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Calf DOMS are the worst

Calf DOMS are the worst and most painful in my experience. The first time I got them I did nothing and they went away in a week. The next time I got them I rolled them and they got better pretty quicker. level 1. gymjack. -3 points · 7 years ago. Don't skip cardio on legs day, do 15 minutes of lighter cardo, and make sure to eat some carbs soon after. Elevated heart rate means extra fresh blood moving through the muscle. If you just stop you leave your legs to stew in lactic acid. level 2 Anyways, after the session, legs in general were fine, aside from some agonising pain in the back my calves, which hasn't gone away today. I usually do calf raises etc on my leg days and have never experienced pain like this. Is thi Did a few sets of standing & seated calf raises a couple of days ago and I'm in a world of hurt right now. I can't stand on my heels & am pretty much walking around like a total spaz. I'm usually a huge fan of DOMS but this is just ridiculous :sad: with other body parts, I find that stretching helps but even touching my calves hurt because they.

Need some serious help for calf DOMS : bodybuildin

  1. My worst ever doms was when I decided to do 6x40 reps on calf raises once. The next day I couldn't put my feet flat on the ground, had to ring in sick to work (I never miss days). They were in absolute agony and I had to lie on the couch for the day. Mrs wasn't happy lo
  2. You're suffering from Delayed Onset Muscle Soreness (DOMS). You begin to feel DOMS between 12 to 72 hours after training and it is usually accompanied by swelling, and mobility limiting stiffness. DOMS is a common way to know if you've had a productive work-out
  3. This is the classic delayed onset muscle soreness (DOMS), which tends to kick in from as soon as six to eight hours post-exercise, and peaks around the 48 hour mark, though there is much individual variation of this timeline
  4. Although there are several reasons your calf muscles might be sore, the causes usually boil down to new exercises, overexertion, a lack of appropriate self-care between workouts or a combination of all three. Meet Your Calf Muscles Before getting into an extended discussion of sore calves, it helps to know the basic anatomy of your lower leg

Calf DOMS.. That is all : bodybuildin

The 4 Worst Things You Can Do When Your Muscles Are Sore. You might be making your aches even worse. This exercise-related soreness, otherwise known as delayed onset muscle soreness (DOMS. If your DOMS symptoms get worse rather than better or if they're accompanied by dark urine or swelling and stiffness in your limbs, that's a signal that you might have the life-threatening condition rhabdomyolysis, sometimes abbreviated simply as rhabdo

Calf doms? - Bodybuilding

Delayed-onset muscle soreness (DOMS) is muscle pain that begins after you've worked out. It normally starts a day or two after a workout. You won't feel DOMS during a workout. Pain felt during or.. A severe case of DOMS could be the condition rhabdomyolysis, which is a breakdown of muscle tissues that releases the protein myoglobin into the bloodstream and can lead to kidney damage and even, in some cases, total kidney failure Symptoms of DOMS DOMS usually occurs 12-48 hours after exercise. Muscle aching and tightness are the most common symptoms, often resulting in a decreased range of motion. Any discomfort should start to ease within 3 days post-exercise and you should return to normal within a week This is called delayed onset muscle soreness, or DOMS. The soreness is delayed because it takes a while for some metabolic & physiological processes (the results of those microscopic muscle tears) to manifest as muscle pain. DOMS pain is at its worst 48-72 hours after a hard workout. There isn't much you can do to treat DOMS

Remember, DOMS is temporary and is not always a bad thing. DOMS may be needed for muscles to adapt to an exercise stimulus. A muscle is broken down with exercise and when it is built back up and repaired, a greater than normal amount of muscle tissue might be the result, says Chilibeck You want to know the worst place for DOMs? I challenge you to do 75 reps of calf raises with a weight you can do about 10 to failure with. Make each negative around 3 to 5 seconds, stretch so far at the bottom that your achillies feels like it is going to snap, and with control lift each rep to the point your on your tip toes like a ballet dancer Your calf—located in the back of your leg just below the knee—is made up of three muscles: the gastrocnemius, soleus, and plantaris muscles. An injury to any of these can cause calf pain. But conditions that affect the blood vessels, nerves, or tissues that surround your calf muscles can be painful as well Not all muscle soreness is the same. Acute muscle soreness is felt during or immediately after exercise. With delayed onset muscle soreness, your symptoms will peak 24 to 72 hours after you exercise Wholegrains including oats, quinoa, bulgar wheat, millet, brown rice plus beans and pulses including kidney beans and lentils. Refined carbs including white bread, rice, pasta and sources of refined sugar. Green leafy vegetables such as kale or spinach and cruciferous vegetables such as broccoli, cauliflower or Brussel sprouts

