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DEAR DR. ROACH: For the past few months, I have been training for a 160-mile bike ride. After almost every long ride (longer than three hours) I suffer the most excruciatingly painful cramps in my vastus medialis quad muscle. I am a 59-year-old male, a lifelong runner and have had quad, hamstring and calf cramps before, but I rate the pain from those cramps as 2-3 on a 1-10 pain scale. The inner-thigh cramps I’ve been getting are 9-10! I’ve almost passed out a couple of times. They always hit a few to several hours after the hard ride, sometimes in one leg, sometimes in the other, and once in both. They always occur when I’ve been sitting for a while and start to get up, or am bending over to put on shoes. I’ve tried “home” remedies such as eating Tums, eating mustard and drinking pickle juice. The pickle juice seems to help the most.