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Neurology

Restless Legs Syndrome: symptoms, causes & treatment

Also known as RLS, Willis-Ekbom disease.

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Overview

Restless legs syndrome causes an overwhelming urge to move the legs, usually with uncomfortable sensations, especially when resting or trying to sleep. Moving the legs brings temporary relief. It can significantly disrupt sleep, but treating the cause and adjusting habits often helps.

Symptoms

  • Strong urge to move the legs, often with crawling or tingling feelings
  • Symptoms that worsen in the evening or at night
  • Relief when walking or stretching
  • Difficulty falling or staying asleep
  • Daytime tiredness
  • Involuntary leg movements during sleep
  • Discomfort that returns when sitting still

Causes & risk factors

  • Often runs in families
  • Iron deficiency
  • Pregnancy
  • Kidney disease
  • Certain medicines that worsen symptoms
  • Linked to some chronic conditions such as diabetes
  • Often no clear underlying cause

Treatment & self-care

Care, usually starting with a family clinician, focuses on checking for and correcting underlying causes such as low iron, adjusting habits like caffeine and sleep timing, and, when symptoms are severe, considering specific treatments. A clinician will arrange blood tests and personalize the plan.

See a doctor urgently if

  • Symptoms regularly disrupt your sleep or daily life
  • Symptoms worsen despite lifestyle changes
  • You are pregnant and develop these symptoms
  • You have known kidney problems or anemia
  • New or worsening symptoms after starting a medication

Frequently asked questions

What are the first signs of Restless Legs Syndrome?
Early signs often include strong urge to move the legs, often with crawling or tingling feelings, symptoms that worsen in the evening or at night, relief when walking or stretching. Symptoms vary from person to person, so a proper assessment by a doctor is the only way to be sure.
Can Restless Legs Syndrome be treated?
Care, usually starting with a family clinician, focuses on checking for and correcting underlying causes such as low iron, adjusting habits like caffeine and sleep timing, and, when symptoms are severe, considering specific treatments. A clinician will arrange blood tests and personalize the plan.
When should I see a doctor about Restless Legs Syndrome?
See a doctor promptly if you notice: symptoms regularly disrupt your sleep or daily life; symptoms worsen despite lifestyle changes; you are pregnant and develop these symptoms; you have known kidney problems or anemia; new or worsening symptoms after starting a medication.

Talk to the right specialist

Restless Legs Syndrome is usually handled by neurology. See an online neurology doctor in minutes on iHealix.

Related conditions

Lab tests that may help

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