Latest DOMS. I Had the Worst Knot in My Calf Muscle Until I Hit It With This $150 Massager. Workouts. by Kacie Main 4 months ago. Yoga Modifications Used to Discourage Me — Here's How I Learned. Muscle soreness, unless unusually severe, shouldn't cause pain when you are sedentary. That is, if you're sitting in front of the TV and aren't consistently changing positions, you should feel fine Muscle soreness resulting from a workout is known as delayed onset muscle soreness (DOMS). Typically DOMs takes 24 - 48 hours to develop and peaks between 24 - 72 hours post exercise. Is doms worse the second day? Doms can last up to five days, with the effects usually worst on day two or three, then gradually improving without treatment Thanks for the great information. I agree that strengthening the calf muscles through barefoot running and exercises will help decrease post-race calf pain. I also think that it's important for runners to take time to stretch calf muscles within 30 minutes after racing. Stretching has always helped me decrease delayed onset calf pain for me Both DOMS and acute muscle soreness tend to feel more global than an actual injury—your whole leg or glutes area might be sore, for example. that's the worst thing you can do, says McCall.

Very rarely, statins can cause life-threatening muscle damage called rhabdomyolysis (rab-doe-my-OL-ih-sis). Rhabdomyolysis can cause severe muscle pain, liver damage, kidney failure and death. The risk of very serious side effects is extremely low, and calculated in a few cases per million people taking statins Antibiotics Side Effects #1. Ciprofloxacin. Ciprofloxacin, commonly known as Cipro, is an antibiotic that belongs to the class of drugs known as fluoroquinolones. It is used to treat bacterial infections of the skin, lungs, bones, and joints. The list of side effects mentioned in the current FDA warning on cipro include: tendon rupture. Most muscle cramps develop in the leg muscles, particularly in the calf. Besides the sudden, sharp pain, you might also feel or see a hard lump of muscle tissue beneath your skin. When to see a doctor. Muscle cramps usually disappear on their own and are rarely serious enough to require medical care. However, see your doctor if your cramps One of the worst things you can do if you have PAD is to sit still. One of the problems with PAD is that people are taught when they have pain to avoid it, says Dr. Pradhan. So, [people] who start feeling pain in their legs when they walk may think they're getting old and stop walking. That's exactly what you don't want to do Kostenlose Lieferung möglic

what is worse than calf doms. 21 Jul 202 Delayed Onset Muscle Soreness (DOMS) Explained. Typically, DOMS is the musculoskeletal pain the creeps into your world about one to three days after particularly tough exercise, resulting in sore muscles, a loss of range of motion in your joints, and reduced muscle strength. (Ugh.) Basically, tiny cellular changes are wreaking havoc on your body DOMS usually sets in 24-72 hours after your workout and should go away soon. On other hand, serious injuries won't. Having or obtaining an injury through resistance or long duration training will.

The worst body part to have DOMS is — MyFitnessPal

Muscle cramps and Delayed Onset Muscle Soreness (DOMS) Usually, the feeling of heaviness in the legs is worst towards the end of the day. 7. You can have calf muscle pain and throbbing shins for no reason if you have shin splints. The reason that many don't think of shin splints causing calf muscle pain is that they can be caused by. Your calf muscles are mostly comprised of two distinct muscles. The gastrocnemius, the larger of the two muscles, is the rounded bulge at the top of your calves, just under the backs of your knees. This muscle does most of the work when you propel yourself off of your forefoot during a jump, lunge, or stride Take these steps to prevent DOMS: Drink an electrolyte -based fluid during your workout. Gatorade is the most popular. Drink a post-workout drink within 20 minutes of the end of your workout. I recommend Biotest Surge. Warm up for a couple minutes prior to intense exercise Maybe the worst DOMS I ever had was after a night of dancing and, yes, a little 'head banging.' (I grew up in a Canadian logging town; AC/DC and Metallica were like gods to us.) Even a little head banging can be hard on neck muscles. I could barely lift my head off my pillow for 3 days. Neurology never comes up when professionals talk DOMS

