Muscle and Menstrual Cramps

Question: I am a 44-year-old woman who has suffered most of my adult life with a variety of painful cramps. I often have menstrual cramps so bad that even Advil or Alleve doesn't really help. At other times I have foot cramps, cramps in my hands, or side cramps during exercise. Is there anything I can do to relieve this painful condition?

Two areas that seem to be involved, however, are the balance of calcium and magnesium and the regulation of lactic acid buildup in the muscle tissue.

Both calcium and magnesium are intimately involved with muscle function and therefore the tendency of the muscles to cramp. The stimulus for the muscles to contract occurs when the calcium outside the muscle cells travels into the cells, which in turn causes the shortening or contraction of that muscle.

Magnesium is the antagonist in this process, meaning that under the stimulation of magnesium, the calcium is released and the muscle relaxes. One would think from the basic physiology that if the muscle is locked in contraction, as happens with a cramp, it is because magnesium is deficient.

While this may be the case, life in the muscle tissue is not so simple, for it has been shown that if the calcium in the extracellular fluid (the fluid that bathes the muscle cells) is deficient, the muscle will spasm. This spasm is perhaps an attempt by the muscle cells to hang onto the calcium that is in short supply.

The best way to understand the cause of painful cramps, then, is to realize that when either calcium or magnesium is in short supply, or when the two minerals are not in the correct proportion, cramps occur.

The remedy is to ensure adequate supplies of these vital minerals. My approach is to follow the dietary guidelines in Nourishing Traditions, making sure that the diet contains adequate calcium and magnesium with plentiful whole dairy products, bone broths and lightly cooked green vegetables along with certain nutrient-dense animal products such as butter, organ meats and shellfish. These will provide a calcium- and magnesium-rich diet as well as the fat-soluble vitamins neccessary for their absorption.

In addition, I recommend a supplement for six months of 4,000 IU of Vitamin D, available from Carlson Labs, and six tablets of calcium lactate from Standard Process (which includes magnesium lactate in the correct calcium-to-magnesium ratio.) Most people will see results from this supplementation in about three to four weeks.

The other cause of cramps can be strenuous exercise, which causes lactic acid, the byproduct of muscle metabolism, to build up in the muscle tissue. The purpose of the lactic acid buildup is to shut off these contractions. It is the signal the body uses to inform the muscles that they have exerted themselves enough. Clearly, as you increase your exercise tolerance, you will be able to exercise longer before the lactic acid builds up to sufficient levels to shut down the contractions through cramps. Athletes are always looking for ways to increase the ability of their muscles to contract before cramps occur.

Recently, there was a report that the Brigham Young football team has come up with a novel solution to this problem. Before each game, again at halftime and once again after the game, each player is required to drink a small glass of pickle juice. According to the training staff, the once common problem of cramping during the games has disappeared.

This is a very interesting and somewhat paradoxical solution to the problem of cramps —although one that should come as no surprise to our readers—because pickles and other fermented vegetables contain lactic acid, the very chemical thought to be the culprit.

How is it that drinking lactic acid actually prevents cramps, which otherwise are caused by the body's own overproduction of this chemical? Unfortunately, the answer is still a bit of a mystery. My own guess is that the slight acidifying effect of oral lactic acid makes the calcium and magnesium more available to the body, allowing it to produce more alkaline substances, which in turn neutralize the lactic acid buildup in the muscles.

In any case, while the scientific explanation for the mechanism of relieving a problem such as cramps may be obscure, the fact that it does so is unquestioned.

You can make your own lactofermented cabbage juice (see the recipe in Nourishing Traditions) or purchase traditionally made pickles (such as Bubbies brand) to drink before and during strenuous physical exercise. A serving of traditionally made sauerkraut or kim chee at dinner will help prevent nighttime cramps.

I encourage anyone with cramps and all athletes to try the above two simple approaches and discover yet another example of the beauty and benefit of the traditional dietary approach to medicine.

 

This article appeared in Wise Traditions in Food, Farming and the Healing Arts, the quarterly magazine of the Weston A. Price Foundation, Fall 2000.

About the Author

Thomas Cowan, MD, discovered the work of the two men who would have the most influence on his career while teaching gardening as a Peace Corps volunteer in Swaziland, South Africa. He read Nutrition and Physical Degeneration by Weston Price and a fellow volunteer explained the arcane principles of Rudolf Steiner's biodynamic agriculture. These events inspired him to pursue a medical degree. Cowan graduated from Michigan State University College of Human Medicine in 1984. After his residency in Family Practice at Johnson City Hospital in Johnson City, New York, he set up an anthroposophical medical practice in Peterborough, New Hampshire. Dr. Cowan has served as vice president of the Physicians Association for Anthroposophical Medicine and is a founding board member of the Weston A. Price Foundation.

Dr. Cowan is the author of The Fourfold Path to Healing (New Trends Publishing), a companion book to Nourishing Traditions by Sally Fallon. He a board member of the Weston A. Price Foundation, a regular contributor to our "Ask the Doctor" column and the Foundation's quarterly journal, and has lectured throughout the US and Canada. He has three grown children and currently practices medicine in San Francisco where he resides with his wife Lynda Smith Cowan.

His book The Fourfold Path to Healing is now available from Amazon.com and NewTrends Publishing. Visit Dr. Cowan's website at fourfoldhealing.com.

 

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