Treatment FAQ

what is restless leg syndrome and treatment

by Camille Kuhlman MD Published 2 years ago Updated 1 year ago
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Medication

Restless legs syndrome, also known as Willis-Ekbom disease, can begin at any age and generally worsens as you age. It can disrupt sleep, which interferes with daily activities. Simple self-care steps and lifestyle changes may help relieve symptoms. Medications also help many people with RLS. The chief symptom is an urge to move the legs.

Self-care

Top 10 At Home Remedies For Restless Leg Syndrome Symptoms

  1. Tonic Water
  2. Epsom Salt
  3. Camphor
  4. Black Strap Molasses
  5. Hot & Cold Foot Soaks. The camphor has antispasmodic and therapeutic properties, which help you in relieving inflammation as well as alleviating restless leg syndrome symptoms.

Nutrition

While there's a limit with caffeine, experts recommend upping your daily water intake and drinking between 1.5 to two litres of water a day to reduce the frequency and severity of headaches. Limiting caffeine intake can help prevent headaches. (Image via Getty Images)

What is restless leg syndrome and is it treatable?

Restless legs syndrome can be treated in a variety of ways. People suffering from it can utilise some proven methods, even if they appear impractical, like putting lavender soap under the bedsheet while sleeping. People suffering from RLS should try this method because many people have reported that it has helped them.

What is the home remedy for restless leg syndrome?

How to relieve restless leg syndrome?

What is the best medication for restless leg syndrome?

See more

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What is the main cause of restless leg syndrome?

In most cases, the cause of RLS is unknown (called primary RLS). However, RLS has a genetic component and can be found in families where the onset of symptoms is before age 40. Specific gene variants have been associated with RLS. Evidence indicates that low levels of iron in the brain also may be responsible for RLS.

What is the most common treatment for restless leg syndrome?

Dopamine agonists: These are most often the first medicines used to treat RLS. These drugs, including pramipexole (Mirapex), rotigotine (Neupro), and ropinirole (Requip), act like the neurotransmitter dopamine in the brain. Side effects include daytime sleepiness, nausea, and lightheadedness.

How do you get rid of restless leg syndrome permanently?

There's no cure for RLS. But if you have the disorder, lifestyle changes and medication can help improve your quality of life. The goals of RLS treatment are to prevent or relieve symptoms, improve sleep, and correct underlying conditions or habits that trigger or worsen RLS symptoms.

What medicine gets rid of restless leg syndrome?

The U.S. Food and Drug Administration (FDA) has approved four drugs for treating RLS:ropinirole (Requip)pramipexole (Mirapex)gabapentin enacarbil (Horizant)rotigotine (Neupro)

What is your body lacking when you have restless legs?

The single largest known environmental factor is low iron levels, which may occur before birth, during infancy or childhood, during pregnancy or later in adult life. The low iron may resolve long before one even develops RLS symptoms, but the condition may set into motion certain conditions that eventually lead to RLS.

How should you sleep with restless legs?

Elevate Your Legs Poor sleeping posture can aggravate the discomfort you experience from RLS at night. Depending on what position your prefer to sleep in, try using standard pillows between your legs (for side-lying) or a leg rest pillow under your legs (for lying on your back).

Why put a bar of soap under your pillow?

Before you tuck yourself into bed, slip a bar of soap under the covers. The unproven folk remedy might cure your nighttime woes, according to its loyal adherents at least. Snoozing with suds supposedly prevents nocturnal leg cramps, those painful muscle contractions waking you in the middle of the night.

Can restless leg syndrome go away?

Restless legs syndrome is a lifelong condition that might get worse with age. But some people go into remission and don't have symptoms for days to years. Keep your doctor updated on how you're doing. If you start to feel worse, they might suggest different lifestyle changes or medications.

Does Elevating your legs help restless leg syndrome?

By keeping the legs in place, it soothes the nerves in the legs and prevents compression, reducing the chances of RLS occurring by a lot.

How do I stop restlessness at night?

How to stop tossing and turning at nightCreate a comfortable bedroom. ... Practice relaxation techniques. ... Turn off the electronics. ... Stay active during the day. ... Follow a consistent sleep schedule. ... Eat a balanced diet.

How to cure restless legs syndrome?

Avoiding tobacco and eating a healthy diet: The Restless Legs Syndrome Foundation 10 recommends reducing alcohol, caffeine, sugar, and salt and following a healthy diet rich in vitamins and minerals. In addition to relieving RLS symptoms, a healthy diet can help improve sleep quality. Exercising: Moderate exercise and stretching may help reduce RLS ...

How does restless leg syndrome work?

Restless legs syndrome treatment aims to reduce discomfort from symptoms and improve sleep quality.

How to treat RLS?

