Restless Legs Syndrome (RLS) - WebMD

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Restless legs syndrome (RLS) is a nervous system disorder that causes an overpowering urge to move your legs. MenuNewsReferenceSlideshowsVideosQuestions&AnswersMedicationsFindaNeurologistWebMDRxSavingsCardOverviewSymptomsCausesTestsTreatmentsHomeTreatmentsTriggersGetMoreSleep10TipsFAQResourcesBrainandNervousSystemSleepDisordersSleepApneaPeriodicLimbMovementDisorderDrugInteractionCheckerFindaNeurologistBrain&NervousSystemRestlessLegsSyndromeReferenceMenuMedicallyReviewedbyChristopherMelinosky, MDonFebruary23,2020ArticlesOnRestlessLegsSyndromeOverviewSymptomsCausesTestsTreatmentsHomeTreatmentsTriggersGetMoreSleep10TipsFAQResourcesWhatIsRestlessLegsSyndrome? Restlesslegssyndrome (RLS)isanervoussystemdisorder thatcausesanoverpoweringurgetomoveyourlegs.It’salsoknownasWillis-Ekbomdisease.Doctorsconsideritasleepdisorderbecauseitusuallyhappensorgetsworsewhileyou’reatrest.Youmighthavetroublesleepingorsittingforalongtime,suchasinatheateroracar.Itmaygetworseifyoudon’tgettreatment.Overtime,alackofsleepcancauseproblemsatworkorhome.Restlesslegssyndromeaffectsupto10%ofpeopleintheU.S.Anyonecangetit,butit’smorecommoninwomen,andmiddle-agedpeoplearemorelikelytohaveseveresymptoms.Sometimes,doctorsdon’trecognizeRLS,especiallyifsymptomsaremildordon’thappenoften.Butonceit’sdiagnosed,treatmentcanoftenstopit.RestlessLegsSyndromeSymptomsPeoplewithrestlesslegssyndromehaveunusualfeelingsintheirlegs(likeitching,crawling,pulling,aching,throbbing,orpinsandneedles)andapowerfulurgetomovetheirlegstomakethesensationsgoaway.Theconditioncanalsohappeninotherareaslikethearms,chest,orhead.Thefeelingsusuallyhappenonbothsidesofthebody.Theycanalsohappenononlyoneside,ortheymightstartononesideandthenmovetotheother.RLSsymptomsrangefrommildtounbearable.Theymightcomeandgo,andtheintensitycanvarybetweenepisodes.They’regenerallyworseintheeveningandatnight.Symptomsalmostalwaysgoawayintheearlymorning,sopeoplewhohaveRLScanoftensleepwellthen.TheseverityofRLSsymptomsrangesfrommildtointolerable.Symptomscancomeandgoandseveritycanalsovary.Thesymptomsaregenerallyworseintheeveningandatnight.Forsomepeople,symptomsmaycauseseverenightlysleepdisruptionthatcansignificantlyimpairtheirqualityoflife.RestlessLegsSyndromeCausesDoctorsdon’tknowwhatcausesmostcasesofrestlesslegssyndrome,butyourgenesmightplayarole.NearlyhalfofthepeoplewithRLSalsohaveafamilymemberwiththecondition.Itmightalsobetiedto:Chronicdiseases. Certainlong-termmedicalconditionsincludeRLSsymptoms,including irondeficiency,Parkinson’sdisease, kidneyfailureorrenaldisease, diabetes,and peripheralneuropathy.Medications. Somedrugsmightmakesymptomsworse,includinganti-nauseameds,antipsychotics,some antidepressants,andcoldand allergy medicationsthathaveantihistamines.Pregnancy. SomewomenhaveRLSduring pregnancy,especiallyinthelasttrimester.Symptomsusuallygoawaywithinamonthafterdelivery.Lifestyle.Alackofsleeporanothersleepdisorderlikeapneacantriggersymptomsormakethemworse.Socanalcohol,tobacco,andcaffeineuse.RestlessLegsSyndromeDiagnosisThere’snomedicaltestforRLS.Yourdoctormightwanttotalktoyoursleeppartneraboutwhatthey’venoticed.ThefivebasiccriteriaforadiagnosisofRLSare:Anoverwhelmingurgetomoveyourlegs,especiallyalongwithuncomfortableorunusualfeelingsAnurgethatstartsorgetsworsewhileyou’reatrestAnurgethatgoesaway,eitherpartlyortotally,whenyoumoveAnurgethatstartsorgetsworseintheeveningAnothercondition,suchaslegcramps,arthritis,ormusclepains,isn’tcausingitYourdoctormayuselabteststoruleoutotherconditions.Aneurologicalexamcancheckfornervedamageorbloodvesselproblems.AsleepstudycalledpolysomnographycantellthemifyouhaveothersleepdisordersthatmightcauseRLS.RestlessLegsSyndromeTreatmentThere’snocureforrestlesslegssyndromeitself,buttreatmentscanhelpcontrolitsoyoucangetagoodnight’ssleep.Ifanotherconditioniscausingyourrestlesslegs,suchasanirondeficiency,yourdoctorwilltreatit.TreatmentforRLSitselfwilltargetyoursymptoms.IfyourRLSismildormoderate,somesmallchangestoyoureverydaylifemighthelp:gettingregularexercise;followingasleepschedule;andavoidingcaffeine,alcohol,andtobacco.OtherwaystotreatRLSwithoutdrugsinclude:LegmassagesHotbathsHeatingpadsoricepacksonyourlegsAvibratingpadcalledRelaxisMedicationshelpsomepeople.Butadrugthateasessymptomsinonepersonmaymakethemworseinanother,oradrugthatworksforawhilemaystopworking.DrugstotreatRLSinclude:Dopaminergicdrugs,whichactontheneurotransmitterdopamineinyourbrain. TheFDAhasapprovedpramipexole(Mirapex),ropinirole(Requip),androtigotine(Neupro) formoderatetosevereRLS.Benzodiazepines,atypeofsedative,mayhelpwithsleep,buttheycancausedaytimedrowsiness.NarcoticpainrelieversAnticonvulsantorantiseizuredrugs,suchascarbamazepine (Tegretol), gabapentin(Neurontin),gabapentinenacarbil(Horizant),andpregabalin(Lyrica)RestlessLegsSyndromePrognosisRestlesslegssyndromeisalifelongconditionthatmightgetworsewithage.Butsomepeoplegointoremissionanddon’thavesymptomsfordaystoyears.Keepyourdoctorupdatedonhowyou’redoing.Ifyoustarttofeelworse,theymightsuggestdifferentlifestylechangesormedications.Itcanhelptotalktootherpeoplewhoknowwhatyou’regoingthrough,whetherit’safamilymemberwhohasRLSorasupportgroup.NextInRestlessLegsSyndromeSymptoms10FAQsAboutRLSRestlessLegsTreatmentExamsandTestsforRLSHowtoGetMoreSleepIsitRLSorSomethingElse?10TipstoEaseRestlessLegsSyndromeSlideshow:FightingFatigueandSleepinessontheRoadFightingFatigueandSleepinessontheRoadDrugsforPeriodicLimbMovementDisorderPeriodicLimbMovementDisorderWhatIsRestlessLegsSyndrome?TreatmentsforRestlessLegsSyndromeRestlessLegsSyndrome:TipsforReliefFromRLSSymptomsPeriodicLimbMovementDisorderTopicsRLSIsitnervousorsleepdisorder?TipsforRLSWarmbaths,exercise,andnixingcaffeinewillhelp.RLSRemedies16simplethingstotry.TheUrgetoMoveIfyouthinkyoumayhaveRLS,seeadoctorforanexam.ArticleRLSHomeTreatmentsSlideshow16RemediesforRLSArticle4WaystoKeepRLSfromHurtingYourSexLifeArticleRLS?HowtoGetMoreSleepARTICLESymptomsofRLSARTICLETreatmentsforRestlessLegsARTICLE8LifestyleChangesforRLSARTICLEExamsandTestsforRestlessLegsRestlessLegsSyndromeFactsTreatmentsforRLSRLSCausesHealthSolutionsPenisCurvedWhenErect?CouldIhaveCAD?TreatBentFingersTreatHR+,HER2-MBCTiredofDandruff?BenefitsofCBDRethinkMSTreatmentAFib-RelatedStrokesRiskofaFutureDVT/PEIsMyPenisNormal?RelapsingMSOptionsLiverTransplantsSaveLivesFinancePlasticSurgeryBentFingerCausesLivingWithPsoriasis?MissingTeeth?MorefromWebMD5TipstoHelpWithRelapsingMSHowtoThriveWithNarcolepsyReliefforBlockedHairFolliclesPsoriaticArthritisandYourSleepWhatPsoriasisFeelsLikeFirstPsoriaticArthritisFlareTalkingtoYourDoctorAboutRACrohn's:A'Full-Body'DiseaseAvoidingCrohn’sFlaresHealthBenefitsofHempSeedOilLiveBetterWithPsoriaticDiseaseTypesofB-CellTherapyforMS5HealthBenefitsofHempWhyProstateCancerSpreadsLivingwithAdvancedBreastCancerWhereBreastCancerSpreads



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