Abnormalities Of Iron Metabolism
Iron deficiency, even at a level too mild to cause anemia, has been linked to RLS in some people. Some research suggests that RLS in some people may be due to a problem with getting iron into cells that regulate dopamine in the brain. Some studies have reported RLS in a quarter to a third of people with low iron levels.
How Do I Know If I Have Restless Leg Syndrome
The diagnosis of restless leg syndrome is established on four criteria established by The National Institutes of Health.
Treatment of restless leg syndrome is first directed toward any underlying illness, if known. For example:
- Blood testing to reveal underlying iron deficiency anemia may reveal the underlying cause.
- If varicose veins are thought to be the cause, then surgery to repair the circulation may be considered.
- Reduction or elimination of caffeine, nicotine, and alcohol from a person’s diet can be very helpful.
- Stopping smoking can significantly diminish or prevent symptoms.
- Getting better sleep and exercise can help some persons affected by restless legs.
- Pregnant women who do not sleep well at night and other people with sleep disorders may develop RLS.
There is no cure for restless leg syndrome; however, the condition usually responds well to home remedies and medications. The outlook is excellent for people with restless leg syndrome as long as it does not weaken or damage the function of the legs.
Dealing With Restless Legs Syndrome
Restless legs syndrome is a frustrating condition that makes it nigh impossible to control your legs. When the condition flares up, the urge to move them can be resisted from time to time but is more liable to overpower you than you are to fight it back down. It can make sleeping difficult as you fill with energy as your legs compel you to move.
The conditions causes vary, with almost no information on the root cause of the condition, which is predominantly idiopathic. However, it is known to be a symptom of more common conditions such as ADHD, which promote energetic behaviors aside from the other, more crippling psychological symptoms of the disorder.
The lack of solid information on the root cause of RLS makes treating it somewhat difficult. Since one of the most common causes of RLS is poor circulation, finding ways to promote circulation can work wonders in relieving your symptoms somewhat. To this end, massaging the legs in ways that help circulate blood serves as a potential treatment for your RLS.
Massage therapy is not always going to solve the issue of RLS but can serve as a useful supplement in the pursuit of treatment. As always, we implore you to seek out medical treatment and diagnoses to get the most informed possible information regarding any medical concern.
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Restless Legs Syndrome Medication
Medication 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 thats right for you.
People with RLS resulting from another condition, or those with another consideration such as pregnant women, children, people with anxiety or depression, or individuals with kidney disease, may need to exercise extra caution when taking medication.
RLS can be treated with several different families of medications, the most common being dopamine agonists and anti-seizure drugs.
Where Can I Get More Information
For more information on neurological disorders or research programs funded by the National Institute of Neurological Disorders and Stroke, contact the Institute’s Brain Resources and Information Network at:
Office of Communications and Public LiaisonNational Institute of Neurological Disorders and StrokeNational Institutes of HealthBethesda, MD 20892
NINDS health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the National Institute of Neurological Disorders and Stroke or any other Federal agency. Advice on the treatment or care of an individual patient should be obtained through consultation with a physician who has examined that patient or is familiar with that patient’s medical history.
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Is Restless Legs Syndrome Affecting Your Sleep
You may know it as the urge to move or jerk your legs when youre sitting or lying still, especially at night. Restless legs syndrome occurs when brain cells send false signals of pain, discomfort, tingling and itchiness to nerve endings in the legs . Moving your legs turns off these signals, but the creepy-crawly sensations return as soon as youre still again.
The syndrome is thought to result from an overproduction of the brain chemical dopamine during the day, which leads to an underproduction at night. Heres what to do if your itchy, jerking legs keep you awake at night.
What Is The Prognosis For People With Restless Legs Syndrome
RLS is generally a lifelong condition for which there is no cure. However, current therapies can control the disorder, minimize symptoms, and increase periods of restful sleep. Symptoms may gradually worsen with age, although the decline may be somewhat faster for individuals who also suffer from an associated medical condition. A diagnosis of RLS does not indicate the onset of another neurological disease, such as Parkinsons disease. In addition, some individuals have remissionsperiods in which symptoms decrease or disappear for days, weeks, months, or yearsalthough symptoms often eventually reappear. If RLS symptoms are mild, do not produce significant daytime discomfort, or do not affect an individuals ability to fall asleep, the condition does not have to be treated.
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Get Regular Physical Activity
Another of the home remedies is mild-to-moderate exercise, which has numerous benefits for overall health and promoting sleep. It also leads to fewer restless leg syndrome episodes. Schedule workouts in the morning or afternoon for the biggest benefits. Working out too late in the day may make it harder to fall asleep and be counterproductive. Be careful not to overdo it. Adequate exercise is a boon to body, mind, and sleep, but exercising too much will drain you and can be dangerous. Find the level of physical activity that makes you feel the best and reduces your RLS problems.
