Facts About Restless Legs Syndrome (RLS)

​Information provided by the National Institute of Health​

What Is Restless Legs Syndrome?

Restless legs syndrome (RLS) is a sleep disorder in which a person experiences unpleasant sensations in the legs described as creeping, crawling, tingling, pulling or painful. These sensations usually occur in the calf area but may be felt anywhere from the thigh to the ankle. One or both legs may be affected; for some people, the sensations are also felt in the arms. These sensations occur when the person with RLS lies down or sits for prolonged periods of time, such as at a desk, riding in a car, or watching a movie. People with RLS describe an irresistable urge to move the legs when the sensations occur. Usually, moving the legs, walking, rubbing or massaging the legs, or doing knee bends can bring relief, at least briefly.

ALSO: The Sleep Center at ADC can perform a Sleep Study to help with RLS victims.  Watch: The ADC Sleep Center

RLS symptoms worsen during periods of relaxation and decreased activity. RLS symptoms also tend to follow a set daily cycle, with the evening and night hours being more troublesome for RLS sufferers than the morning hours. People with RLS may find it difficult to relax and fall asleep because of their strong urge to walk or do other activities to relieve the sensations in their legs. Persons with RLS often sleep best toward the end of the night or during the morning hours. Because of less sleep at night, people with RLS may feel sleepy during the day on an occasional or regular basis. The severity of symptoms varies from night to night and over the years as well. For some individuals, there may be periods when RLS does not cause problems, but the syumptoms usaully return. Other people may experience severe symptoms daily.

Many people with RLS also have a related sleep disorder called the periodic limb movements in sleep (PLMS). PLMS is characterized by involuntary jerking or bending leg movements during sleep that typically occur every 10 to 60 seconds. Some people may experience hundred of such movements per night, which can wake them, disturb their sleep, and awaken bed partners. People who have RLS and PLMS have trouble both falling asleep and staying asleep and may experience extreme sleepiness during the day. As a result of problems both in sleeping and while awake, people with RLS may have difficulties with their job, social life, and recreational activities.

Common Characteristics of Restless Legs Syndrome

Some common symptoms of RLS include:

  • Unpleasant sensations in the legs (sometimes the arms as well), often described as creeping, crawling, tingling, pulling, or painful;
  • Leg sensations are relieved by walking, stretching, knee bends, massage, or hot or cold baths;
  • Leg discomfort occurs when lying down or sitting for prolonged periods of time;
  • The symptoms are worse in the evening and during the night.

Other possible characteristics include:

  • Involuntary leg (and occassionally arm) movements while asleep;
  • Difficulty falling asleep or staying asleep;
  • Sleepiness or fatigue during the daytime;
  • Cause of the leg discomfort not detected by medical tests;
  • Family members with similar symptoms.
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