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Warning-sign checks

Charley horse: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services if leg pain or swelling occurs with shortness of breath, chest pain, coughing up blood, fainting, or a very fast heartbeat.

    A blood clot can sometimes travel to the lungs.

    Emergency assessment is also needed if a leg or foot suddenly becomes pale, cold, numb, or weak, particularly when severe pain is present.

    This may signal a sudden problem with blood flow.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek same-day medical care if one leg becomes swollen, red, warm, or unusually tender.

    These can be signs of a blood clot or infection rather than a simple cramp.

    Prompt care is also appropriate for severe pain after an injury or cramps with repeated vomiting, diarrhea, or signs of dehydration.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if cramps:

    • Happen often or are becoming more severe
    • Regularly interrupt sleep or daily activity
    • Do not improve with basic self-care
    • Began after starting or changing a medicine
    • Occur with ongoing weakness, numbness, or muscle loss

Every sign above is quoted from the sofidex article on Charley horse. If you are not sure, err upward — it is always reasonable to be checked.