{"componentChunkName":"component---plugins-precisionhydration-src-templates-blog-blog-post-jsx","path":"/performance-advice/hydration/how-to-get-rid-of-leg-cramp-why-do-i-suffer-from-cramp/","result":{"data":{"site":{"siteMetadata":{"title":"Precision Fuel & Hydration","siteUrl":"https://www.precisionhydration.com"}},"contentfulBlogPost":{"noIndex":false,"updatedAt":"2026-03-23T15:42:23.2323+00:00","publishDate":"2017-03-15T00:00:00.000+00:00","title":"Why do athletes suffer from cramp?","customMetaTitle":"Why do athletes suffer from cramp? How to get rid of cramp?","customMetaDescription":{"customMetaDescription":"Cramping is very common amongst athletes. Here's the latest research on why cramps occur and some practical advice on how to get rid of exercise-related cramp.","childMarkdownRemark":{"html":"

Cramping is very common amongst athletes. Here's the latest research on why cramps occur and some practical advice on how to get rid of exercise-related cramp.

"}},"slug":"how-to-get-rid-of-leg-cramp-why-do-i-suffer-from-cramp","blogTags":"Hydration","featuredPost":true,"author":{"name":"Andy Blow","slug":"andy-blow","facebookHandle":"https://www.facebook.com/andy.blow.3","twitterHandle":"https://twitter.com/andybl0w?lang=en","instagramHandle":"https://www.instagram.com/andyblow","linkedInProfile":"https://uk.linkedin.com/in/andy-blow-47b90133","stravaProfile":"https://www.strava.com/athletes/6999012","bio":{"childMarkdownRemark":{"html":"

Andy Blow is a Sports Scientist with a BSc Honours degree in Sports and Exercise Science from the University of Bath. An expert in hydration, he has co-authored a number of scientific studies and books.

\n

He was once the Team Sports Scientist for the Benetton and Renault Formula 1 teams and remains an adviser to the Porsche Human Performance Centre at Silverstone.

\n

Andy has finished in the top 10 of IRONMAN and IRONMAN 70.3 races, as well as winning an XTERRA Age Group World title. It was his own struggles with cramp that led to him specialising in hydration and founding Precision Fuel & Hydration.

"}},"title":"PF&H Founder and Sports Scientist","headshot":{"file":{"url":"//images.ctfassets.net/428xzyjdw7rf/2LTns8O1ZGOHSfDQGv2jZz/f6470d62f0c1f14e7239432f60a0b765/Andy.png"}}},"scientificallyReviewed":null,"image":{"resize":{"src":"//images.ctfassets.net/428xzyjdw7rf/1B9T7kCDzQuAzhG9Oq91Di/8eef4883568fec66f79c07fc0aeefaaa/why_do_athletes_suffer_from_cramp.webp?w=1200&h=630&q=70&fit=fill","width":1200,"height":630}},"socialMediaImage":{"resize":{"src":"//images.ctfassets.net/428xzyjdw7rf/7qC0oML3xP3WB97x1oPmLF/31e36ab4e0ade122b91a85090796e96a/resized-PH_Key_Blog_thumbnail_-_Cramp.webp?w=1200&h=630&fl=progressive&q=90&fm=jpg&fit=fill","width":1200,"height":630}},"body":{"childMarkdownRemark":{"excerpt":"The causes of muscle cramp in athletes remain a contentious issue in the scientific world. We've taken a look at the competing theories of cramp, the major…","html":"

The causes of muscle cramp in athletes remain a contentious issue in the scientific world. We've taken a look at the competing theories of cramp, the major studies and detailed the methods that can help alleviate the symptoms of cramp...

\n
\n

Definition of muscle cramp

\n

I have a strong personal interest in the subject of exercise-associated muscle cramps (EAMC) because I used to be a chronic sufferer back when I was competing. 

\n

For as long as I can remember I seem to have been especially susceptible to ‘painful involuntary spasmodic contractions of my muscles - to borrow a phrase from the dictionary definition - to the point where cramps ruined numerous important races for me.

