 
          obstaclemudrunner.co.uk
        
        
          ForEliteAtheletes toFunRunners
        
        
          
            Academic
          
        
        
          •
        
        
          Integrated
        
        
          Masters Degree in
        
        
          Osteopathy (M.Ost)
        
        
          •
        
        
          Diploma in
        
        
          Osteopathy (D.O.)
        
        
          
            Specialties & Certifications
          
        
        
          •
        
        
          Medical Acupuncture (Dry Needling)
        
        
          •
        
        
          Kinesiology Taping Certified
        
        
          •
        
        
          Gait analysis and functional movement
        
        
          •
        
        
          Sports Injury rehabilitation
        
        
        
          @sportscarerev
        
        
          36
        
        
          
            You know the feeling, you’ve been running strong, or
          
        
        
          
            in some cases plodding for a while, legs have been
          
        
        
          
            doing some heaving, some climbing, some running,
          
        
        
          
            some more plodding, probably even some crawling but
          
        
        
          
            you’re still giving it your best shot.
          
        
        
          You’re nearly finished, just a few more obstacles to go
        
        
          and BOOM, it hits you like a bus.
        
        
          
            CRAMP!
          
        
        
          You’re now absolutely stuck solid, unable to move,
        
        
          muscles are doing some kind of spasm dance
        
        
          until someone comes to your rescue and manually
        
        
          tells your foot to point the other way. Phew, that
        
        
          was horrible. None of us enjoy cramp but do we
        
        
          understand what causes it?
        
        
          
            Dan Fernandes, tells us the science bit.
          
        
        
          Leg cramps are a common symptom amongst active
        
        
          and non-active individuals of the population.
        
        
          It can be an extremely painful sensation that affects
        
        
          many muscles but more commonly the hamstring,
        
        
          calf or foot. It is associated with sudden muscle
        
        
          contraction or a group of muscles that occurs during
        
        
          or after strenuous exercise.
        
        
          It is ordinarily caused by over working the muscles,
        
        
          not warming up adequately or going too fast too quick.
        
        
          Another highly likely reason is low levels of
        
        
          Potassium, often caused by dehydration. Those
        
        
          who consume the recommended daily amount of
        
        
          water would be less likely to suffer. Potassium is an
        
        
          important mineral in our body which helps maintain
        
        
          the heart function and fluid balance. It regulates the
        
        
          blood pressure and maintains healthy bones.
        
        
          Medication is another likely trigger and can be a side
        
        
          effect of Statins.
        
        
          Pregnancy is also a common cause but less likely to
        
        
          be the reason on an Obstacle Race course.
        
        
          Liver disease is another source that sits high on the
        
        
          list so if in doubt, check it out.
        
        
          
            How to prevent muscle cramp?
          
        
        
          Cramp can only be avoided if it occurs for
        
        
          preventable reasons. A good warm up before exercise
        
        
          and stretching after exercise or a gentle stretch
        
        
          before going to bed will be beneficial. Stretching
        
        
          will make the muscles and tendons more flexible
        
        
          therefore reducing the possibility of spontaneous
        
        
          muscle contraction.
        
        
          Not consuming caffeine and not smoking can also
        
        
          help avoid cramps.
        
        
          Drinking the recommended daily amount of water will
        
        
          keep you hydrated.
        
        
          Some older people may suffer from cramps during
        
        
          the sleep period, this is known as Nocturnal leg
        
        
          cramps. There is a distinct difference between this
        
        
          and restless legs syndrome.
        
        
          
            Nocturnal leg cramps
          
        
        
          Very similar to normal leg cramps which occur while
        
        
          awake but instead occur at night during periods of
        
        
          inactivity. They can also affect the calf’s, thighs or feet
        
        
          muscles, symptoms lasting from several seconds up
        
        
          to several minutes. Unfortunately, it can cause a post
        
        
          effect of muscle soreness after the cramp goes away.
        
        
          Nocturnal leg cramps are common in adults,
        
        
          generally in the over 50’s, but that’s not to say it can’t
        
        
          affect all ages, even children.
        
        
          Nocturnal leg cramps are associated with some
        
        
          medical conditions as well as pregnancy and have
        
        
          also been linked to:
        
        
          •
        
        
          Sitting for long periods of time
        
        
          •
        
        
          Over-exertion of the muscles
        
        
          •
        
        
          Standing or working on concrete floors
        
        
          •
        
        
          Sitting improperly
        
        
          If you are taking any of following medications
        
        
          (intravenous iron sucrose, conjugated estrogens,
        
        
          raloxifene, naproxen, and teriparatide) and you are
        
        
          having leg cramps at night make sure you contact
        
        
          your GP. These are strongly associated with leg
        
        
          cramps.
        
        
          Drugs.com and evidence based medicine has shown
        
        
          that Quinine is no longer recommended to treat leg
        
        
          cramps and it is severely restricted and may cause
        
        
          serious and life-threatening bleeding problems.
        
        
          If in any doubt, seek advice from an expert.
        
        
          
            HEALTH: INJURIES
          
        
        
          ask the expert
        
        
          Frozen in action?
        
        
          
            We’ve all been there
          
        
        
          
            – CRAMP.
          
        
        
          
            Meet our Sports Injury
          
        
        
          
            Specialist.
          
        
        
          
            Dan Fernandes,
          
        
        
          (DO, M. Ost)
        
        
          
            
              Sports Care Revolution