Restless legs syndrome history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]

Overview

The majority of patients with [disease name] are asymptomatic.

OR

The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History and Symptoms

  • The hallmark of restless leg syndrome is urge to move the legs. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
  • Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History

Patients with restless legs syndrome may have a positive history of:

Common Symptoms

Common symptoms of [disease] include:[4][5]

  • Urge to move the legs
  • Uncomfortable and bothersome sensations in the affected limbs
    • Itching feeling
    • Burning feeling
    • Creeping feeling
    • Pulling feeling
    • Aching feeling

Symptoms appear when the legs are at rest and are worst in the evening and at night.[6]

Symptoms force patients to keep moving their legs.[7]

Symptoms get worse when sitting or lying down.[7]

Symptoms

Urges to Move

Urges to move, usually due to uncomfortable sensations that occur primarily in the legs, are common amongst those affected. These sensations are unusual and unlike other common sensations, and those with RLS have a hard time describing them. People use words such as: uncomfortable, antsy, electrical, creeping, painful, itching, pins and needles, pulling, creepy-crawly, ants inside the legs, and many others. The sensation and the urge can occur in any body part; the most cited location is legs, followed by arms. Some people have little or no sensation, yet still have a strong urge to move.

Motor Restlessness

Motor restlessness is expressed as activity that relieves the urge to move. Movement will usually bring immediate relief. However, often only temporary and partial. Walking is most common, but doing stretches, yoga, biking, or other physical activity may relieve the symptoms. Constant and fast up-and-down movement of the leg, coined "sewing machine legs" by at least one RLS sufferer, is often done to keep the sensations at bay without having to walk. Sometimes a specific type of movement will help a person more than another.

Worsening of symptoms by relaxation

Any type of inactivity involving sitting or lying, such as reading a book, a plane ride, watching TV or a movie, or taking a nap, can trigger the sensations and urge to move. This depends on several factors, including the severity of the person’s RLS, the degree of restfulness, the duration of the inactivity, etc

References

  1. Dhawan V, Ali M, Chaudhuri KR (2006). "Genetic aspects of restless legs syndrome". Postgrad Med J. 82 (972): 626–9. doi:10.1136/pgmj.2006.045690. PMC 2653903. PMID 17068272.
  2. Allen RP, Earley CJ (2007). "The role of iron in restless legs syndrome". Mov Disord. 22 Suppl 18: S440–8. doi:10.1002/mds.21607. PMID 17566122.
  3. Lin Z, Zhao C, Luo Q, Xia X, Yu X, Huang F (2016). "Prevalence of restless legs syndrome in chronic kidney disease: a systematic review and meta-analysis of observational studies". Ren Fail. 38 (9): 1335–1346. doi:10.1080/0886022X.2016.1227564. PMID 27765002.
  4. Bogan RK, Cheray JA (2013). "Restless legs syndrome: a review of diagnosis and management in primary care". Postgrad Med. 125 (3): 99–111. doi:10.3810/pgm.2013.05.2636. PMID 23748511.
  5. Karroum EG, Golmard JL, Leu-Semenescu S, Arnulf I (2015). "Painful restless legs syndrome: a severe, burning form of the disease". Clin J Pain. 31 (5): 459–66. doi:10.1097/AJP.0000000000000133. PMID 25167326.
  6. Bogan RK (2006). "Effects of restless legs syndrome (RLS) on sleep". Neuropsychiatr Dis Treat. 2 (4): 513–9. PMC 2671944. PMID 19412499.
  7. 7.0 7.1 Ekbom K, Ulfberg J (2009). "Restless legs syndrome". J Intern Med. 266 (5): 419–31. doi:10.1111/j.1365-2796.2009.02159.x. PMID 19817966.

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