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Polysomnography and related sleep study tests may also be done to help identify problems that can interfere with sleep. You may be evaluated for other conditions with symptoms similar to restless legs syndrome. These conditions include varicose veins , arthritis , or intermittent claudication a tight, aching, or squeezing pain in the calf, foot, thigh, or buttock that occurs during exercise. You also may be asked about behaviours, habits, and physical traits that may be related, such as:.

You may also have tests to check for other diseases or health conditions —such as diabetes, peripheral neuropathy, pregnancy, kidney problems, or iron deficiency anemia—that can cause your symptoms. Tests will vary depending on what your doctor identifies as likely problems. Treatment for restless legs syndrome is based on the type of symptoms you have and how bad your symptoms are. Getting regular exercise and enough sleep may relieve mild symptoms. Medicines may be tried when symptoms are severe and interfere with sleep and daily functioning.

If your symptoms are being caused by another medical condition such as iron deficiency anemia , that condition can be treated first. Changing your daily routine is sometimes enough to control your symptoms. Stretching, walking, exercising regularly, taking a hot or cold bath, using massage, losing weight if you are overweight, and avoiding smoking, alcohol, and caffeine may reduce or control your symptoms. If your symptoms are caused by another medical condition such as diabetes or iron deficiency anemia, you will be treated for that condition first.

For example, if iron deficiency is causing restless legs syndrome, you will be prescribed iron supplements. For restless legs syndrome that starts during pregnancy, your doctor may recommend conservative treatment, such as regular exercise and stretching, to relieve symptoms. Your condition may be reevaluated if it doesn't go away after you have given birth.

Children who have restless legs syndrome are not usually treated with drugs right away. First regular, moderate exercise and regular sleep routines are tried. If this treatment is not effective, the doctor may prescribe medicine. If your symptoms do not improve, drugs may be used to control the urge to move and help you sleep, such as:.

If your doctor recommends medicine, make sure that you discuss expectations and understand the potential benefits and risks of the drug. Let your doctor know about all of the other drugs you are taking. Drugs taken for other conditions sometimes contribute to restless legs syndrome. For example, antidepressants improve restless legs syndrome in some people but make it worse in others.

Over time, treatment of RLS with a dopamine medicine may not work as well as it did at first. This is called augmentation. 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. Your doctor may have you try other treatments, such as a pneumatic compression device. This device pumps air in and out of sleeves to make them tight and loose around your legs while you are resting. See your doctor if your symptoms do not improve, if they become worse, or if they significantly interfere with your sleep and daily functioning.

Lindholm, DO - Neurology. Author: Healthwise Staff. Medical Review: Anne C. This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content. To learn more about Healthwise, visit Healthwise. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

It looks like your browser does not have JavaScript enabled. Please turn on JavaScript and try again. Important Phone Numbers. Restless Legs Syndrome. Topic Overview What is restless legs syndrome? What causes restless legs syndrome? Women sometimes get restless legs while they are pregnant. What are the symptoms? How is restless legs syndrome diagnosed? How is it treated? Some changes that may help: Avoid tobacco, alcohol, and caffeine. Keep your bedroom cool, quiet, and comfortable, and use it only for sleeping, not for watching TV. Get regular exercise.

Massage the leg or the arm, or use heat or ice packs.

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Health Tools Health Tools help you make wise health decisions or take action to improve your health. Actionsets are designed to help people take an active role in managing a health condition. Symptoms The main symptom of restless legs syndrome RLS is an irresistible urge to move because of uncomfortable and sometimes painful sensations deep within a part of your body. Restless legs syndrome may start or become worse during pregnancy, especially after week Examinations and Tests A doctor diagnoses restless legs syndrome by asking questions about your symptoms.

Restless legs syndrome is diagnosed by your doctor based on the following four criteria: You have an urge to move a part of your body, usually because of uncomfortable sensations such as tingling, "pins and needles," prickling, crawling, or pain. In some cases, you may not feel any unpleasant sensations but still feel the urge to move your legs or your arms. The sensations and the urge to move begin or get worse during periods of rest or inactivity, such as when you are sitting or lying down.

The sensations and the urge to move are partially or totally relieved by movement. But relief may be temporary and only last while you are walking, stretching, or moving. The urge to move and the sensations are worse in the evening or at night. But some people may have severe sensations and urges to move throughout the day and night.

Other factors that may support a diagnosis include: Having a family history in a parent or sibling of restless legs syndrome. Having periodic limb movements —involuntary jerking or movement of your legs—while you are awake or asleep. Showing improvement when the medicine dopamine is used.


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Common problems with diagnosing restless legs syndrome Many cases go undiagnosed because: Many people do not seek a doctor's help when they have symptoms. Most people visit a doctor during the day, when symptoms are not present or are only mild. Some doctors do not recognize the condition and may believe that the symptoms are caused by other conditions, such as insomnia, stress, muscle cramps, or arthritis.

Other conditions to consider Polysomnography and related sleep study tests may also be done to help identify problems that can interfere with sleep. You also may be asked about behaviours, habits, and physical traits that may be related, such as: Smoking. Lack of regular, moderate exercise.

Being overweight and having a high body mass index. Treatment Overview Treatment for restless legs syndrome is based on the type of symptoms you have and how bad your symptoms are. Initial treatment Changing your daily routine is sometimes enough to control your symptoms. Ongoing treatment If your symptoms do not improve, drugs may be used to control the urge to move and help you sleep, such as: Dopamine agonists, such as ropinirole for example, Requip.

Anticonvulsants, such as gabapentin for example, Neurontin. In some cases, your doctor may recommend an opioid pain medicine.

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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. You might notice that your symptoms: Begin earlier in the day. Become more intense. Spread to another part of your body. Other treatment Your doctor may have you try other treatments, such as a pneumatic compression device. Home Treatment There are ways to improve your symptoms of restless legs syndrome at home. Try: Exercise. Regular, moderate exercise may reduce symptoms.

Avoid long periods between activity and avoid sudden bursts of intense activity. Talk to your doctor before you start an exercise program. Heat or cold. Your symptoms may be relieved by bathing in hot or cold water. Or try a heating pad, hot water bottle, or ice bag. Keep a cloth between the heating pad, hot water bottle, or ice bag and your skin.

Do not use a heating pad with children. See the trailers we loved this week, including Midsommar and the final trailer for " Stranger Things " Season 3. Presented by Microsoft Surface.

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    Just as Annabel's sister is trying to cope with Annabel's impending death, Annabel and Enoch fall in love. They both finally have a reason to live, but is it too late to have a life together? Written by napierslogs. Director Gus Van Sant is renowned for films that explore the lives of lost or outcast characters, and reveal their strength and beauty. And his latest film Restless is no exception. Annabel is suffering a terminal illness, whilst Enoch splits his time between attending stranger's funerals and talking to the ghost of a kamikaze pilot named Hiroshi Ryo Kase.

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    Van Sant has created a beautiful film with vivid images and masterful direction.

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    It's also quite quirky due to its interesting characters, script and film score. The performances are very good especially from Wasikowska which I think add to the strong emotions elicited in the audience. Annabel's zest for life is especially inspirational. In this sense Restless is so much more than a love story.

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