\n

I’ve also been plagued with horrible contractions in my legs that have woken me up during the night after hard training sessions, and on one memorable occasion cramp even cost me a chicken tikka masala curry when an extremely violent hamstring spasm made me kick over my table during a quiet meal after a race.

\n

Despite the fact that muscle cramps are a very common phenomenon and that they have been widely studied, no-one really knows the full story about cramp yet.

\n

In spite of this, over the last ten years or so I seem to have largely got on top of my issues with cramp. This has come through modifying my behaviour, hydration strategy, diet and expectations of my body, based on what I’ve learned through a combination of reading and personal experimentation. 

\n

So, if you're a fellow cramper, there may be hope. Here is some of the science behind cramp and strategies that I've picked up along the way, in case they help you win your own war on cramp. If you want to skip past the science to the potential solutions, just click here (I won't hold it against you).

\n

What causes exercise associated cramps?

\n

In the research world there are essentially two competing theories of what causes EAMC...

\n

\n
Image credit: Desiree N. Palacios via JBSA©.

\n

The ‘Dehydration/Electrolyte Theory’

\n

This theory is probably the oldest. It speculates that a significant disturbance in fluid or electrolyte balance, usually due to a reduction in total body exchangeable sodium stores, causes a contraction of the interstitial fluid compartment around muscles and a misfiring of nerve impulses, leading to cramp.

\n

In simpler terms, if you lose a lot of sodium and don’t replace it (as is common when you sweat a lot), it can cause fluid shifts in the body that, in turn, cause cramps.

\n

This theory is predominantly based on plenty of case studies, observational data, anecdotes and expert opinion (what scientists call ‘level 4 and 5 evidence’). So, although there’s a decent amount of circumstantial weight behind it, it lacks the more “concrete proof” of data from large-scale randomised controlled trials (RCTs), which is rightly considered necessary by proponents of evidence-based practice for it to be widely accepted as anything approaching ‘fact’.

\n

Having said that, a lab-based study found that the severity of cramps experienced by athletes was reduced when they’d taken a sodium rather than a placebo drink, whilst a 2021 study found that participants who drank water containing electrolytes were less likely to develop muscle cramps after a workout.

\n

The ‘Neuromuscular Theory’

\n

This more recent theory proposes that muscle overload and neuromuscular fatigue are the root causes of EAMC. The hypothesis is that fatigue contributes to an imbalance between excitatory impulses from muscle spindles and inhibitory impulses from Golgi Tendon Organs (part of the muscle responsible for telling it to relax), and that this results in a localised muscle cramp. 

\n

In other words, muscles tend to cramp specifically when they are overworked and fatigued due to being unable to relax (electrical misfiring).

\n

This theory is much better suited to being tested in a lab (where researchers can ‘excite’ muscles with electrical stimuli and provoke muscle cramps to measure what is happening at an electrical level) and so there’s arguably more robust laboratory data to support it than is the case for the Dehydration/Electrolyte depletion model.

\n

One big factor that does appear to support the neuromuscular theory is that stopping and stretching affected muscles is a pretty universally effective method to fix a cramp when it is actually happening. What stretching does is put the muscle under tension, invoking afferent activity from the Golgi Tendon Organs and causing the cramp to dissipate.

\n

Scientific studies of cramp

\n

Studies in this area that looked at the general electrical activity of muscles (EMG) have also shown increased baseline levels of excitatory activity in fatigued muscles right between bouts of cramping - as if the muscles are firing away more excitedly than they should and ‘close’ to cramping even when they are not. Again this tends to support the conclusion that fatigue is somehow causing problems for the muscle to relax so are often cited to back up this theory.

\n

Field studies that have failed to find major differences in the blood electrolyte profiles of athletes getting cramps during events like triathlons and marathons are often cited to dismiss the dehydration/electrolyte theory. This is essentially saying that if there’s no difference in blood electrolyte levels between crampers and non-crampers then it cannot be an influencing factor.

\n

Unfortunately what these studies tend to overlook is the fact that blood electrolyte levels can be quite stable in athletes in the face of vastly different levels of total sweat and sodium loss.

