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Chronic Kidney Disease & Electrolytes • ICD-10-CM R25.2

Muscle Cramps

Also known as: Charley horse, Thighs, Femurs, Femoral

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM R25.2 • 8 Linked .gov / PubMed Citations • Governance: Dr. Julian Sterling, MD, FACS (NPI #1376841536)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Muscle Cramps Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Muscle Cramps?

What are muscle cramps? Muscle cramps are sudden, involuntary contractions or spasms in one or more of your muscles. They are very common and often occur after exercise. Some people get muscle cramps, especially leg cramps, at night. They can be painful, and they may last a few seconds to several minutes. You can have a cramp in any muscle, but they happen most often in the: Thighs Feet Hands Arms Abdomen Area along your ribcage What causes muscle cramps? Causes of muscle cramps include: Straining or overusing a muscle. This is the most common cause.

Pathophysiology, Underlying Causes & Clinical Presentation

Underlying Muscle Cramps (code R25.2) is intrarenal RAAS activation [Muscle Cramps R25.2], Cross-referenced with NIH MeSH (Muscle Cramp), which Chronic Kidney Disease & Electrolytes clinicians address while surveilling Serum Potassium, Bicarbonate in Muscle Cramps (R25.2: & Phosphorus) (K+ 3.8–4.8 mEq/L; HCO3 23–29 mEq/L (R25.2)).

Common Symptoms & Clinical Signs

  • • Area along your ribcage
  • • Straining or overusing a muscle. This is the most common cause
  • • Presentation of Muscle Cramps (R25.2): fatigue, muscle cramps, in Muscle Cramps (R25.2: metallic taste, or)
  • • Secondary Muscle Cramps clinical sign: changes in urine in Muscle Cramps (R25.2: output volume, nocturnal)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Muscle Cramps Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code R25.2 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Chronic Kidney Disease & Electrolytes NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Serum Potassium, Bicarbonate in Muscle Cramps (R25.2: & Phosphorus) K+ 3.8–4.8 mEq/L; HCO3 23–29 mEq/L (R25.2) Clinical Reference Target Range
Diagnostic / Lab Marker: eGFR (Creatinine + in Muscle Cramps (R25.2: Cystatin C)) >= 90 mL/min/1.73m2 (R25.2) Clinical Reference Target Range
Diagnostic / Lab Marker: Urine Albumin-to-Creatinine Ratio in Muscle Cramps (R25.2: (uACR)) < 15 mg/g (< 30 mg/g normal) (R25.2) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Muscle Cramps

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Medication Pharmacologic Class Patient Worth-It CMS NADAC / Unit Typical Lowest Cash
Atmeksi (Methocarbamol) Atmeksi • RxCUI 197943-B69528701 Muscle Relaxant 92% $8.3480 $ 609.56 /mo
Soma (Carisoprodol) Soma • RxCUI RXN-B00372001 Muscle Relaxant 93% $11.2975 $ 640.00 /mo
Muscle Rub Cream (Menthol 10%, Methyl Salicylate 15%) Muscle Rub Cream • RxCUI 311498-B69396110 Over-the-Counter Clinical Monograph 91% $0.8804 $ 71.89 /mo
Atracurium Besylate Atracurium Besylate Generic • RxCUI 966768 Nondepolarizing Neuromuscular Blocker 88% $1.3200 $ 61.96 /mo
Cyclobenzaprine Hydrochloride Fexmid, Amrix • RxCUI 828320 Muscle Relaxant 94% $0.0169 $ 5.36 /mo
Fexmid (Cyclobenzaprine Hydrochloride) Fexmid • RxCUI 828299 Muscle Relaxant 89% $0.2402 $ 25.80 /mo
Amrix (Cyclobenzaprine Hydrochloride) Amrix • RxCUI 828353 Muscle Relaxant 92% $66.2326 $ 24.77 /mo
Lidocaine and Camphor Olu Pain Management • RxCUI 2700664 Amide Local Anesthetic 85% $0.0989 $ 12.50 /mo
Tanlor (Methocarbamol) Tanlor • RxCUI 2611794 Muscle Relaxant 76% $8.3480 $ 609.56 /mo
Elamipretide Hydrochloride Forzinity • RxCUI 2725604 FDA Prescription Therapeutic Agent 76% $0.5400 $ 30.37 /mo
Cyclobenzaprine HCl ER Cyclobenzaprine HCl ER Generic • RxCUI RXN-72189389-2594 Muscle Relaxant 81% $0.0177 $ 9.22 /mo
Vecuronium Bromide Vecuronium Bromide Generic • RxCUI 859437 Nondepolarizing Neuromuscular Blocker 93% $2.9200 $ 126.76 /mo
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Muscle Cramps)

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Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Real-world benefits and safety of NVP-1203 and aceclofenac in patients with acute: What a 455-Participant Study Found

NVP-1203 is more effective in reducing pain than the 100 mg aceclofenac alone.

European review for medical and pharmacological sciences • 2023-01-15 • Phase III Randomized Trial
N = 455 93/100 PMID 36647880 ↗
New Insights on OnabotulinumtoxinA Treatment for Masseter Muscle Prominence: 6-Month safety and: What a 283-Participant Study Found

OnabotulinumtoxinA effectively reduced the appearance of MMP and improved PROs, with effects lasting up to 6 months and a favorable safety profile.

Aesthetic surgery journal • 2026-04-07 • Phase III Randomized Trial
N = 283 93/100 PMID 41092464 ↗
New Insights on Estimating the Impact of Adjuvant Treatment With Nivolumab on Long-Term: What a 709-Participant Study Found

Adjuvant NIVO for high-risk MIUC was associated with a higher cure fraction than PBO in the ITT and PD-L1 ≥1% populations.

Clinical genitourinary cancer • 2025-06-15 • Phase III Randomized Trial
N = 709 93/100 PMID 40204616 ↗
Can This Approach Help? Inside the Latest Research on Characteristics and outcomes of patients with and without statin-associated

Patients who reported SAMS, regardless of randomization to bempedoic acid or placebo, had higher rates of discontinuation, higher rates of skeletal muscle.

Journal of clinical lipidology • 2025-01-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 39939212 ↗
Can This Approach Help? Inside the Latest Research on Whey Protein Supplementation on Muscle Damage, liver Stress, and Inflammatory

The results highlight whey protein's potential as a nutritional aid to promote recovery and physiological adaptation, possibly mediated by antioxidant and anti-inflammatory mechanisms.

European journal of sport science • 2026-11-15 • Randomized Controlled Trial
N = 30 88/100 PMID 42929456 ↗
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