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In the Spotlight

March 16, 2000

Restless Legs Syndrome: Tips To Alleviate Those Nighttime Aches

By Michael Woo-Ming M.D., MPH
Personal MD.com
Contributing Editor

 

Yes, there actually is such a thing called Restless Legs Syndrome (RLS). Known as a contributing cause to insomnia, Restless Legs Syndrome afflicts thousands of Americans daily. Luckily there are things you can do to get a more restful sleep.

What is it?

Restless Legs Syndrome is characterized by tingling and aching sensations of the lower legs that usually occur when sleeping or sitting down. Remarkably, these aches get better when walking or getting up to stand. People generally don't complain about pain, but have the feeling that they need to constantly move their legs.

Involuntary jerking of the legs may occur in sleep or while awake. And despite the name, it can affect the arms as well. These symptoms often get worse at night, leading to daytime sleepiness.

Common Characteristics of Restless Legs Syndrome

Some common symptoms of RLS include:

  • Unpleasant sensations in the legs (sometimes the arms as well), often described as creeping, crawling, tingling, pulling, or painful
  • Leg sensations that are relieved by walking, stretching, knee bends, massage, or hot or cold baths
  • Leg discomfort occurs when lying down or sitting for prolonged periods of time
  • The symptoms are worse in the evening and during the night

Other possible characteristics include:

  • Involuntary leg (and occasionally arm) movements while asleep
  • Difficulty falling asleep or staying asleep
  • Sleepiness or fatigue during the daytime
  • Cause of the leg discomfort not detected by medical tests
  • Family members with similar symptoms
Source: National Institutes of Health, National Heart, Lung, and Blood Institute

What causes it?

Doctor's really don't know what causes Restless Legs Syndrome. Most researchers believe it is based on malfunctioning nerves.

We do know it tends to occur more often in families, and it is more prevalent in middle-aged people (over age 40), and in women. Other common traits include complaints of "growing pains" during puberty, and pregnancy.

How is it diagnosed?

According to the Restless Legs Foundation, this syndrome is often misdiagnosed. Symptoms are usually attributed to arthritis, leg cramps, or a simple result of aging. Laboratory tests may be ordered as vitamin and iron deficiencies, anemia, and urinary tract infections can all contribute to this disorder.

How is it treated?

Levodopa, a medicine used to treat Parkinson's Disease, is often given in the treatment of RLS, as well as other medications such as bromocriptine which is classified as a dopamine receptor agonist. Narcotic analgesics and antidepressant medications may also be prescribed.

What can I do if I have Restless Leg Syndrome?

There are a number of things you can do if you suffer from Restless Legs Syndrome. One hallmark of treatment includes improving sleep hygiene. This means going to bed at regular times, minimizing stimuli for sleep, and avoiding eating or drinking before turning in. (Take the Sleep IQ quiz at the end of this article to find out how much you know about the facts about sleeping.)

Exercising regularly, especially the use of a walking regimen has been found to be very helpful. Avoiding excessive alcohol and caffeine have also been found to be useful, as caffeine has been thought to "overexcite" the nerves, causing the problem.

Taking vitamin E and calcium may also help minimize the symptoms. Regular stretching and massage are also popular treatments, as well as taking hot baths before going to bed, or placing hot packs on the legs.

Restless Legs Syndrome is commonly misunderstood and there are still a lot of things we don't know about it. The key to success is increasing the awareness and education about this perplexing neurologic problem. For more information, contact the Restless Legs Syndrome Foundation, Inc. at www.rls.org.

Sleep IQ quiz

 

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