The authors would like to acknowledge the collaborative efforts of the High Point University Sports Medicine and Strength & Conditioning departments. Specifically, the authors thank Will Sullivan (CSCS, MS) for his integral role in rehydration efforts that contributed to this athlete’s safe return to competition.
Author contributions
TW: Conceptualization, Investigation, Writing—original draft, Writing—review & editing. QH: Writing—review & editing. Both authors read and approved the submitted version.
Conflicts of interest
The authors declare that there are no conflicts of interest.
Ethical approval
All investigating authors/participants are certified by the Collaboration Institutional Training Initiative (CITI Program) for human subject research, ethics compliance, responsible conduct of research, and biomedical-basic research. This study was granted exemption by the Institutional Review Board of High Point University, IRB-FY2026-111. This study complies with the Declaration of Helsinki.
Consent to participate
Informed consent to participate in the study was obtained from the participant.
Consent to publication
Informed consent to publication was obtained from the participant.
Availability of data and materials
The datasets that support the findings of this case report are available from the corresponding author upon reasonable request.
Open Exploration maintains a neutral stance on jurisdictional claims in published institutional affiliations and maps. All opinions expressed in this article are the personal views of the author(s) and do not represent the stance of the editorial team or the publisher.
References
Schwellnus MP. Cause of Exercise Associated Muscle Cramps (EAMC)—altered neuromuscular control, dehydration or electrolyte depletion?Br J Sports Med. 2008;43:401–8. [DOI] [PubMed]
Nelson NL, Churilla JR. A narrative review of exercise-associated muscle cramps: Factors that contribute to neuromuscular fatigue and management implications.Muscle Nerve. 2016;54:177–85. [DOI] [PubMed]
Minetto MA, Holobar A, Botter A, Farina D. Origin and Development of Muscle Cramps.Exerc Sport Sci Rev. 2013;41:3–10. [DOI] [PubMed]
Khan SI, Burne JA. Reflex Inhibition of Normal Cramp Following Electrical Stimulation of the Muscle Tendon.J Neurophysiol. 2007;98:1102–7. [DOI] [PubMed]
Edouard P. Exercise associated muscle cramps: Discussion on causes, prevention and treatment.Sci Sports. 2014;29:299–305. [DOI]
Neumann DA. Kinesiology of the Hip: A Focus on Muscular Actions.J Orthop Sports Phys Ther. 2010;40:82–94. [DOI] [PubMed]
McKeon PO, Hertel J, Bramble D, Davis I. The foot core system: a new paradigm for understanding intrinsic foot muscle function.Br J Sports Med. 2015;49:290. [DOI] [PubMed]
Gattie E, Cleland JA, Snodgrass S. The Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta-analysis.J Orthop Sports Phys Ther. 2017;47:133–49. [DOI] [PubMed]
Perreault T, Dunning J, Butts R. The local twitch response during trigger point dry needling: Is it necessary for successful outcomes?J Bodyw Mov Ther. 2017;21:940–7. [DOI] [PubMed]
Kużdżał A, Trybulski R, Muracki J, Klich S, Clemente FM, Kawczyński A. Dry Needling in Sports and Sport Recovery: A Systematic Review with an Evidence Gap Map.Sports Med. 2025;55:811–44. [DOI] [PubMed] [PMC]
Miller KC, McDermott BP, Yeargin SW, Fiol A, Schwellnus MP. An Evidence-Based Review of the Pathophysiology, Treatment, and Prevention of Exercise-Associated Muscle Cramps.J Athl Train. 2021;57:5–15. [DOI] [PubMed] [PMC]
