A condition in which a person experiences unpleasant sensations in the lower limbs (sometimes in the top), causing an irresistible urge to move the legs or arms, called restless legs syndrome (RLS).
People suffering from this syndrome, note that unpleasant sensations usually occur at rest evening or at night, especially in a lying or sitting position. In some cases, RLS leads to serious sleep disorders in 15% of cases the cause of insomnia (chronic insomnia), which significantly affects the quality of human life.
The symptoms of restless legs syndrome may be mild and did not cause much concern, and there are intolerable, and bring the patient to despair. Syndrome occurs among all age groups, but more often it affects people of middle and old age.
In 20% of cases of RLS occurs in pregnant women, symptoms are manifested in the II-III trimester and after delivery completely disappears.
Restless Legs Syndrome: Causes
The appearance of RLS in 20% of cases due to a deficiency or wrong redistribution of iron in the body, other causes of restless legs syndrome may be diseases such as:
- Varicose veins and venous reflux;
- Deficiency of folic acid, B vitamins and magnesium;
- Fibromyalgia and uremia;
- Sleep apnea and diabetes;
- Thyroid disease;
- Peripheral neuropathy;
- Amyloidosis and resection of the stomach;
- Parkinson's disease and Sjogren's syndrome;
- Celiac disease and rheumatoid arthritis.
It is possible the emergence of restless legs syndrome and cryoglobulinemia, alcoholism, chronic obstructive pulmonary disease, hypothyroidism and hyperthyroidism, porphyria, occlusive arterial disease, radiculopathy, spinal cord lesions, essential tremor, Huntington's disease, amyotrophic lateral sclerosis and fibromyalgia.
We absolutely healthy people sometimes manifests RLS, as result of stress, intense physical activity and eating in large amounts of beverages containing caffeine.
Also, the reason for the emergence or worsening of Restless Legs Syndrome can be a receiving drugs such as:
- Antipsychotic and some anticonvulsants.
The significant role played by genetic factors - almost half suffering from restless legs syndrome people are members of families in which the disease is passed from generation to generation.
Symptoms of RLS
It is characterized by the appearance of symptoms of discomfort stabbing, scrubbing, itching, oppressive or Expander nature of the lower limbs. Symptoms occurs mostly at rest, during physical activity are significantly reduced.
To facilitate the condition of the patient resorted to various manipulations - stretched and bent, massaged, rubbed and shaken limbs during sleep often toss and turn, get up out of bed and walk from side to side, or shifting from foot to foot. This activity helps stop the symptoms of restless legs syndrome, but once again, the patient goes to bed, or just stop - return.
A characteristic feature of the syndrome is the manifestation of symptoms at one and the same time, the average maximum intensity of it reaches between 12 am to 4 am, the minimum necessary for the period from 6 to 10 am.
In advanced cases, long-term absence of treatment, the daily rhythm of restless legs syndrome disappears symptoms at any time, even in a state of sitting. This situation greatly complicates the life of the patient - it is difficult to withstand the long trip to transport, work at a computer, go to the movies, theaters, etc.
Because of the need to constantly carry the movement during sleep with the time a patient begins insomnia, which leads to fatigue and daytime sleepiness.
Diagnosis of restless legs syndrome
Specific medical analysis for the diagnosis of restless legs syndrome does not exist, however, the analysis of blood and urine tests can help rule out other diseases.
RLS Diagnosis is carried out on the basis of:
- Describes the symptoms of the patient;
- Answers to questions concerning the health of relatives;
- Patient survey of previously used medications.
An important role is given to sleep - so if the patient prefers to sleep in the daytime, because of the emergence of uncomfortable sensations in the legs in the evening or at night, you can suggest the diagnosis of RLS.
Treatment of Restless Legs Syndrome
The main treatment of restless legs syndrome is aimed at reducing symptoms, decrease daytime sleepiness and quality of life of the patient.
Before proceeding to the immediate treatment, initially need to determine the reasons for the appearance of the syndrome. So if it turns out that the PRS is a consequence of medication - they must be canceled. In cases where the syndrome is a symptom of another disease - it is necessary to treat the underlying disease.
Treatment of the syndrome in the first place should be aimed at filling the existing deficiency of iron, B vitamins, magnesium, folic acid, and others. In the medical facility may be used as a drug and non-drug treatment.
Patients are encouraged to take an evening shower, to comply with a balanced diet, stop smoking and drinking alcohol, exercise moderate exercise, eliminate caffeine-containing foods and drinks in the evening, as well as to carry out walks before bedtime.
Restless legs syndrome is a condition in which a person experiences discomfort in the limbs, because of what the patient has an irresistible urge to move the legs (or hands). Timely diagnosis and treatment of the disease can fully get rid of the accompanying disease symptoms.