Home remedies offer a simple way to improve RLS symptoms. Though more research is needed to confirm how effective these methods are, many people with mild to moderate RLS symptoms find relief from a combination of the following: 1 Moving the legs: Moving the affected body part usually leads to relief from uncomfortable sensations, though symptoms may return when movement ceases. 2 Implementing healthy sleep hygiene habits: RLS can cause sleep loss , but it’s also exacerbated by sleep problems. Try to keep a regular sleep schedule and ask your doctor for personalized sleep hygiene tips. 3 Avoiding tobacco and eating a healthy diet: The Restless Legs Syndrome Foundation 10 recommends reducing alcohol, caffeine, sugar, and salt and following a healthy diet rich in vitamins and minerals. In addition to relieving RLS symptoms, a healthy diet can help improve sleep quality. 4 Exercising: Moderate exercise and stretching may help reduce RLS symptoms. That said, people with RLS should be careful with high-intensity activity, which may cause muscle cramps and stiffness that can exacerbate symptoms. 5 Receiving massages or self-massaging: Some people find relief from RLS symptoms after massaging affected areas. 6 Using heat or cold: RLS-related discomfort can often be tamed by applying a hot or cold compress or taking a warm bath before bed. Response to temperature may vary from person to person.

What causes RLS to be reduced?

Peripheral neuropathy. Renal insufficiency. Medication such as antihistamines and certain antidepressants. For many people, addressing these factors may lead to a drastic reduction in RLS symptoms. However, if symptoms are still bothersome, or if they interfere with sleep, doctors may advise additional remedies.

What is the best medication for restless legs?

Restless Legs Syndrome Medication. Medication 16 is currently considered the gold standard for people with moderate to severe RLS. To reduce the risk of unpleasant side effects, always work with a doctor to find the medication that’s right for you.

What is the best treatment for RLS?

Anti-Seizure Drugs. Anti-seizure drugs are often used for people who experience pain along with their other RLS symptoms. These drugs are gaining popularity as an RLS treatment because they seem to work as well as dopaminergic agonists, but are less likely to cause augmentation of RLS symptoms.

What vitamins are good for RLS?

Other vitamins and minerals such as magnesium 5, zinc 6, and vitamin D 7 may also play a role in RLS. Pregnant women in particular may benefit from folate supplements 8, while people with kidney problems may benefit from vitamin C and E supplements 9.

How to treat RLS?

2. Healthy sleep habits.

Why is RLS important?

Because of the effects RLS can have on your life, treatment is important. Methods of treatment are varied, as the root cause of RLS isn’t truly known. For instance, some researchers suggest that RLS is caused by problems with the brain chemical dopamine, while others suggest that it’s related to poor circulation.

How long does it take for RLS to go away after massage?

Her RLS symptoms eased after two massage treatments, and didn’t start to return until two weeks after the massage regimen ended ( 20 ). The author of that study suggested that the increased release of dopamine caused by massage could be a reason for the benefits.

What is the term for the movement of the limbs during sleep?

The movements caused by RLS are called periodic limb movements of sleep (PLMS). Because of these movements, RLS can cause serious sleep problems. Some people have primary RLS, which has no known cause.

What is the condition called when you feel a tingly feeling in your legs?

Restless legs syndrome (RLS), also known as Willis-Ekbom disease, is a condition that causes uncomfortable sensations, most often in the legs. These sensations have been described as tingly, crawling, creeping feelings, and cause the overwhelming urge to move the affected limb. RLS symptoms typically occur when the person is sitting, resting, ...

What are the health conditions that are linked to RLS?

Certain health conditions have been found to be related to RLS. End-stage renal (kidney) disease, or ESRD, and nerve damage from diabetes have been linked with RLS. Iron deficiency anemia also has a strong connection with RLS (see iron below) ( 4, 5#N#Trusted Source#N#, 6#N#Trusted Source#N#).

What is the first step in addressing RLS?

Your first step in addressing RLS should be to figure out if something is causing it. While RLS can be related to things that are largely out of your control, such as genetics or pregnancy, other possible factors can be addressed.

When does Restless Legs Syndrome occur?

It typically happens in the evening or nighttime hours when you're sitting or lying down. Moving eases the unpleasant feeling temporarily. Restless legs syndrome, also known as Willis-Ekbom disease, can begin at any age and generally worsens as you age. It can disrupt sleep, which interferes with daily activities.

What are the symptoms of RLS?

Symptoms. The chief symptom is an urge to move the legs. Common accompanying characteristics of RLS include: Sensations that begin after rest. The sensation typically begins after you've been lying down or sitting for an extended time, such as in a car, airplane or movie theater. Relief with movement.

How to tell if you have RLS?

