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Editor's Correspondence |

Calf Stretching Prophylaxis for Nocturnal Cramps

Harry W. Daniell, MD
Arch Intern Med. 2012;172(12):970-971. doi:10.1001/archinternmed.2012.1393.
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The report by Garrison et al1 contains new useful and well-documented observations. However, the authors should have explained that the data in the cited study by Coppin et al2 did not support the authors' conclusion that calf stretching is ineffective in the prevention of nocturnal cramps.

This technique, which I described in a previous letter,3 includes two 10-second stretches repeated 3 times daily until cramps disappear and has continued to be highly effective in our patients. Calf stretching has been widely recommended by others,4,5 is considered to be similar to quinine in its effectiveness,4 and is preferred over quinine as first-line prophylactic therapy,5 with no cost plus greater safety and convenience.

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June 25, 2012
Scott R. Garrison, MD, BASc
Arch Intern Med. 2012;172(12):970-971. doi:10.1001/archinternmed.2012.1971.
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