November 21, 2025

Why Muscle Cramping Isn’t Always a Nutrient Deficiency — The Hidden Neuromuscular Cause

Introduction

If you’ve ever had your calf lock up on a Don Valley Trail run or your hamstring cramp during a long day sitting at your Bay Street desk, you may have heard the usual advice: “Drink more water.” “You’re low in magnesium.”

But what if your cramps aren’t caused by a nutritional deficiency at all?

At my Toronto chiropractic clinic, I often see patients who have been supplementing electrolytes for months—with no change. Their real issue isn’t hydration or minerals. It’s a deeper problem: neuromuscular dysfunction affecting how the brain communicates with the muscle.

Today, I’ll break down why cramps often originate from faulty neuromuscular control, how I test for this using a simple hamstring assessment, and how NeuroStructural chiropractic adjustments and NeuroFunctional Acupuncture can restore proper muscle function.

The Problem: When a Muscle Cramp Isn’t About Electrolytes

Most people assume that cramps come from dehydration or low magnesium or potassium. While electrolyte imbalances can cause cramping, research from the Canadian Chiropractic Association notes that muscle spasms are frequently linked to muscle fatigue, nerve irritation, and altered neuromuscular control—not just electrolytes (CCA – Muscle Health).

The Government of Canada also acknowledges that while hydration and nutrition influence muscle performance, cramps often stem from neuromuscular fatigue and improper muscle firing patterns (Canada.ca – Muscle cramps).

So if you have been:

  • Drinking more water
  • Supplementing with magnesium
  • Increasing electrolytes
  • Stretching more

…and still feel your hamstring, calf, or foot tightening up, the real culprit may be nerve signalling, not what’s in your water bottle.

Expert Insight with Dr. Krekora: What I See When I Muscle-Test a “Cramping” Hamstring

One of the most common examples I use in the clinic is hamstring muscle testing.

What Most Patients Expect

They think their hamstring is “too tight,” “too short,” or “overused.”

What Often Actually Happens

When I perform manual muscle testing, the hamstring tests weak (often failing to hold against gentle resistance) and CRAMPS!

This weakness isn’t because the muscle is lacking strength. Instead, it’s a breakdown in communication between the nervous system and the muscle fibers.

This is what we call neuromuscular inhibition.

How That Leads to Cramping

When a muscle loses proper neural control:

  1. It becomes unstable
  2. It compensates
  3. It overfires
  4. It experiences sudden, painful cramping

This is why you might feel fine walking, but when you pick up the pace or change position, the muscle suddenly locks up.

Typical Patterns I See

  • Hamstring inhibited due to pelvic or lumbar joint dysfunction
  • Overactive hip flexors causing reciprocal inhibition
  • Sciatic nerve entrapment reducing signal quality
  • Poor glute activation forcing the hamstring to overwork
  • Postural strain from prolonged sitting in Downtown Toronto offices

This is why stretching alone rarely solves the issue.

You cannot stretch your way out of a neuromuscular problem.

How NeuroStructural Chiropractic Care Fixes the Root Cause

The goal of my NeuroStructural approach is simple:

Restore proper nerve-muscle communication so the muscle functions the way it’s supposed to.

1. Correcting the Underlying Joint Dysfunction

When spinal or pelvic joints are misaligned or not moving correctly, they irritate nearby nerves. These nerves control your muscles.

Adjustments restore normal joint mechanics, which:

  • Reduces nerve pressure
  • Improves proprioception
  • Enhances motor control
  • Decreases unnecessary muscle guarding

The Ontario Chiropractic Association highlights that proper spinal motion is essential for healthy neuromuscular function (OCA – Spine Health).

2. Re-Activating Weak or Inhibited Muscles Through Muscle Testing

After adjustments, I retest the muscle.

In many cases, the same hamstring that “locked up” now holds strong and stable against resistance.

This proves the cramp was neurological, not nutritional!

3. NeuroFunctional Acupuncture for Deeper Neuromuscular Reset

NeuroFunctional Acupuncture targets motor points, where nerves enter the muscle.

Stimulating these points improves:

  • Muscle activation
  • Blood flow
  • Neuromuscular junction efficiency
  • Pain modulation through central nervous system pathways

Current evidence shows motor-point acupuncture can reduce muscle hyperactivity and improve neuromuscular firing patterns (PubMed – Motor point needling).

In practice, I often combine acupuncture with adjustments to “reboot” the muscle system.

4. Restoring Functional Movement

Once the neuromuscular system is stable again, muscles stop cramping because they’re working efficiently—not fighting to compensate for instability.

Patients often report:

  • No more night cramps
  • No more tight hamstrings during cycling
  • No more calf spasms climbing the steep streets of Downtown Toronto
  • No more foot cramps during long commutes or TTC rides

The body simply works better when the nervous system controls the muscles properly.

Local Toronto Tips for Preventing Recurring Cramping

Here are practical recommendations I give patients in the city:

1. Take Micro-Breaks at Work

If you work long hours near the Financial District, sitting for extended periods weakens glutes and overloads hamstrings.

Try a 30-second standing reset every hour.

2. Warm Up Before Don Valley or Martin Goodman Trail Runs

Hamstrings love dynamic warm-ups:

  • leg swings
  • hip hinges
  • gentle accelerations

This preps the neuromuscular system—not just the muscles.

3. Strengthen Glutes, Don’t Just Stretch Hamstrings

Weak glutes cause hamstrings to over-engage and eventually cramp.

Try bridges or mini-band walks.

4. Prioritize Pelvic + Lumbar Mobility

Simple daily movements like cat-camel or pelvic tilts reduce nerve irritation from stiff spinal joints.

5. Get Assessed if Cramping Is Persistent

If cramps keep happening, don’t assume it’s hydration or magnesium.

A neuromuscular assessment can reveal the real issue.

Conclusion

Muscle cramps aren’t always caused by hydration or mineral deficiencies.

In many Toronto patients, the true source is neuromuscular dysfunction—a breakdown in communication between the brain, nerves, and muscles.

Through targeted NeuroStructural chiropractic adjustments, precise muscle testing, and NeuroFunctional Acupuncture, we can restore proper neuromuscular control and help your muscles function the way they were designed to.

Ready to find out whether your cramping has a neuromuscular root cause?

Book your free 20-minute case review today and start feeling 25 again.

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Disclaimer:

This article is for informational purposes only and should not be taken as medical advice. Please consult a licensed chiropractor before starting any treatment.