Are you new to exercise? See your doctor for a thorough check-up and make sure it’s safe for you to engage in physical activity. Ask him or her how much activity is appropriate for you. Most experts agree it’s a smart idea to get 30 minutes of physical activity, most days of the week. Not sure where to start? Walking is one of the simplest, most cost-effective workouts you can engage in. All you need is a sturdy pair of walking shoes. Stroll around your neighborhood before or after work or on lunch breaks. Walking with a buddy can help keep you on track and accountable to each other. Start slow and with just a few minutes a day. Gradually increase the pace and length of your walks as you get accustomed to the level of activity.
Tune Out Before Bedtime
Tune in to Better Sleep
To really get a handle on restless legs syndrome, you need to practice good sleep hygiene. This involves both adopting behaviors that are conducive to getting a good nights rest and adjusting the physical environment to promote slumber. Sleep experts agree its not a good idea to have TV in the bedroom, especially if you have trouble sleeping. The bed should only be used for sleeping or sex. Watching TV, reading, or doing other similar activities in bed may promote unwanted nighttime wakefulness. Keep TV out of the bedroom and avoid watching TV, especially upsetting or action-packed shows, too close to bedtime.
Blue Light Is Bad
In addition to TV being too stimulating before bedtime, theres another reason to avoid screen time. Blue light emitted by TV screens, computer screens, and screens of cell phones and tablets disrupts hormones that promote sleep. Minimize your exposure to screens that emit blue light in the evening to get your 40 winks and reduce the possibility of further issues.
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What Does It Feel Like
People with Restless Legs Syndrome are usually prompted to move because they feel intense sensations in their legs. Below are some ways people have described what the sensations feel like, as reported by the Mayo Clinic:
RLS usually emerges or worsens at night.
Leg twitching or kicking may also result from a condition linked to RLS known as Periodic Limb Movement Disorder. We will cover this in-depth further below.
What We Know About Rls:
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Increase Your Dopamine Levels
One of the most commonly prescribed drugs for RLS are dopamine-related medications, like pramipexole and ropinirole, that increase levels of dopamine a neurotransmitter in the brain. But the side effects of these types of medications arent pretty, and may include vomiting, nausea, and hallucinations. The good news is, you can increase your dopamine levels naturally, with the help of certain supplements and foods. Get a daily dose of L-tyrosine, an amino acid that helps your body make dopamine. Supplement with 500-2000 mg a day, or eat foods rich in tyrosine such as avocados, pastured eggs, and grass-fed beef. You can also boost your dopamine with mucuna pruriens, an herbal supplement that contains large amounts of L-dopa, a precursor to dopamine.
How Often Do Symptoms Occur
The frequency of symptoms can vary from person to person. Moderate cases of RLS typically see symptoms occur about once or twice a week, while severe cases may cause symptoms to appear more than two times a week.
Sometimes RLS symptoms may go away for weeks or months at a time before reappearing. This typically happens in the early stages of developing this condition.
Restless Legs Syndrome: How To Fight A Condition Thats Stealing Your Sleep
Restless legs syndrome is a condition that affects approximately 10 percent of American adults, according to the National Sleep Foundation. Its a problem that is often either misdiagnosed or unrecognized.
MU Health Care neurologist Pradeep C. Bollu, MD, explains restless legs syndrome and how to treat it.
Options To Calming Rls
Diet is Critical to Calm RLS SymptomsBeing aware of the food and substances that you are putting into your body is probably one of the most important things that you can do in order to reduce your restless leg syndrome. There are many foods and substances that have a tendency to cause a flare up of your restless leg symptoms. Download our free guidebook on the list of trigger foods and look into the Paleo and FODMAP diets. These diets tend to be highly effective at helping reduce and even eliminate RLS symptoms. Some of the main foods to avoid consuming are sugar and salt in high quantities. These 2 foods tend to be among the biggest triggers which cause RLS symptoms to flare up.
What Can I Do Right Now?Yes, its 2 a.m. what can you do right now in order to calm your restless legs? Here are a few helpful things that you can do immediately in order to calm your legs.
Acupressure: The GB20 Point Without going too deep into the science of it, acupressure is a way to get the body to reset itself in order to function in a more balanced state. Applying gentle pressure or massage to this point will alleviate the factors that cause the body to twitch, spasm and jitter. It is a well known point for alleviating symptoms of RLS. Have someone massage these points for 10 minutes, or you can massage them yourself and give your body the reset it needs.
