Dear Dr. Cutler,

I am a slightly-underweight, healthy 76-year-old woman with the exception of my heart—I have had multiple angioplasties and stents placed in my heart over the last few years. My problem is the nightly cramps I get in my buttocks, hands and arms which are excruciating. I have tried leg exercises and the vitamins and minerals that are said to help with the problem, but with no relief whatsoever. I can’t stand the thought of living with this terrible cramping pain for the rest of my life. Any suggestions you can give me would be greatly appreciated.

—Audie G.

Dear Audie,

My suggestion is that you speak with your doctor or other healthcare practitioner with the following points in mind:

• Consider what forms of minerals you’re taking. Do they come from an organic source and are they incorporated quickly into your body’s cells?
• Valerian root is a great muscle-relaxing herb and is even safe at higher doses than the directions on the container.
• Magnesium chloride and calcium-magnesium supplements have been clinically shown to relax muscles.
• Anyone with a history of heart disease should consider liver detoxification which can help relieve muscle cramping and improve the electrolyte function of the nerves or muscles.  
• And as a last resort, there are some prescription medications available to relax cramping muscles that will not interfere substantially with your heart health.

All the best!
Michael Cutler, M.D.