Patient presents with complaints of muscle cramps, muscle spasms, or muscle pain.  Onset of muscle cramping may be sudden or gradual, and the duration varies from seconds to minutes.  Location of muscle cramps includes but is not limited to calf muscles, hamstrings, quadriceps, foot, hand, or abdominal wall.  Severity of cramps ranges from mild discomfort to severe, debilitating pain.  Associated symptoms may include muscle twitching, muscle stiffness, muscle tenderness, or visible muscle contractions.  Potential contributing factors explored include dehydration, electrolyte imbalance (low potassium, low magnesium, low sodium), overuse or strain of muscles, prolonged exercise, medications (such as diuretics or statins), peripheral artery disease, nerve compression, or underlying medical conditions such as diabetes, thyroid disorders, or kidney disease.  Physical examination may reveal palpable muscle tightness, tenderness to palpation, or trigger points.  Diagnostic evaluation may include blood tests to assess electrolyte levels, metabolic panel, or thyroid function tests.  Differential diagnoses considered include restless legs syndrome, tetany, dystonia, or claudication.  Treatment plan may include muscle stretching, gentle massage, application of heat or cold packs, hydration with electrolyte-rich fluids, over-the-counter pain relievers (such as ibuprofen or naproxen), prescription muscle relaxants, or addressing underlying medical conditions.  Patient education provided on proper hydration, stretching techniques, and potential triggers to avoid.  Follow-up as needed to monitor symptom resolution and adjust treatment plan accordingly.