My mother (58+ yrs) is currently under treatment for Hypothyroidism (Eltroxin 50 mcg), Hypertension (Olmezest 20 mg) & Osteoarthritis (stage-2) in knee joints. Since past couple of days, she feels cramp on the right foot, which pains specially during walking, rather than resting positions. She had applied 'Oxalgin Nanogel' but the pain seems to increase gradually. Although there is no swelling on the foot or ankle, but the veins of the foot look more prominent than normal. She had faced similar problems (on either left or right foot but not both) 5-6 times in past 3-4 months, but had never happened before. Is it simply a muscle cramp or, something serious (e.g. Related to heart, kidney or liver issues) ?

Dr. Julie Mercy J David RajaPhysiotherapist20yrs exp

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This is a general strain due to excessive walking or standing and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes. One time you can do hot water fermentation that would help to reduce the muscle strain. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Simple knee exercises would help to strengthen the quadriceps muscle which is the key muscle. Specific knee exercises will also help ie. Keeping a soft ball underneath the knee and you have to keep pressing it. That's the simple exercise which will help you to strengthen the knee. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. That might be due to knee pain or it might be due to ankle pain. Our suggestion would be to do hot water fermentation along with cold (ice) therapy. You shall also keep a pillow under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes. Varicose veins are due to dilated, inflamed veins where there is reverse blood flow in the lower legs due to heavy density of blood. You can wear stockings to improve the blood circulation, can do leg massage using castor oil which pumps the blood and improves the blood circulation. 

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