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:

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:

  • [Symptom 1]
  • [Symptom 2]
  • [Symptom 3]

Less Common Symptoms

Less common symptoms of [disease name] include

  • [Symptom 1]
  • [Symptom 2]
  • [Symptom 3]



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.

Temporal Variability

Symptoms may vary over the course of the day-night cycle, with symptoms worse in the evening and early in the night. Most sufferers experience the worst symptoms in the evening and the least in the morning. However, some sufferers still only experience RLS at bedtime and others throughout both day and night.

References

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