
Why do middle-aged and elderly people with hypertension experience muscle cramps in their hands and feet?
I am getting older, and have suffered from hypertension in recent years that has remained persistently high. I would like to ask, what is the reason for frequent muscle cramps in my hands and feet?

Hypertension itself may not directly cause muscle cramps. However, in middle-aged and elderly individuals with hypertension who experience cramps in their hands and feet, possible reasons include:
1. Hypertension itself can cause blood vessels to constrict, restricting normal blood flow, which may result in insufficient oxygen and nutrients reaching the muscles of the hands and feet, thus making cramps more likely.
2. Electrolyte imbalance: Patients with hypertension may experience reduced levels of electrolytes such as potassium and magnesium due to dietary restrictions or increased urination. These electrolytes are important for proper muscle function, and deficiencies can easily trigger muscle cramps.
3. Elderly individuals may have impaired calcium absorption, leading to hypocalcemia, which is also a significant cause of hand and foot cramps. Calcium ions help maintain stable nerve and muscle function, and calcium deficiency can increase the excitability of nerves and muscles, resulting in cramps.
4. Side effects of medications: Some antihypertensive drugs, such as calcium channel blockers and diuretics, while helpful in controlling blood pressure, may cause muscle cramps as a side effect.
If you have any concerns, it is recommended to seek medical attention promptly.