\n

Since the body protects sodium concentration in the blood at the expense of sodium in other parts of the body (e.g. muscles) when sweat losses are high, seeing similar blood sodium concentrations in crampers and non-crampers is not necessarily indicative of anything and could even be a bit misleading in the context of the bigger picture. 

\n

This is the case in a study published in 2026 which analysed medical records from nearly 50,000 IRONMAN World Championship athletes over 30 years and found cramping athletes to have similar blood sodium and potassium levels to non-cramping athletes despite a significant difference in body mass (crampers: -1.95kg; non-crampers: -1.49) and thus blood volume. The authors conclude that in their dataset, blood sodium concentrations are not a risk factor in EAMCs; however, they fail to acknowledge the roles of net sodium loss (which could differ drastically between salty and non-salty sweaters) and the likelihood that sodium is being drawn from other areas of the body to maintain blood sodium concentration, potentially at the expense of hydration status at the muscle level.

\n

In one of the major studies often cited in this area, researchers found that crampers ended an ultra-marathon race with lower serum sodium values than non-crampers, but they deemed the difference ‘not clinically significant’ even if it was statistically different… and I think that this evidence can be viewed in different ways, depending on your predisposition!

\n

At this point it’s important to steer your thinking away from this being a binary - ‘one or the other’ - argument between two competing ideas, even though this is how the topic of cramping is commonly presented in both the scientific and mass media. 

\n

As no one definitively knows what’s going on with EAMC yet, focusing on a polarised argument between two incomplete, yet collaborative theories is a lot less productive than looking at the bigger picture and considering the merits of both theories and the actionable advice they have to offer.

\n

\n
Image credit: Pexels (copyright free).

\n

The historical view of cramp

\n

Back in the early 1900s cramp was more commonly viewed as a productivity issue for manual labourers doing hard physical work in hot environments, rather than as an inconvenience to athletes.

\n

Between the 1920s and 1950s there were numerous documented cases of miners, construction workers, stokers, foundry workers and military personnel all suffering muscle cramps in hot conditions. Instances were usually associated with high sweat losses and sometimes with consumption of large quantities of water at the same time.

\n

Different groups of doctors and researchers took notes on numerous case studies around this time and some conducted rudimentary field tests. Whilst it’s fair to say that the research efforts were not anywhere near as rigorously structured as modern clinical trials, they did elicit a pretty universal consensus. That was that providing workers with adequate sodium chloride (salt) along with drinking water to help them replace what was being sweated out was quite effective in treating or preventing many cases of cramps.

\n

The general feeling at the time is neatly summed up in the conclusion of a 1945 paper entitled ‘The Therapeutic use of Sodium Chloride in Industry’ in the British Journal of Industrial Medicine…

\n
\n

“Excessive sweat is accompanied by abnormal loss of sodium chloride through the skin. Fluid replacement is necessary and should include sufficient sodium chloride, otherwise the individual will suffer from fatigue, cramp, or collapse…A suitable preparation of sodium chloride in tablet form is described…After extensive trial this has proved satisfactory in the prevention of fatigue and other symptoms due to excessive heat.”

\n
\n

It was this kind of work that inevitably shaped our early understanding of EAMC in relation to athletes.

\n

These days it’s become quite fashionable for commentators seeking to ‘disprove’ the Dehydration/Electrolyte theory of EAMC to play down this early work in industrial medicine around salt and cramping as dated, flimsy and insignificant. This is especially true for staunch supporters of the neuromuscular theory. However, having read (and re-read) most of the work available from the era, I’m far from convinced that it deserves to be so easily dismissed.

\n

I actually feel that playing it down as ‘old hat’ is perhaps just a convenient (or even slightly lazy) way of dealing with evidence that is otherwise incongruent with a more contemporary - but not necessarily more correct - way of thinking.

\n

In addition to the early work on industrial workers, there are a few other perspectives on electrolyte balance and cramping that are worth highlighting here too. These, in their own way, add some credence to the idea that it’s still relevant...

\n

The Salt Deprivation Study

\n

The first is a classic study on salt depletion that was carried out by a pioneering doctor - R.A McCance - in the 1930s. McCance was a hands-on type of researcher and was intrigued by the question of what would happen to the human body if it was depleted of salt but not fluid (numerous studies into dehydration had already been undertaken by then). He organised a study using himself and a couple of colleagues as test subjects.