This can happen when you're increasing your speed, or if you change direction suddenly while running. 2 Calf strains may be minor or severe, and most commonly occur in the gastrocnemius muscle. Calf strains are classified into three grades: 3. Grade 1: The type of strain happens when a stretch causes small micro-tears in the muscle fibers Reduction of delayed onset muscle soreness by a novel curcumin delivery system (Meriva®): A randomised, placebo-controlled trial. DOI: 10.1186/1550-2783-11-3 1. First of all, soreness is definitely not a good tool to measure your training session quality. There is some correlation between the damage level and the feeling of soreness, but the lack of soreness doesn't indicate a too low-intensity workout. There are a few points I suggest you to think about in order to assess your training: Priority. The Calf Experiment: Weeks 1-4. Week 1: The first seven days of the calf experiment were the hardest, as I was actually pretty sore on Day 3. Since I was in quarantine, I simply did calf raises on my steps until failure, making sure that I got a good stretch at the bottom and a good squeeze at the top Everyone—whether you've had a DVT or not—should flex the ankle and calf muscles for about 30 seconds every 20 or 30 minutes when sitting for longer than four hours. Stand up and move around at least every hour or so. If you have risk factors for blood clots—you're over age 40, obese, have a family history of blood clots or use hormone.

Worst Doms You've Ever Had

The worst thing is with knee pain, most exercises are going to be out of the question because you need your knees for almost every normal kind of cardio and a lot of strength exercises as well. In the end swimming was the best way to get fit and improve my legs without putting pressure on them Constant Calf Muscle Soreness From Running, Jogging and Exercise. Although a bad case of tendinitis can leave you feeling sore even while you're at rest, you'll most commonly feel the worst pain when pushing off. Treatment includes rest, very gentle stretching, calf-strengthening exercises, anti-inflammatory medications and, in especially. When it came to muscle soreness, it was on par with Pfizer with 39.1 percent reporting the side effect. And if you make it through your shots side effect free, check out This Is What It Means If.

You can apply ice and heat in lots of ways. Our experts generally recommend up to 20 minutes on and 20 minutes off: Ice packs: Frozen peas or corn, ice cubes in a baggie or frozen gel pack. You. DOMS is a type of muscle conditioning, which means your muscles are adapting to the new activity. The next time you perform the same activity or exercise at the same intensity, there'll be less muscle tissue damage, less soreness, and a faster recovery No heterogeneity was present, except for MVC at 24h (I2 = 90.4%; p = 0.0012) and CALF DOMS at 48h (I2 = 93.7%; p = 0.013). Conclusion: The use of recovery strategies offers significant positive effects only in jumping performance (CMJ), with no effects on the 20-m sprint or MVC. Also, the use of recovery strategies offers greater positive. Increased pain in the calf or tenderness surrounding the knee. This could be a warning sign of a blood clot in your leg. Notify your physician immediately if you suspect a blood clot. Sudden onset of chest pain. Chest pain, accompanied by shortness of breath, may be a sign of pulmonary embolism. This occurs when a blood clot travels to your lungs The pain from this injury is sharp, often feels like a cramp deep within the calf muscle. This is a serious injury that will continually re-surfance unless you follow a very persistent treatment regimen. Minor Calf Pain And Soreness Treatment. To treat minor calf pain, treat as you would any muscle soreness

Should you train with DOMS? The Truth about Muscle Sorenes

Post-workout delayed onset muscle soreness, or DOMS, is no joke. While many of you folks reading this probably enjoy DOMS and take it as feedback for a job well done, it's a hurdle that many beginners never move past. They join a gym, d0 a workout, feel great, go to bed feeling awesome, sleep like a baby, then wake up and find they have the. Doms can last up to five days, with the effects usually worst on day two or three, then gradually improving without treatment. It is a normal part of building muscle strength and stamina, but coach Nick Anderson warns that it could be telling you it's time to review your workout Or even the next day, when I woke up with what felt like a run-of-the-mill case of DOMS—delayed-onset muscle soreness—that good pain you often feel a day or two after a decent session

