Avoiding Muscle Cramps ...things I have learned ...the hard way
aka: bemoaning the gap in the market for really decent, safe, neurodivergent-suitable exercise ideas, options and problem-solving guidance.
Still hunting for good practice suggestions!
(This is not medical advice ...rather, my combined lived experience journal - gained from doing it "wrong" for far too many decades - as a result of being in receipt of ill-informed guidance - and now, I am trying to cut my own better-informed path towards avoiding the regular misery - daytime / nighttime - incurred through severe, lifelong, muscle cramps / spasms).
Managing muscle cramps involves a combination of gentle stretching, nervous system regulation, and lifestyle adjustments to avoid triggering muscle spasms.
Exercises should be gentle and tailored to avoid overexertion, which can trigger further cramps.
Examples Of Potential Gentle Exercises & Stretches for Dealing With Cramps;
Gentle Yoga & Yin Yoga: Specifically helpful for reducing muscle tightness without high-intensity stress. (Challenge: poor interoception / proprioception / vestibular, plus alexithymia really do not contribute to elegant group yoga session participation. Also, other fabulous Autism traits mean indoor / hot and humid / airless environments are my nemesis ... therefore, weather-permitting, outdoors is the way to proceed!).
Pilates: Recommended for maintaining strength without overtaxing the system. (Challenge: Pilates "machines" equipment sre a no-no, for me, as my hands are muscle-cramp/spasm-central. This doesn't strike whilst using the equipment, but later that day / the following day when it makes eating your meal - via gripping your knife and fork / chopsticks ...a painful / awkward / regression to instant toddler mode! Looking for YouTube video suggestions for beginner Pilates ideas to be practiced at home).
Walking or Swimming: Low-impact aerobic activities help keep the body moving without causing severe muscle strain. (Challenge: walking is my most accessible / successful exercise mode. I do find it necessary to under-dress for the weather when walking - carrying extra layers in a rucksack to don when I pause during a drink / snack. If I get my temperature control "wrong"; my hands swell and my face is beetroot - even though I feel absolutely fine, respiration is happy and I have zero cardiac issues - just plain "weird". Although, I love swimming, I have given it up -as my leg cramp is too much and I end up floating for ages in a Maltese Cross - until it passes - thereby, unhelpfully freaking out even pre warned Lifeguards, plus, my skin reacts too badly for days afterwards ...which is miserable itchy - but less so; on the rare chances I have to swim in the sea).
Calf Stretches: Stand facing a wall, leaning forward with one leg back and heel on the floor to stretch calf muscles. (Challenge: I can get cramp doing this - if it kicks-off - I find it more successful to persevere - but stepped away from the wall, feet level and shoulder-width apart. The alternative is gentle bicycle / static cycle work instead).
Qigong & Breathing Exercises: These help manage nervous system activity and reduce the stress that can lead to muscle tightness. (Challenge: when Qigong work goes well, it is great. However, I have, thankfully rarely, experienced neck cramp - pulls tongue too. I now can deal with this as a mind-game - a bit like free-diving. Two other issues - I have never managed to sustain Qigong work beyond 45 minutes per session, plus, if you experience an auditory shock mid-session all fight / flight systems go instantly "DEFCON 1" - well, I never professed to be "good" at it - Autism still rules OK?).
Resonant Breathing: Aim for 5 seconds in and 5 seconds out to help calm the nervous system.
Important Precautions: High-intensity exercise, for me, can easily trigger cramp. (Challenge: I used to enjoy running - but never jogging - so I have abandoned running. Was never "good" at it - but in common with cycling - running used to provide good proprioception input. I have tried warm jogger leggings - my next experiment will be trying walking / hiking in runners knee-length compression socks - if that goes well perhaps running might be the second experiment?).
Temperature Regulation: Avoid overheating, as heat is a common trigger. Exercise in a cool environment, use misting sprays, or wear breathable clothing. (Challenge: you know the first rule from the film "Fight Club"? Well, I strongly suspect the equivalent neurodivergent exercise-avoiding-cramp mantra ought to be: "temperature, temperature, temperature". Get this "wrong" ...and btw it can really vary in a dynamic disability manner, from one session to the next one; and you may as well just bunk-off / play truant / go AWOL ...time for an early coffee ...just pack a book too and gracefully accept that re-plan of your day!).
Avoid Triggers: Watch out for gym environments with strong, scented cleaning products or off-gassing rubber floors. (Challenge: I recently stood outside the front doors of a leisure centre / gym / swimming pool - as I was early for a session and wanted to avoid the noisy indoor environment while I waited. Epic fail. Every time the doors opened and someone walked outside - super-"fresh" from their shower and fragrance ...I got gassed into nausea mode. Autistic folk; do not loiter / lime near sports facility doors - you have been informed ...I am sure there ought to be a Baz Luhrmann lyric line on that topic - think of the song "Everybody's Free").
Stay Hydrated: Ensure adequate water intake, as dehydration can worsen cramps. (Challenge: many pundits will leap to promote electrolytes when you mention muscle cramps. While that is not a daft conversation - I do believe "hydration" - and the "right" type, volume and frequency for you and your particular day's activity level is often the more basic challenge for Autistic adults. It is not a given that we all reliably "know" when we are thirsty. I use smartphone pre-planned calendar notifications to nudge me into my next beverage break. For me, bookended around exercise - the drinks of choice are: tap water / milk. For me, the water is my prep and the milk is my repair. If milk is not an option e.g. due to climate / storage I would pair my "repair" water with some fruit and nuts to hopefully aid the rapid absorption of the water. Only once the "bookends" are suitably onboard ...would I graduate to a longed for coffee / tea - thereby, soothing the soul too!).
This is the sum total of my best endeavour - that which I have gleaned so far in life (re: how to exercise avoiding cramp - bad enough to mean multiple daytimes-worth of recovery / also being regularly awoken from deep sleep to find; both feet / legs are locked into painful "static stump mode". How to pick up a mug of coffee when your thumb is stubbornly locked over to your little finger? Dunno, that is a work in progress!).
However, I feel, for all my well-intentioned endeavour ...it is still woefully insufficient.
Inconvenient, excruciating, damaging; hand and leg muscle damage, in particular, is my regular existence - across all of my lifetime.
In my experience: GP's are generally never enthralled by this quest toward resolution ...I have totally given up mentioning it.
It can all make for a jolly-bonkers-MRI-saga though; with the: "remain completely still" - for ages ...muscles scream back at you: never! - or, "breath in and hold your breath" - and then the auditory-overwhelmed Autistic adult struggles to split out the later instruction of: "breathe normally" ...interoception is meanwhile asking of you: ...say, what? Cue: super-grumpy face - yeah, not surprising. Just concentrate on looking forward to something you actually like later on in the day.
Please do discuss; if you are similarly cramp-afflicted, or have some hints and tips to share about exercise types which you have found does not twang your muscles into an unofficial horror movie audition?