\n

Essentially what McCance and his co-workers did was subject themselves to an incredibly low salt diet. Along with their salt-free food, the subjects drank plenty of water and took hot baths to increase sweat output and accelerate salt loss. They found that when salt depletion started to kick in it quickly led to...

\n
\n

 “…aberrations of flavour, cramps, weakness, lassitude, and severe cardio-respiratory distress on exertion.\"

\n
\n

Interestingly, as soon as the test subjects reintroduced salt into their systems (eating bacon and drinking the fat from the pan I might add) their recovery from symptoms - including the absence of further cramping - was ‘dramatic’ with effects being felt within 15 minutes of ingestion of the salty meal.

\n

This experience in particular - cramps disappearing soon after salt ingestion - is completely consistent with my own experiences in very long and hot triathlons when I had become salt depleted due to heavy sweating, so it definitely struck a chord with me when I first read it.

\n

It's also congruent with lots of other anecdotal evidence coming from athletes who train or compete in similar conditions of heavy sweat loss, but more on that later.

\n

\n
Image credit: Quang Nguyen Ven via Pexels (copyright free).

\n

Hyponatremia and cramp

\n

Another notable example of electrolyte disturbance associated with cramping can be found in case reports of people suffering with hyponatremia, especially when this occurs around exercise.

\n

Hyponatremia is a condition where blood sodium levels fall lower than they should be due to dilution by over-consumption of water, excessive loss of sodium from the body, or both together as is common amongst athletes.

\n

Cramping is often listed as a general symptom of hyponatremia in medical texts and there are case study reports in the literature such as one involving a UK serviceman who suffered cramps and collapsed whilst running in the heat in Saudi Arabia in 1991. He was successfully treated with intravenous saline (salt) solution and made a full recovery in the short term, but was later found out to have undiagnosed Cystic Fibrosis (CF) - a condition in which sufferers lose very large amounts of salt in their sweat.

\n

It seems likely that this high rate of salt loss could have pre-disposed him to losing more salt than others doing the same exercise (who did not cramp and collapse) and contributed to him suffering the cramps and fatigue on more than one occasion when exercising in hot conditions.

\n

Aside from this individual case, it's well known that CF sufferers can struggle with exercise in the heat, at least in part due to their elevated levels of salt and fluid loss through very salty sweating.

\n

Athletic case studies and cramp anecdotes from the real world

\n

There are a large number of case studies, observations and anecdotal reports from athletes whose cramping problems seem to be directly related to times when fluid and sodium balance are significantly disrupted due to heavy sweating.

\n

For example, in 1996 Dr Michael Bergeron documented a case study (in the International Journal of Sport Nutrition and Exercise Metabolism) of a tennis player who often suffered with cramps during tournaments. Having ascertained that this player had a high sweat rate and was calculated to be unlikely to be replacing his sodium losses via his normal diet, he was prescribed an increased salt intake. The conclusion of the study was that...

\n
\n

“[The Player] was ultimately able to eliminate heat cramps during competition and training by increasing his daily dietary intake of sodium.”

\n
\n

In 2020, a study of a 17-year-old American Football player with a history of Cystic Fibrosis and hyponatremic seizure emphasised the importance of planning nutrition and hydration. The player had previously struggled with severe muscle cramping issues during his previous two seasons, but he got through an entire season with minimal cramp symptoms after establishing an appropriate electrolyte replacement and hydration plan.

\n

Most notably, the previously mentioned Nilssen et al (2026) study which analysed 30 years of Kona medical reports in the largest ever review of cramping in triathlon. The authors maintained that cramps are multifactorial but did suggest that dehydration plays a key part in their occurrence. Athletes who presented with cramping experienced a significantly greater decrease in body weight than those who didn’t; in fact, 43.8% of athletes with EAMC were also diagnosed with dehydration.

\n

At Precision Fuel & Hydration we carry out an Annual Cramp Survey of athletes who've reported that they have suffered from muscle cramps at one time or another. Of the survey respondents, many said that they had found that supplementing with sodium or salt during exercise had helped them manage or eliminate EAMCs.