Work only with the worst spots at first. Better balls! Almost everyone has a tennis ball, but other sizes and degrees of hardness can be game-changers (e.g. lacrosse ball). Beware of excessive pressure—it's by far the worst amateur mistake. Either just be more cautious, or entirely switch to extremely gentle treatment for a few days If you have a muscle sprain, and not just muscle soreness, the rule of thumb is to ice it for 3-4 days and then add heat. If, on the other hand, you have muscle soreness and not an injury, a hot tub will help you recover by loosening the sore muscles and increasing circulation

Calf Stretch. With your hands against the wall, place your leg to be stretched behind you as demonstrated (figure 7). Keep your heel down, knee straight and feet pointing forwards. Gently lunge forwards as far as you can go without pain and provided you feel no more than a mild to moderate stretch in the back of your calf / knee. Hold for 15. Myofascial pain syndrome (MPS) is a fancy way to describe muscle pain.It refers to pain and inflammation in the body's soft tissues.. MPS is a chronic condition that affects the fascia (connective. Essential tremor is the largest subcategory and most common of all movement disorders, including lots of harmless episodes in healthy people (often stress induced). Tremors are usually classified as occurring either at rest or when trying to use the muscle. Twitches & tremors tend to freak people out, but rarely indicate any serious pathology

The Best (and Worst) Diets of 2020, According to Experts. The Best (and Worst) Diets of 2020, According to Experts while he notes that muscle soreness from exercise tends to resolve within 48. The Worst Exercises for Hip Flexor Pain If you're feeling the tightness every time you walk up the stairs or sit down, your instinct has probably been to Google hip flexor stretches. But pigeon pose and happy baby (two of the most common that will come up from a quick search) don't actually solve the problem Post-Cramp Muscle Soreness; 2. No Mess or Strong Odor. Theraworx Relief comes in a fast-absorbing foam or spray with a light green apple scent. It dries quickly and doesn't leave behind any residue or strong odor. 3. Manufactured in the USA. Theraworx Relief is proudly manufactured and bottled in North Carolina He's arguably the worst hitter in baseball. Davis batted a combined .172 between the 2018 and 2019 seasons, and even set a record for consecutive at-bats without a hit. Slideshow continues on. 1. Overuse. Technically, IT band syndrome is an overuse injury. It's kind of a misleading classification since there are usually other factors than overuse, but approaching IT band syndrome as an overuse injury is an important first step towards recovery. After icing and resting for a few days, you may need to change up your training regimen

With 10% of high-grade magnesium, the highest concentration of this vital mineral on the market, this cream effectively checks magnesium deficiency to help manage insomnia soothe leg cramps ease RLS symtoms ease muscle soreness calm your nerves and much more. Gentle on all skin types Often improving your breathing style and taking your mind off your pain can be enough to reduce the symptoms. Leg pain from anxiety is never dangerous, but those with anxiety leg pain should try to avoid over-correcting as a result of their leg pain, as this may put pressure on other parts of the body. Reducing anxiety overall is the only way. The DC area hotel I was staying in had a huge vacant stairwell. I ran repeats, explosively up, easily down. Later I developed debilitating DOMS - Delayed Onset Muscle Soreness. I described this as the worst DOMS ever. My worst DOMS prior to that episode came after hiking Tuckerman's Ravine with my 60 year old mother about 10 years ago

DOMS: The Good, the Bad, and What It Really Means to Your

The truth about DOMS. DOMS - which stands for Delayed Onset Muscle Soreness - is the stiffness you feel a number of hours or days after you've trained. You'll fee this if you've introduced a new element into your workout routine. Commonly mistaken as lactic acid build-up, DOMS can affect anyone who performs some sort of exercise, no. The worst that could happen is you'd be overtraining your calves...they won't be getting stronger because you're not letting them recover. But that's not a medical problem. DOMS can feel real bad and last for a long time if you do things you're really not used to How to Treat DOMS. If you're experiencing DOMS, the worst thing you can do is ignore it and hit those same, achy muscles with a tough workout. That's because delayed-onset muscle soreness. After all, DOMS is at its worst after 24 hours of an intense leg workout. But there are some who use the two following days for a relaxed, slow cardio session. This gives the lung a good workout and works great on the well-worn legs

