtime and I no longer experience cramps. Perhaps you can try and see if it works for you. Best wishes.

Jump to this post

Thank you for your input.

REPLY

I do take Gabapentin, the generic of lyrica, but the cramps started long before, so I don’t think there is a connection. I hope you will find relief from your cramps.

REPLY
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