\n

As alluded to earlier, I also personally suffered through many long and hot triathlon races with debilitating cramps slowing me down during the run leg, or kicking in post race. 

\n

Through simple trial and error I gradually learned to consume plenty of sodium before the race and during the bike section (usually in the form of salt capsules) and found this to be extremely effective at not only reducing my cramping symptoms dramatically, but also helping overall performance in the latter stages of events.

\n

Subsequently I also learned that I lose very large amounts of sodium in my sweat (approaching the levels that some Cystic Fibrosis sufferers lose) and that this is likely to have contributed to my issues.

\n

Whilst I could go on with more of these kinds of examples from different sports and athletes, it’s probably better to stop at this point and move on at the risk of getting repetitive. The bottom line is that there are a lot of examples out in the real world of people losing a lot of salt (often via sweating) and suffering cramps as a result and that, very often, increasing their intake of salt (or sodium in other forms) seems to provide relief, or even prevents cramps from happening in the first place.

\n

Of course, the big problem with case studies, observations and anecdotes is that they can fail to paint a truly complete picture of what is really going on, because they can be influenced by bias, lack control groups and can fail to account for the placebo effect. 

\n

It has also been pointed out that not all cramps can be traced back to sodium loss (think about cramps that occur in cool conditions or at times when sweat losses are not significant) and that not all cramps respond to increased sodium intake. This is one big reason that the Neuromuscular Theory has been developed to try to fill in the gaps where sodium loss does not provide an adequate explanation for what is likely to be going on.

\n

Rather than focusing on one theory, cramping expert Dr Kevin Miller proposed a multi-factorial model of EAMC in 2022. He suggested:

\n
\n

Cramping is like a recipe - my recipe for cramping might be very different to yours. So, to say that cramping is caused by a single thing is an oversimplification of a complex phenomenon.

\n
\n

Kevin has hit the nail on the head. So, understanding your recipe for cramping will likely help you find a suitable way to alleviate your symptoms...

\n

How to alleviate the symptoms of cramp

\n

One thing that makes cramping so difficult to understand is that it remains a stubbornly fickle and unpredictable phenomenon to pin down and study properly. This is one reason why evidence for both the Dehydration/Electrolyte theory and the Neuromuscular theory is often not as robust as it could be.

\n

A 2019 review paper argues that there's no definitive cause of cramp, but rather different causes for different types of cramp. The authors suggest it isn't necessary to know the cause to find a treatment and that maybe more time and energy needs to be spent trying to treat / prevent EAMC.

\n

Although I tended to cramp a lot when I was competing, especially in longer and hotter races, it didn’t happen every single race and it was relatively rare that it would occur in training. And this is the case for a lot of other athletes; cramps happen from time to time, but not all the time - so zeroing in on causative factors and cures can be tricky.

\n

\n
Image credit: Jon Candy via Creative Commons (copyright free).

\n

The bottom line appears to be that muscle cramps are likely to have multiple causes including, but not limited to, electrolyte imbalances and neuromuscular fatigue and that, as a result, it’s likely that multiple interventions are likely to be needed to try to eliminate these ‘different flavours’ of cramp. At Precision Fuel & Hydration we surveyed hundreds of athletes who reported suffering from cramp and more than 85% of them had tried more than one method in an attempt to alleviate the issue.

\n

Does pickle juice fix cramp?

\n

In the last five years or so (and somewhat connected with the rise of the neuromuscular theory) there has been a lot of interest in the use of compounds that can stimulate something in the mouth called ‘transient receptor potential (TRP) channels’ and the possible effects these might have on cramping muscles.

\n

TRP channels connect the mouth into the central nervous system and the hypothesis is that stimulating these receptors somehow causes a ‘jolt’ reaction down the nerves that disrupts the signals that are causing a cramp.

\n

Substances that stimulate TRP channels are things like wasabi, mustard oil and other pungent spices and it’s thought that this is where the idea of using pickle juice to cure muscle cramps (a common practice in the USA in particular) comes from. Pickle juice contains acetic acid and it’s believed to be this (rather than the high levels of sodium or potassium in it) that stimulates the TRP receptors and helps relieve cramps.