Why Are My Calf Muscles Sore? Livestrong

But there has been surprisingly little science to support the practice. A 2004 review of icing-related studies published to that point concluded that while cold packs did seem to reduce pain in injured tissues, icing's overall effects on sore muscles had not been fully elucidated and far more study was needed. Related Delayed-onset muscle soreness (DOMS) is common if you've recently changed your routine or increased the intensity of your workout, and it's an indication that you need to dial back your routine. Soreness or stiffness in the three major muscle groups that make up the hamstrings is also especially common in individuals who sit for long periods 1. Tart Cherry Juice. Whirling cherry juice into your post-workout recovery drink may ease muscle soreness, according to a 2010 study published in the Scandinavian Journal of Medicine and Science. Calf tightness can also lead to weakness of the opposing muscle group, the tibialis group of muscles. This creates a muscle imbalance. If you have calf tightness, you may have other muscle imbalances as well. For example, you may have tight hamstring muscles since your calf muscles and hamstrings work together to help you get around

My calf looks bruised, and slightly swollen and very tight. My knee is 95% better but my calf is killing me. I can warm it up and walk normally for an hour or two but if I stop even for a few minutes it stiffens up. Getting up in the middle of the night is the worst. I have to hobble for a couple of minutes before I can even limp Nausea and Vomiting. The most common complication after general anesthesia is nausea and vomiting. Postoperative nausea and vomiting (PONV) are easier to prevent than treat. Medications can be used for prevention as well as for treatment Delayed Onset Muscle Soreness Called DOMS for short, this is the soreness you're probably most familiar with. It's what you feel when you get out of bed the next morning after a tough workout. What not to do: When your muscle is cramping, the worst thing you can do is flex it. Flexing that muscle only increases the strength of the cramp and. The worst bouts of pain may last as long as six months, because it's difficult to function without walking, yet walking keeps re-injuring the torn fibers. To understand why and how the calf became strained in the first place, you need to look at the total picture—including the person's full body alignment, habitual movement patterns, type. The following are some of the causes for leg pain at night: 1. Artery blockages are a serious reason for leg pain at night. Artery blockages (also known as peripheral artery disease) - Many people with poor circulation have leg pain when walking or calf pain when walking. This is called intermittent claudication

Muscle Soreness Mistakes That Make DOMS Worse Men's Healt

Any runner will tell you—out of all the possible injuries and pain that they've suffered from throughout the years, plantar fasciitis is one of the worst. From the sole of the foot all the way through the heel and up the back, this common injury has sidelined runners for months—and maybe even years The calf muscle is a name that is given to a group of muscles of the back part of the lower leg And what's worst of all, they can make it hard to stick to your exercise program. DOMS or delayed onset muscle soreness can be felt as stiffness and pain in the muscles for 24 to 72 hours after exercising Calf tightness isn't uncommon, especially if you sit at a desk or wear heels. Delayed-onset muscle soreness (DOMS) often comes along with swelling, which can restrict movement and make muscles.

The easy-to-remember acronym, WORST, (applicable to all joint surgery) teaches you the red flags to watch out for after surgery. How Much Pain After Back Surgery is Normal? Most of your healing from back surgery will take place during the first couple of months but bones can take a year or more to fully heal. As you leave the hospital. Most people, though, experience surgical pain for approximately two to four weeks following hip replacement surgery. Your activity level, medical history, and any pain you're dealing with before surgery have an effect on how long it will take you to make a full recovery After a year on 40mg of statins without any side effects, I suddenly got horrible pains in my calf muscles and groin. The pain was very local and sharp, as if my calf muscles had been hit with a baseball bat. It got worse by the week and couldn't walk without limping. After a while, I dreaded walking across the parking lot each day at work The pain is typically localized in the muscle itself, and it usually hurts when you use the muscle. You feel fatigued and may have trouble sleeping. Nerve pain is described as crushing, burning, tingling or numbness. It is sharp and you may feel pain on the skin above the nerves as well

What's The Problem: Here's what a recent study says about vitamin C: An excessive amount doesn't produce joint pain itself. But it can worsen the pain caused by osteoarthritis. That happens especially in cases of knee pain. However - normal doses of vitamin C are still considered safe even for OA patients The inflammatory muscle disorders are a group of rare diseases marked primarily by muscle inflammation and weakness. In general, muscle inflammation is referred to as myositis, regardless of the cause - however, myositis is frequently used as shorthand to refer to common causes of inflammatory muscle disorders or idiopathic inflammatory myopathies (IIM) Nocturnal leg cramps are a tight, knotted feeling that can last seconds or minutes. Learn more about the causes, diagnosis, treatment, and prevention of nocturnal leg cramps