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How Is Rls Treated
Treatment is aimed at reducing symptoms and enabling sound sleep. The health care provider may recommend self-help treatment and medicines. Often, a combination of self-help and medicines works well. Some drugs work better than others, so trying different ones to find the best treatment may be needed. Avoiding caffeine, cigarettes, and alcohol may be helpful.
If symptoms are severe and treatment does not work, a visit to a specialist in sleep disorders or a neurologist may be needed. A neurologist is a doctor who specializes in treating disorders of the nervous system.
Many Thanks A Thousand Timespamela S
We are very HAPPY!!! No more nervous legs. My son is very grateful…finally, a natural solution.Many thanks a thousand times!!!**
Individual results may vary.
** The experiences expressed here may be from other variants of Restulex and were provided freely without compensation. However, this feedback should not be taken as medical advice or assumed to convey FDA-verified health claims. As with any treatment, individual results may vary. Diet, activity level, environment, age, and symptom severity are all factors which may impact individual results. While we cannot guarantee your results, we DO guarantee 100% satisfaction with your first purchase. If you dont love it well refund it!
What Are The Treatment Options
If iron deficiency is not the cause, there are treatments to lessen the symptoms of restless legs syndrome. Dopamine agonist drugs such as ropinirole and rotigotine have shown some ability to reduce symptoms, and so have clonazepam, pregabalin and gabapentin. There are also leg stimulation devices that can lessen the urge for legs to move.
Natural Remedies For Restless Leg Syndrome
Restless leg syndrome , marked by an uncontrollable urge to move the legs, is a neurological disorder that affects as many as 12 million Americans. Symptoms usually strike when patients are lying in bed at night, but restless leg syndrome can also flare up in the daytime .
Restless leg syndrome patients typically report a feeling of burning, tingling, aching, itching, or tugging deep beneath the skin of their lower legs . Although symptom intensity and duration vary from person to person, moving the legs tends to ease the discomfort for most patients.
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How Do Medications Treat Restless Legs Syndrome
The nerve pathway in the brain that helps control voluntary movements may not work normally in people with restless legs syndrome. This pathway uses certain chemicals that keep your movements normal.
Its believed that people with restless legs syndrome have changes in the normal function of these chemicals. These changes may cause the involuntary movement thats typical of restless legs syndrome.
Certain drugs can help treat the symptoms of restless legs syndrome by acting like the chemicals in this pathway or by helping these chemicals function normally.
The drugs that are used first to treat restless legs syndrome most often include ropinirole, pramipexole, and rotigotine. The drug gabapentin enacarbil is also used, but usually only when the other drugs dont provide relief.
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Diagnosing Restless Legs Syndrome
No laboratory test can confirm a diagnosis of restless legs syndrome. To diagnose RLS, your doctor will need:
- A complete medical history.
- A diagnostic interview, to rule out other medical conditions.
- A blood test for low iron levels.
- A list of medications and supplements youre taking.
- A survey to see if anyone else in your family has similar symptoms.
If a medical condition, such as iron deficiency, diabetes, or nerve damage is triggering your restless legs, treating the underlying problem may relieve your symptoms. If not, you may benefit from medication or other treatments.
Health conditions linked to restless legs
- Iron deficiency .
Replace The Urge To Move
When your legs are tingling, throbbing or hurting, it can be difficult for the brain to focus on anything else. One way to break the cycle is to replace the urge to move with another sensation.
Any kind of counterstimulation, like taking a bath or shower in the evening, can be helpful, Dr. Vensel-Rundo says. Even rubbing or massaging the legs can provide temporary relief.
Light stretching can help, but rigorous exercise before bed isnt a good idea, she says.
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What Is Restless Leg Syndrome
Restless Leg Syndrome is actually a description of symptoms rather than a formal diagnosis. The symptoms are often described as an abnormal sensation that causes the legs to continuously move at night. This condition makes falling asleep extremely difficult.
Restless Leg Syndrome is primarily a neurological disorder that can result from a metabolic disease such as diabetes or thyroid malfunction, or from toxin exposure that causes damage to the nerves.
Restless Legs Syndrome Prevention
The best way to prevent RLS is to make lifestyle changes and avoid the triggers that bring on symptoms or make them worse. Some people find that keeping their legs in motion helps. Others find alcohol and tobacco to be triggers, as well as some over-the-counter medications. Make sure to tell your physician about all the medicines you take. Other preventive measures:
- Adopt good habits to help you fall asleep and stay asleep. These include sleeping in a cool, quiet, dark room and removing distractions like TV, computer and phone. If possible, go to bed and wake up at the same time each day.