The chief symptom is an urge to move the legs. Common accompanying characteristics of RLS include: 1 Sensations that begin after rest. The sensation typically begins after you've been lying down or sitting for an extended time, such as in a car, airplane or movie theater. 2 Relief with movement. The sensation of RLS lessens with movement, such as stretching, jiggling your legs, pacing or walking. 3 Worsening of symptoms in the evening. Symptoms occur mainly at night. 4 Nighttime leg twitching. RLS may be associated with another, more common condition called periodic limb movement of sleep, which causes your legs to twitch and kick, possibly throughout the night, while you sleep.

Why do my legs twitch at night?

Symptoms occur mainly at night. Nighttime leg twitching. RLS may be associated with another, more common condition called periodic limb movement of sleep, which causes your legs to twitch and kick, possibly throughout the night, while you sleep. People typically describe RLS symptoms as abnormal, unpleasant sensations in their legs or feet.

Can RLS be a serious medical condition?

The disorder is more common with increasing age and more common in women than in men. RLS usually isn't related to a serious underlying medical problem. However, it sometimes accompanies other conditions, such as: Peripheral neuropathy.

Can pregnancy cause RLS?

Pregnancy. Pregnancy or hormonal changes may temporarily worsen RLS signs and symptoms. Some women get RLS for the first time during pregnancy, especially during their last trimester. However, symptoms usually disappear after delivery.

Can RLS cause drowsiness?

Some people with RLS never seek medical attention because they worry they won't be taken seriously. But RLS can interfere with your sleep and cause daytime drowsiness and affect your quality of life. Talk with your doctor if you think you may have RLS.

What are some non-drug treatments for a swollen leg?

Several non-drug related treatments that most patients suffering with this disorder already appreciate include hot baths, massaging and rubbing the legs, applying hot or cold packs, restricting the amount of caffeine or alcohol and partaking in moderate physical exercise.

Is there a cure for restless legs?

Unfortunately, there is no known cure for restless legs syndrome. At present, there is no one drug which works for everybody, but most individuals with restless legs syndrome will find some benefit and relief with the currently available medications for treating this disorder, which can be divided into several categories: dopamine-related medications, opiates, benzodiazepines receptor agonists (BRAs), alpha-2 delta medications and iron supplementation.

Is RLS a precursor to Parkinson's disease?

The dopamine-related drugs include levodopa, pramipexole, ropinirole and rotigotine. These drugs are also used for Parkinson's disease. However, there is no indication that RLS is related to, or is a precursor of, Parkinson's disease. These medications are likely to be effective in reducing symptoms in 90 percent of patients with restless legs ...

Does iron help with restless legs?

Iron Supplementation. The significance of low iron in causing RLS is outlined in the segment on Causes of Restless Legs Syndrome . Since the 1950s, it has been known that iron therapy, even without the presence of anemia has benefits for RLS symptoms. Studies have shown a strong relation between body iron stores as determined by serum ferritin ...

Is RLS pain a pain?

It is important to realize that RLS for a majority of patients is not about pain; it is an abnormal, uncomfortable sensation. Tolerance to the opiates when treating RLS seems to be less of a problem than that seen with treatment of chronic pain disorders. YouTube. RLS Foundation.

What Is Restless Leg Syndrome?

Restless leg syndrome is when you feel very unpleasant "creepy-crawly" (or even painful) sensations in your legs while you're sitting or lying still, especially at bedtime.

Why Does Restless Leg Syndrome Cause Bad Sleep?

If you have restless leg syndrome, you can temporarily relieve it by stretching or moving the limb where you're experiencing the sensation. But, constantly needing to stretch or move your limbs to relieve these sensations can keep you from falling asleep.

Causes & Treatment

RLS may come and go without any obvious cause over the course of a person's life.

How often do you have restless legs?

Intermittent symptoms are classified as experiencing bouts of restless movements less than twice a week. Chronic RLS is the occurrence of more than two episodes of restless legs per week.

What is chronic RLS?

Chronic RLS is the occurrence of more than two episodes of restless legs per week. Finally, refractory RLS is when the disorder does not respond to monotherapy and needs a combination of therapies to control it. Not all cases require pharmacological medications.

What foods are bad for restless legs?

What foods are bad for restless leg syndrome? Any food or drinks that contain caffeine in them are known to exacerbate the effects of restless legs. On the whole, avoiding foods or drinks that are high in sugar, like chocolate or soda, can minimize the signs of RLS. What triggers restless leg syndrome?

What is the best medication for RLS?

Some of the most popular are dopamine agonists, which are also used to treat Parkinson's disease. 3 Other common drugs to treat RLS are benzodiazepines and opioids, which are often used for patients who have ongoing issues getting restful sleep when other medications have ...

What does it mean when your legs shake?

These feelings of discomfort and the urge to move or shake suddenly predominantly occurs in the legs, although it can also happen in the arms. 1 The sensation is often described as a crawling, creeping, or tingling sensations, and is relieved with the sudden movements of the limbs. As a result, people with restless leg syndrome often have ...

