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Night cramp (Cramps) Part 2 (Teacher: Michael)

The patient first complains of aching legs after exercise. It may be slight, but gradually becomes more pronounced. Then pain is not merely ache, but definite, crippling cramp, which can become so severe that patient finds he or she cannot stand after much walking. Intermittent claudication is caused by narrowing of arteries and often starts in 30s. It generally means that arteries everywhere in body have become narrowed and blood cannot reach muscles fast enough when they are in use. heart muscles may be equally affected.

This condition may be good enough excuse for not doing jobs you don't like doing, but that is poor consolation. It is disease which affects men far more than women and attacks are more common in cold weather, or even after sitting in chair at office in draught. It is also slightly hereditary complaint. This is by no means same as night-time cramp already mentioned, and there is no absolute cure. patient learns to regulate amount of exercise he or she can comfortably take. No drugs offer complete relief but there is one habit which sufferer must give up, smoking.

Whatever may or may not be one's views about habit, it undoubtedly makes intermittent claudication far more troublesome. number of patients will secretly admit that so long as they keep off tobacco they do not get this fearsome cramp.

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