- Get regular, moderate physical activity.
Some activities that seem to relieve symptoms:
- Walking or stretching
- Taking a hot or cold bath
- Massaging the affected limb or limbs
- Using heat or ice packs
- Doing mentally challenging tasks
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Understanding And Relieving Restless Legs Syndrome
W. Steven Pray, PhD, DPhBernhardt Professor, Nonprescription Products and DevicesCollege of Pharmacy
Gabriel E. Pray, PharmD CandidateCollege of PharmacyWeatherford, Oklahoma
Restless legs syndrome , also known as nocturnal myoclonus, is a neurologic disorder.1 It is referred to as a movement disorder since patients feel a compulsion to continually move their legs to relieve their discomfort. Those with RLS may ask pharmacists what steps they should take to manage the condition.
What Are The Best Home Remedies For Restless Leg Syndrome
The most common home remedies that are sure to work for this disease involve:
- Taking warm baths and having massages to help reduce the symptoms and discomforts
- Exercising to relieve the symptoms. Patients are advised to walk or indulge in some sports to help them feel better.
- Reducing stress by practicing meditation or tai chi.
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Articles On Restless Legs Syndrome
In some cases, personal habits can make a sleeping disorder like restless legs syndrome worse. Sometimes they play a big role in the problem.
Here are 10 steps you can take to lessen the symptoms of RLS and get you sleeping better:
- Avoid or limit alcohol, caffeine, and nicotine for at least several hours before bedtime.
- Review all the medications you take with your doctor.
- Exercise every day.
Treatment If The Condition Gets Worse
Over time, treatment of RLS with a dopamine medicine may not work as well as it did at first. This is called augmentation.
You might notice that your symptoms:
- Begin earlier in the day.
- Become more intense.
- Spread to another part of your body.
If you are taking a dopamine medicine for RLS and your symptoms change, tell your doctor. Do not stop taking your medicine without talking to your doctor first. You can work with your doctor to decide what treatment is the best one for you.
If you continue to have symptoms even though you are receiving treatment with drugs and are exercising regularly, eating right, and not smoking, drinking alcohol, or using caffeine, your symptoms may need to be reevaluated. Many other conditions can cause the sensations found in restless legs syndrome, including several vitamin and mineral deficiencies.
Your doctor may recommend different drugs or a combination of drugs. Follow up with your doctor if your symptoms do not improve.
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What Are The Symptoms Of Restless Legs Syndrome
Symptoms of restless legs syndrome include:
- Leg discomfort: These uncomfortable limb sensations are often described by adults as creeping, itching, pulling, crawling, tugging, throbbing, burning, or gnawing. These sensations usually occur at bedtime but can occur at other times of limb inactivity.
- Urge to move legs : To relieve limb discomfort, you have an uncontrollable urge to move your limbs especially when resting, such as when sitting or lying down.
- Sleep disruption: Additional time is often needed to fall asleep because of the urge to move your limbs to relieve the discomfort. Sometimes staying asleep may also be difficult.
- Bedtime behavior problems: Because of the discomfort, you may need to get out of bed to stretch your limbs to relieve the discomfort.
- Daytime sleepiness: Problems with falling asleep and staying asleep may result in daytime sleepiness.
- Behavior and work performance problems: Again, due to sleep disruption, problems may emerge in daytime behavior and work performance.
Ropinirole Pramipexole And Rotigotine
How do they work?
Ropinirole, pramipexole, and rotigotine belong to the class of drugs called dopamine agonists. A drug class is a group of drugs that act in a similar way. Dopamine agonists are often the first drugs used as treatment for restless legs syndrome.
Dopamine agonists such as ropinirole, pramipexole, and rotigotine mimic the effects of a chemical called dopamine. Dopamine is one of the chemicals in the nerve pathway of the brain that controls voluntary movements.
These drugs may help dopamine work better to control the symptoms of restless legs syndrome.
Dopamine agonists should be used for short-term treatment. Long-term use of these drugs may lead to symptoms that are more severe. These symptoms may last longer and happen in locations other than your legs.
What forms do they come in?
Ropinirole and pramipexole come in tablets that you take by mouth. Rotigotine comes in a patch that you place on your skin.
Ropinirole is available as the brand-name drugs Requip and Requip XL. Pramipexole is available as the brand-name drugs Mirapex and Mirapex ER. Rotigotine is available as the brand-name drug Neupro.
Ropinirole and pramipexole are also available as generic drugs. Rotigotine is not.
What are the side effects?
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