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How can I treat painful night leg cramps?

On call

Q. I occasionally get an excruciating leg cramp that wakes me from sleep. What causes leg cramps, and how can I prevent them?

A. Although nocturnal leg cramps can strike people at any time of life, they become more frequent with age. Among people older than age 50, about half report having leg cramps, a third say they are awakened at night by them, and 15% report having cramps about once per week.

A plan for easy stretching

Stretching becomes crucial as you age. Here is a quick routine that addresses the major tight spots.

Stretching is much like flossing. You know it's good for your health, but for whatever reason, you may not always make time for it.

"Most people know they need to stretch more, but find it burdensome or are not sure what to do," says Urvashi Chogle, a physical therapist at Harvard-affiliated Spaulding Rehabilitation Network.

Getting a leg up on sciatica

Sciatica's (pronounced sigh-AT-eh-ka) hallmarks are pain and numbness that radiates down the leg, often below the knee. In nine out of 10 cases, sciatica is caused by a displaced disk in the lower spine.

The best medicine is often patience — with some stoicism mixed in — because the pain often goes away, even if the problem disk does not. Researchers have found that the pain usually improves within a month.

Your headaches are getting worse. Do you need an imaging test?

Headaches have many possible causes, and proper management requires accurate diagnosis. Someone with increasingly severe headaches would want to have a brain imaging test to determine the underlying causes, but such tests are more effective in certain situations than others.

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