Muscle Cramps in Hemodialysis Patients: A Randomized Controlled Trial

Inclusion Criteria: * Receiving Hemodialysis Treatment: Patients who have been undergoing regular hemodialysis treatment for at least six months. History of Muscle Cramps: Patients who have experienced muscle cramps at least twice a week in the past month. Age Range: Between 18 and 75 years old. Must be able to swallow tablets Cognitive and Physical Suitability: Having the cognitive and physical capacity to understand and perform massage and progressive muscle relaxation exercises. Stable Cardiovascular Condition: No history of myocardial infarction or severe cardiovascular complications in the past three months. Stable Medical Condition: No acute or severe medical conditions other than dialysis treatment. Voluntary Participation: Signing the informed consent form after being fully informed about the study. Exclusion Criteria: Insulin dependent diabetes Thyroid disease Clinical diagnosis of Alzheimer's Disease * Neuromuscular Disorders: Presence of conditions such as multiple sclerosis, Parkinson's disease, or peripheral neuropathy. Severe Cardiovascular Diseases: History of myocardial infarction, congestive heart failure (NYHA class III-IV), or uncontrolled hypertension in the past three months. Severe Orthopedic or Rheumatic Conditions: Severe osteoarthritis, rheumatoid arthritis, or other chronic musculoskeletal disorders. Acute Infections or Inflammatory Conditions: Diagnosis of an active infection or inflammatory disease during the study period. Mental or Ps…