Patients with an acute leg cramp should forcefully stretch the affected muscle, as an example by active dorsiflexion of the foot with the knee extended, when the cramp is in the calf.

Some patients may also find relief from passive stretching by getting out of bed and standing with the foot flat on the floor then pressing downward firmly, although active dorsiflexion of the foot may be more effective.

Other measures that may offer relief from the acute cramp include:

• Walking or leg jiggling followed by leg elevation

• A hot shower with the stream directed at the cramp area of the body, usually for five minutes, or a warm tub bath

• Ice massage