Understanding Restless Legs Syndrome
Restless legs syndrome (RLS) is a condition that causes an uncontrollable urge to move your legs, usually because of an uncomfortable sensation.
Key Fact: RLS symptoms typically happen in the evening or nighttime hours when you're sitting or lying down.
Common Symptoms
Urge to Move
An overwhelming need to move the legs, often accompanied by unpleasant sensations.
Nighttime Worsening
Sensory symptoms that are much worse in the evening and during the night.
Relief with Movement
The urge to move and sensations are temporarily relieved by walking or stretching.
Sleep Disruption
Difficulty falling or staying asleep due to the persistent leg sensations.
Risk Factors
- Iron deficiency
- Kidney failure
- Pregnancy (especially in the last trimester)
- Neuropathy (nerve damage)
Diagnosis & Treatment
Diagnosis
Diagnosis is based on a clinical history of your symptoms and ruling out other conditions with a physical exam.
Clinical History
Blood Iron (Ferritin) Test
Sleep History
Neurological Exam
Common Treatments
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Dopaminergic Meds: Medications that increase dopamine in the brain to reduce leg sensations.
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Iron Supplements: Oral or IV iron to correct an underlying deficiency if present.
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Lifestyle Changes: Developing good sleep habits, avoiding caffeine, and using leg massages.