Video: Dangerous Post-Workout Soreness Livestrong

Delayed Onset Muscle Soreness (DOMS): Symptoms, Causes

13 Hilarious After Leg Day Memes For People Who Really Train Legs. Anyone who trains legs knows that the days following leg day are the worst. Here's some humor to help alleviate the excruciating (but necessary) pain! It's easy to see why leg days are the most dreaded day of the workout week Those post-hike aches you're feeling might be due to simple muscle soreness. But they could also signal an injury, or an illness such as the flu or a common cold. In a worst-case scenario, they might also signal the onset of a tick- or mosquito-borne illness

Why Are My Muscles Sore 2 Days After Exercise? Right as Rai

With your hands on your hips and your knees straight, extend your right leg to the side, hold for two seconds, cross your right foot in front of your left, and hold for two seconds. Do 10 reps and. While doing calf muscle exercise, your foot and ankle are moving also. weak and tight calf, foot muscles, and plantar fascia may cause you an injury while doing calf strengthening. make sure to have stretching of your calf and foot muscles first b.. Technology : Targeted pressure and rigid mesh for the calf. Mechanism of action: Improves venous return and accelerates the elimination of toxins (CO 2, free radicals) accumulated in the calf. Dampens muscle vibration and oscillation. Benefits: Delays heavy legs and increases the threshold for fatigue. Reduces the onset of periostitis and DOMS A true muscle injury usually involves obvious trauma during intense effort, causing severe pain suddenly. If the muscle is truly torn, then use ice to take the edge off the inflammation at first. Once the worst is over, switch to heat

DOMS - Delayed Onset Muscle Soreness - Sportsinjuryclinic

Muscle soreness after exercise, called delayed-onset muscle soreness (DOMS), may cause significant changes in muscle function and may increase the risk of sports injuries. Therefore, various therapeutic strategies have been studied to help recovery after exercise. Jakyakgamcho-tang (JGT) is a widely prescribed herbal medicine to treat muscle pain and cramps in traditional Eastern medicine Sciatica is a classic cause of leg pain when walking and standing. The pain is described as shooting down the leg. It can be in the buttocks or in the back of the leg. But it can go all the way down to the calf. In fact, with sciatic leg pain it is often hard to find a position that is comfortable. Even in bed

How Sore is Too Sore? Post-Workout Soreness & Rhabdomyolysi

Symptoms. If you have a broken ankle, you may experience some of the following signs and symptoms: Immediate, throbbing pain. Swelling. Bruising. Tenderness. Deformity. Difficulty or pain with walking or bearing weight Some other suggestions for treating your Meniscus Tear include: Do the RICE method. Rest, Ice, Compression, and Elevation (RICE) are recommended for knee pain caused by a minor injury or an arthritis flare. Rest your knee, apply ice to alleviate pain, wear a compressive bandage to reduce swelling, and keep your knee elevated to promote.

Muscle soreness assessment. The level of muscle soreness was evaluated using a pain scale (Mundipharma GmbH, Limburg, Germany) that displays a visual analogue scale (VAS) of 100 mm on the front (0, no pain; 100, worst pain) and a numerical rating scale (NRS) on the back. Muscle soreness was assessed at baseline and 60 h after the exercise Symptoms include muscle soreness, but DOMS can also cause swelling and stiffness. Keep Track of Time The worst pain from DOMS typically occurs between 24 and 72 hours after the workout — meaning the worst pain may not come on until several days after the workout See your doctor as soon as possible if you have: Signs of infection, such as redness, warmth or tenderness, or you have a fever greater than100 F (37.8 C) A leg that is swollen, pale or unusually cool. Calf pain, particularly after prolonged sitting, such as on a long car trip or plane ride. Swelling in both legs along with breathing problems A groin pull -- or groin strain -- results from putting too much stress on muscles in your groin and thigh. If these muscles are tensed too forcefully or too suddenly, they can get over-stretched. A leg cramp is a pain that comes from a leg muscle. It is due to a muscle spasm, which occurs when a muscle contracts too hard. It usually occurs in a calf muscle, below and behind a knee. The small muscles of the feet are sometimes affected. A cramp pain typically lasts a few minutes