\n

This would explain why cramps have sometimes been shown to be relieved almost instantly when pickle juice is ingested (the nerve stimulation happens almost instantly, whereas the sodium in it takes several minutes to travel to the gut and to be absorbed into the blood). It’s also consistent with the general idea that the root cause of some cramp is found in the nervous system rather than solely an electrolyte imbalance. 

\n

There is no ‘magic bullet’ available to kill off muscle cramping at the moment and it doesn’t look like there will be one coming anytime soon.

\n

However, if you’re not inclined to sit around twiddling your thumbs waiting for science to deliver in its own sweet time, there are a few things you might want to try if you are a cramper and want to try to get on top of the issue…

\n

Increase your sodium intake

\n

Based on my own experiences and the historical evidence I absolutely think it’s worth looking at your sodium intake in relation to your sweat output. It’s a cheap and simple exercise and has little downside to it. It’s certainly a good idea if your cramps tend to occur during or after periods of heavy sweating, in hot weather, late on during longer activities or if you generally eat a low sodium (or low carb) diet.

\n

One note of caution: if you do take on additional sodium, especially in the form of electrolyte drinks, make sure they are strong enough to make a real difference. Most sports drinks are extremely light on electrolytes (despite the claims they make on their labels), containing only about 300-500mg sodium per litre (32oz). 

\n

Human sweat, on average, comes in at over 900mg of sodium per litre (32oz), and at Precision Fuel & Hydration we often measure athletes losing over 1500mg per litre (including myself) through our Sweat Test. It’s therefore a good idea to look for upwards of 1000mg sodium per litre in a drink and over 1500mg per litre if you suspect you are a particularly ‘salty sweater’. A good way to see where this should fit into the rest of your hydration strategy is by taking our free Fuel & Hydration Planner.

\n

If you’re consuming salt or sodium separate to your fluids, in foods or capsule form, aim for a similar ratio (i.e. 1000-1500mg sodium along with each litre of water you drink) and remember that table salt (NaCl) is only 39% sodium (the other 61% is chloride), so you need ~3g of salt to give you ~1170mg of sodium.

\n

Take the extra sodium in the hours immediately before and during activities that normally result in cramping and see how you get on (there's a specific protocol laid out in this blog I wrote about how to start hydrated). You’ll know pretty quickly if this is effective or not, and can fine-tune your dosage to balance cramp prevention with keeping your stomach happy over time (really excessive salt or sodium intake can cause nausea).

\n

When I first started taking in additional sodium before and during long, hot triathlon races the effect was immediate and dramatic. I went from cramping up almost every time, to almost never having problems again. I ended up settling on a regime of consuming at least 1,500mg of sodium per litre during long races (I lose a lot of salt in my sweat, 1,842mg/l in fact) and also found that taking this amount eliminated post-race cramping almost entirely as well.

\n

Reduce fatigue

\n

Because it seems highly likely that fatigue is also implicated in cramping, finding ways to minimise this is also logical. As obvious as many of them may sound, try to make sure you tick all of the following boxes to ensure you’re not overloading your body excessively…

\n\n

Other strategies

\n

Other strategies that are far from proven, but that either make intuitive sense or have been used by athletes in the war on cramp include…

\n\n

Although none of these are likely to offer a complete solution they are generally accessible, inexpensive and may even benefit performance in other ways, so there would seem to be little downside to giving them a try.

\n

Hopefully this overview of the major theories on what causes Exercise Associated Muscle Cramp have left you feeling better equipped to fight your own war on cramp.

\n

For those who are interested, there’s another great summary of the topic you can delve into here.

