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Nocturnal leg cramps are involuntary muscle contractions that occur in the calves, soles of the feet, or other muscles in the body during the night or (less commonly) while resting. The duration of nocturnal leg cramps is variable, with cramps lasting anywhere from a few seconds to several minutes.
Typical early symptoms are "tingling" (sort of electrified vibration or paresthesia) or numbness in the extremities, frequent (night) leg cramps, loss of reflexes (in knees), muscle fasciculations, "vibration" feelings, loss of balance, general muscle cramping and nerve pain.
G47.813 Nocturnal paroxysmal dystonia; G47.82 Sleep arousal disorders, confusional arousal, Sleep drunkenness; G47.83 Sleep-wake transition disorders Excl. nocturnal leg cramps (R25.20) G47.830 Sleep related rhythmic movement disorder, head-banging (jactatio capitis noctunus) G47.831 Sleep starts; G47.832 Sleepwalking
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The most common conditions that should be differentiated with RLS include leg cramps, positional discomfort, local leg injury, arthritis, leg edema, venous stasis, peripheral neuropathy, radiculopathy, habitual foot tapping/leg rocking, anxiety, myalgia, and drug-induced akathisia. [12]
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