Severe night cramps in calf muscle

43 years old female has come with complaint of cramps in lower extremities since 1 year. It occurs mostly at night, hardness in calf region During night cramps scrutinising & crushed feeling like pain in calf muscles She is unable to sleep at night due to this It gets better by walking and massaging no other complaints Recent investigations show methylecobalmin- 110 pg/ml She is pitta prakriti with tikshna agni

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Suggest MRI LS spine Don't suppress mala mutra Sahacharadi kashayam 15 ml bd bf with 45 ml lukewarm water along with kshirabala (101 ) 2 cap with vatagajangusa ras 1 Trayodasanga guggulu 2 td af Chandrapraba vati 2 bd af Dhanwanthara thailam external application Pancha karma treatment advisable

MRI LS spine to rule out? Or fr wt suspicion dr?
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Rule out Anaemia! Its Lakshana of Rasa Rakta Kshaya

Ashwagandha Churna Shatawari Churna Trayodashang Guggulu Punarnava Mandoor Menolmalt Ashwagandharishta Mahanarayan tail Softly Abhyanga.

YOGRAJ GUGGUL,SHALLAKI, TRIPHLA,ALLOERA JUICE,YOGIK YAYAM, LOCAL MASSAGE WITH MAHANARAYAN TAIL , PATHYA AHAR

Rustox 1m Fivephos 6x Most probably have to take multi vitamins

CINCHONA. Caution : Never take cinchona at the same time as anticoagulant drugs, as it reinforces their effect. Do not take cinchona during pregnancy or if you are allergic to quinine and quinidine.

China , nm, sil like medicines can can work in this type of cases

Dear Dr. Amrit Tanwar, Advice for the case. Advice to drink 1 1/2 glass of water at bed time.

Triyodasang guggul Gandhatail capsule Chandraprabha vati Gokshuradi guggul Dhanwantaram tail for external application

Mahanarayan tail local application Calcium and multivitamins supplements Healthy diet

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