Can restless leg syndrome cause fatigue?

As a result, people with restless leg syndrome often have difficulty sleeping, resulting in excessive tiredness throughout the day and impaired judgement, which can negatively affect work and personal life.

Is there a cure for restless leg syndrome?

There is currently no known cure for restless leg syndrome, but there are many treatments that can help manage it and reduce its impact on your life. This disorder can ebb and flow, often going away for long periods of time.

What is the RLS Foundation?

By assessing the findings, RLS Foundation is able to develop new tools to support patients, partners/spouses and physicians as they work together to achieve long-term disease management. The survey findings provide insight that helps the Foundation educate the medical community and the general public about RLS.

How to help a person with a symtom?

Identify and track any habits or activities that worsen your symptoms. Review your diet to ensure it is healthy and balanced. Eliminate or limit alcohol and caffeine from your diet to help improve sleep. Find activities that help you cope.

Is there a cure for RLS?

There is currently no cure for RLS, but many treatment options are available to help manage symptoms. Your doctor can help you explore ways to lessen your symptoms through lifestyle changes, self-care and medication. If you need medication, your healthcare provider will guide you through careful trials to find a drug and dosage ...

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Diagnosis

Lifestyle and Home Remedies

Coping and Support

Preparing For Your Appointment

Medically reviewed by
Dr. Govind Desai
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves managing the underlying conditions.
Medication

Iron Replacement: Iron replacement is suggested whose fasting serum ferritin levels are < 75 micrograms/litre. Usually recommended when the condition is secondary to iron deficiency anemia.

Ferrous sulphate . Ferric carboxymaltose


Antidepressants: To reduce the symptoms of depression, which may result to disturbed sleep pattern.

Buproprion . Ropinirole . Rotigotine . Pramipexole


Calcium channel regulators: Work for some chronic, persistent cases. Usually recommended in some cases.

Gabapentin . Pregabalin


Narcotic medication: Usually addictive and are used if other drugs do not work. Usually recommended in some cases.

Oxycodone . Hydrocodone


Sedatives: To help sleep better.

Clonazepam . Eszopiclone . Temazepam

Self-care

Always talk to your provider before starting anything.

  • Avoid caffine
  • Leg stretching exercises
  • For symptommatic relief : Walking , bicycling, soaking the affected limbs and Leg massage are recommended

Nutrition

Foods to eat:

  • Iron rich foods such as spinach
  • Vitamin A containing foods such as carrots
  • Protein rich foods such as eggs, milk
  • Zinc-rich foods like green peas, eggs, wheat germ, and chickpeas

Foods to avoid:

  • NA

Specialist to consult

Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.
Somnologist
Specializes in the diagnosis and therapy of sleep disturbances and disorders.

Treatment

  • Your provider will take your medical history and ask for a description of your symptoms. A diagnosis of RLSis based on the following criteria, established by the International Restless Legs Syndrome Study Group: 1. You have a strong, often irresistible urge to move the legs, usually acc…
See more on mayoclinic.org

Mechanism of action

  • Making simple lifestyle changes can help alleviate symptoms of RLS: 1. Try baths and massages.Soaking in a warm bath and massaging the legs can relax the muscles. 2. Apply warm or cool packs.Use of heat or cold, or alternating use of the two, may lessen the limb sensations. 3. Establish good sleep hygiene. Fatigue tends to worsen symptoms of RLS, so it's important that y…
See more on mayoclinic.org

Uses

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Prognosis

  • If you have symptoms of RLS, make an appointment with your provider. After an initial evaluation, he or she may refer you to a doctor who specializes in conditions affecting the nervous system (neurologist) or a sleep specialist. Here's some information to help you get ready for your appointment.
See more on mayoclinic.org

Pharmacology

  • Restless legs syndrome (RLS) is a condition that causes an uncontrollable urge to move the legs, usually because of an uncomfortable sensation. It typically happens in the evening or nighttime hours when you're sitting or lying down. Moving eases the unpleasant feeling temporarily. Restless legs syndrome, also known as Willis-Ekbom disease, can beg...
See more on mayoclinic.org

Interactions

Significance

Benefits

Administration

Research

  • Unfortunately, there is no known cure for restless legs syndrome. At present, there is no one drug which works for everybody, but most individuals with restless legs syndrome will find some benefit and relief with the currently available medications for treating this disorder, which can be divided into several categories: dopamine-related medicatio...
See more on hopkinsmedicine.org

Effects

  • Dopamine is a chemical that is produced by certain cells in the brain and this group of drugs functions to either increase the amount of dopamine made by the cell (levodopa) or increase the dopamine signal to other surrounding cells by mimicking dopamine in the brain. The dopamine-related drugs include levodopa, pramipexole, ropinirole and rotigotine.
See more on hopkinsmedicine.org

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