Restless legs syndrome physical examination

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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

Physical examination of patients with restless leg syndrome is usually normal. Physical examination is performed to identify secondary causes and to rule out other disorders. A neurologic examination with emphasis on spinal cord and peripheral nerve function should performed in all patients with restless leg syndrome to diagnose the possible underlying neurological disease. A detailed vascular examination should performed in all patients with restless leg syndrome to diagnose the possible underlying vascular disease. A neurologic examination with emphasis on conjunctival pallor should performed in all patients with restless leg syndrome to diagnose the possible iron deficiency anemia.

Physical Examination

Physical examination of patients with restless leg syndrome is usually normal.^[1]

Physical examination is performed to identify secondary causes and to rule out other disorders.
The following are areas of particular importance:^[2]^[3]
- A neurologic examination with emphasis on spinal cord and peripheral nerve function should performed in all patients with restless leg syndrome to diagnose the possible underlying neurological disease.
- A detailed vascular examination should performed in all patients with restless leg syndrome to diagnose the possible underlying vascular disease.
- A neurologic examination with emphasis on conjunctival pallor should performed in all patients with restless leg syndrome to diagnose the possible iron deficiency anemia.

Appearance of the Patient

Patients with restless leg syndrome usually appear normal.

Vital Signs

Patients with restless leg syndrome usually have normal vital signs.

Skin

Skin examination of patients with restless leg syndrome is usually normal.

HEENT

HEENT examination of patients with restless leg syndrome is usually normal.
A neurologic examination with emphasis on conjunctival pallor should performed in all patients with restless leg syndrome to diagnose the possible iron deficiency anemia.^[3]

Neck

Neck examination of patients with restless leg syndrome is usually normal.

Lungs

Pulmonary examination of patients with restless leg syndrome is usually normal.

Heart

Cardiovascular examination of patients with restless leg syndrome is usually normal.
A detailed vascular examination should performed in all patients with restless leg syndrome to diagnose the possible underlying vascular disease.^[2]

Abdomen

Abdominal examination of patients with restless leg syndrome is usually normal.

Back

Back examination of patients with restless leg syndrome is usually normal.

Genitourinary

Genitourinary examination of patients with restless leg syndrome is usually normal.

Neuromuscular

Neuromuscular examination of patients with restless leg syndrome is usually normal.

A neurologic examination with emphasis on spinal cord and peripheral nerve function should performed in all patients with restless leg syndrome to diagnose the possible underlying neurological disease.

Extremities

Extremities examination of patients with restless leg syndrome is usually normal.

References

↑ Koo BB, Bagai K, Walters AS (2016). "Restless Legs Syndrome: Current Concepts about Disease Pathophysiology". Tremor Other Hyperkinet Mov (N Y). 6: 401. doi:10.7916/D83J3D2G. PMC 4961894. PMID 27536462.
↑ ^2.0 ^2.1 Gottlieb DJ, Somers VK, Punjabi NM, Winkelman JW (2017). "Restless legs syndrome and cardiovascular disease: a research roadmap". Sleep Med. 31: 10–17. doi:10.1016/j.sleep.2016.08.008. PMC 5334194. PMID 28065687.
↑ ^3.0 ^3.1 Allen RP, Auerbach S, Bahrain H, Auerbach M, Earley CJ (2013). "The prevalence and impact of restless legs syndrome on patients with iron deficiency anemia". Am J Hematol. 88 (4): 261–4. doi:10.1002/ajh.23397. PMID 23494945.

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[pmid27536462-1] Koo BB, Bagai K, Walters AS (2016). "Restless Legs Syndrome: Current Concepts about Disease Pathophysiology". Tremor Other Hyperkinet Mov (N Y). 6: 401. doi:10.7916/D83J3D2G. PMC 4961894. PMID 27536462.

[pmid28065687-2] 2.0 ^2.1 Gottlieb DJ, Somers VK, Punjabi NM, Winkelman JW (2017). "Restless legs syndrome and cardiovascular disease: a research roadmap". Sleep Med. 31: 10–17. doi:10.1016/j.sleep.2016.08.008. PMC 5334194. PMID 28065687.

[pmid23494945-3] 3.0 ^3.1 Allen RP, Auerbach S, Bahrain H, Auerbach M, Earley CJ (2013). "The prevalence and impact of restless legs syndrome on patients with iron deficiency anemia". Am J Hematol. 88 (4): 261–4. doi:10.1002/ajh.23397. PMID 23494945.

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