\n

Further Reading

\n","timeToRead":20,"headings":[{"depth":3,"value":"Definition of muscle cramp"},{"depth":3,"value":"What causes exercise associated cramps?"},{"depth":4,"value":"The ‘Dehydration/Electrolyte Theory’"},{"depth":4,"value":"The ‘Neuromuscular Theory’"},{"depth":3,"value":"Scientific studies of cramp"},{"depth":4,"value":"The historical view of cramp"},{"depth":4,"value":"The Salt Deprivation Study"},{"depth":4,"value":"Hyponatremia and cramp"},{"depth":4,"value":"Athletic case studies and cramp anecdotes from the real world"},{"depth":3,"value":"How to alleviate the symptoms of cramp"},{"depth":4,"value":"Does pickle juice fix cramp?"},{"depth":4,"value":"Increase your sodium intake"},{"depth":4,"value":"Reduce fatigue"},{"depth":4,"value":"Other strategies"},{"depth":3,"value":"Further Reading"}]}},"reviewer":{"name":"Dr Tamara Hew-Butler","slug":"dr-tamara-hew-butler","title":null,"bio":{"childMarkdownRemark":{"html":"

Exercise Physiologist and Professor

\n

Experience

\n

Dr Tamara Hew-Butler is an Exercise Physiologist and Associate Professor of Exercise and Sports Science at Wayne State University in Detroit, Michigan.

\n

She is a Fellow of the American College of Sports Medicine (FACSM) and specializes in both sports medicine and exercise physiology.

\n

Her expertise is in exercise-associated hyponatremia and the endocrine regulation of water and sodium balance.

\n

She has published over 80 scientific articles and her work has been highlighted on radio shows (Science Friday, National Public Radio), television (The Weather Channel), podcasts (CJSM), newspapers (New York Times, Washington Post, CNN), a comic strip (xkcd) and reality television show (Adam Ruins Everything).

\n

Dr Hew-Butler is an avid runner and sports fan. She enjoys spending time with her husband, Bill, and pet ducks on their 10-acre hobby farm. 

\n

Education

\n

Tamara obtained her BS in Kinesiology at the University of California at Los Angeles, CA. As well as her Doctor of Podiatric Medicine (DPM) at Temple University in Philadelphia, PA; and her Philosophy Doctor (PhD) at the University of Cape Town, South Africa.

\n

Published Work

\n

With more than 80 published scientific works to her name, Dr Tamara Hew-Butler is a leading figure in the field of hydration and hyponatremia.

\n

Considering exercise-associated hyponatremia as a continuum (BMJ Case Reports, 2018)

\n

Exercise associated hyponatremia: 2017 update (Frontiers in Medicine, Lausanne)

"}},"headshot":{"file":{"url":"//images.ctfassets.net/428xzyjdw7rf/3iHYU8HSGsxA39HcukzuOK/e2520913238f3e4a90e98c077c31a392/ezgif_opt.jpg"},"fixed":{"base64":"data:image/jpeg;base64,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","width":75,"height":50,"src":"//images.ctfassets.net/428xzyjdw7rf/3iHYU8HSGsxA39HcukzuOK/e2520913238f3e4a90e98c077c31a392/ezgif_opt.jpg?w=75&q=90","srcSet":"//images.ctfassets.net/428xzyjdw7rf/3iHYU8HSGsxA39HcukzuOK/e2520913238f3e4a90e98c077c31a392/ezgif_opt.jpg?w=75&h=50&q=90 1x,\n//images.ctfassets.net/428xzyjdw7rf/3iHYU8HSGsxA39HcukzuOK/e2520913238f3e4a90e98c077c31a392/ezgif_opt.jpg?w=113&h=75&q=90 1.5x,\n//images.ctfassets.net/428xzyjdw7rf/3iHYU8HSGsxA39HcukzuOK/e2520913238f3e4a90e98c077c31a392/ezgif_opt.jpg?w=150&h=100&q=90 2x,\n//images.ctfassets.net/428xzyjdw7rf/3iHYU8HSGsxA39HcukzuOK/e2520913238f3e4a90e98c077c31a392/ezgif_opt.jpg?w=225&h=150&q=90 3x"}}}}},"pageContext":{"slug":"how-to-get-rid-of-leg-cramp-why-do-i-suffer-from-cramp","noIndex":false}},"staticQueryHashes":["1095528202","1204021508","142052947","1485196607","1527722960","2488678560","266977044","2746441856","2932112381","3035445994","3266792109","3683832922","3998591504","4055654595","4087350428","473255425","608825219","657160472"]}