Causes of Restless Legs Syndrome Treatment
Restless legs syndrome (RLS) is a neurological movement disorder characterized by an uncontrollable urge to move one’s legs, usually due to uncomfortable or unpleasant sensations in the legs. The exact causes of RLS are still unknown, but research suggests genetic and environmental factors may play a role. Some common potential causes or triggers of Restless Legs Syndrome Treatment include:
Iron Deficiency – Having lower than normal levels of iron in the blood is one of the most common causes of RLS. Iron is important for proper nerve and brain function. Low iron levels can lead to RLS symptoms in many people.
Nerve Damage – Neurological problems that damage nerve fibers carrying signals between the brain and spinal cord have been linked to RLS. Conditions like peripheral neuropathy and rheumatoid arthritis may increase RLS risk through nerve degeneration.
Medication Side Effects – Certain prescription and over-the-counter drugs are known to increase the likelihood of developing RLS or exacerbating existing symptoms. These include antipsychotics, antidepressants, antihistamines, and medications for nausea, heartburn, or Parkinson’s disease.
Pregnancy – Hormonal changes during pregnancy can in some cases trigger the onset or worsening of RLS symptoms. Pregnant women are at higher risk for experiencing uncomfortable leg sensations related to RLS.
Age – The risk of RLS increases with age. It is more commonly diagnosed in middle-aged to older adults. However, RLS can develop at any age.
Family History – Having a family member who also has RLS increases one’s own chances of being diagnosed. Genetic factors seem to play an important role in many cases.
Lifestyle Habits – Consuming caffeine, alcohol, or smoking can potentially trigger or aggravate RLS symptoms in susceptible individuals. Stress, lack of exercise, and low dopamine levels are also associated risk factors.
Diagnosing Restless Legs Syndrome Treatment
Since RLS symptoms are subjective and there are no definitive medical tests, diagnosing the condition involves ruling out potential medical causes and considering family history and lifestyle patterns. Doctors rely primarily on evaluating a patient’s description of their leg sensations and movements. According to diagnostic criteria established by the International Restless Legs Syndrome Study Group, all of the following features must be present for an RLS diagnosis:
– An urge to move the legs usually accompanied by uncomfortable and unpleasant sensations in the legs
– Symptoms begin or worsen during periods of rest or inactivity like lying down or sitting
– Symptoms are partially or totally relieved by movement like walking or stretching
– Symptoms are worse in the evening or night than during the day
– Symptoms cause significant problems with daily functioning or sleep quality
Blood tests may be used to check iron levels, kidney and liver function, thyroid levels, and other factors that could contribute to or mimic RLS. In some cases, polysomnography may be done during an overnight sleep study to objectively record limb movements associated with RLS that disrupt sleep.
Dopamine plays an important role in regulating normal sensations and movements. MRI imaging studies have found abnormalities in dopamine-producing regions of the brains of RLS patients, providing further evidence of biological mechanisms underlying the disorder.
Nonmedication Treatments for Restless Legs Syndrome
Lifestyle and behavioral modifications can help manage RLS symptoms and reduce triggers. These include:
– Improving sleep hygiene with a regular schedule and relaxing pre-bedtime routines
– Doing gentle stretching or massage before bed to relieve tense muscles
– Consuming less caffeine, alcohol, and nicotine which may exacerbate symptoms
– Taking iron supplements if deficiency is a contributing factor
– Applying heating pads or doing cold water immersion of legs before bedtime
– Practicing relaxation techniques like meditation, yoga or deep breathing
– Maintaining an exercise routine which can help tire legs and improve sleep quality
Physical therapy involving heat, ice, massage, stretching and other strategies may provide relief. Some find compression stockings soothing. Biofeedback training teaches relaxation responses to address underlying tension. Cognitive behavior therapy addresses unhelpful thought patterns worsening symptoms.
Restless Legs Syndrome Medication Options
When lifestyle changes alone don’t adequately control RLS symptoms, medication treatment is usually recommended. Common prescription drugs prescribed based on severity include:
– Dopamine agonists (like pramipexole or ropinirole) – Considered first-line treatment by targeting brain dopamine systems impacted in RLS
– Benzodiazepines (clonazepam) – Help reduce limb movements during sleep but risks include dependence
– Opioids (codeine or tramadol) – May temporarily relieve symptoms but risks include abuse and dependence
– Anticonvulsants (gabapentin or pregabalin) – Initially prescribed but carry side effects like dizziness
– Iron supplements – Useful for treating underlying iron deficiency if present
– L-dimethylaminoethanol (melevodopa) – Metabolizes into dopamine and relieves symptoms at bedtime
Over-the-counter medicines like nondrowsy antihistamines are occasionally tried due to their sedating effects but usually provide only mild, temporary relief. Treatment goals aim to control uncomfortable sensations and improve sleep without serious side effects. Long-term medication management is often needed given the chronic nature of RLS.
In Summary
Though not life-threatening, restless legs syndrome can substantially impair quality of life through sleep loss, daytime fatigue and distressing sensations. Diagnosis involves considering symptoms and ruling out alternate causes. Lifestyle changes, physical therapies, and medications individually tailored based on severity can effectively manage discomfort and sleep disruption associated with RLS. With treatment, most individuals find relief from this common movement disorder.
(LinkedIn: https://www.linkedin.com/in/vaagisha-singh-8080b91)
*Note:
1.Source: Coherent Market Insights, Public sources, Desk research
2.We have leveraged AI tools to mine information and compile it
About Author - Ravina Pandya
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