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Summary and Patient Information Sheet
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What is RLS?
- A need to move the legs, usually the result of unpleasant sensations
- Occurs exclusively or is worse when resting and symptoms are relieved
by moving
- Symptoms are worse, or only occur at night
RLS is commonly accompanied by sleep disturbances
What causes RLS?
- The majority of cases are 'primary RLS' and the causes are unknown. RLS
can run in families suggesting a genetic predisposition. A chemical
imbalance in the brain (deficiency of the chemical 'dopamine') may be
responsible for the disorder in some individuals
- Some patients have RLS secondary to either pregnancy or other
conditions, particularly a lack of iron
What investigations should I expect?
- The diagnosis of RLS is based mainly upon your account of your symptoms
- Physical examination may also be performed to rule out other diagnoses
Blood tests will be performed to rule out particular diagnoses such as iron
deficiency anaemia, thyroid abnormalities or kidney problems
How is RLS treated?
- RLS may be mild, and have a minimal effect on daily life. Some cases of
RLS are very severe and can have a detrimental effect on the sufferer's
social, family and working life
- Mild RLS may be best treated with lifestyle changes, especially good sleep
hygiene. Dietary supplementation with iron tablets may also be required
- Disabling RLS may require drug treatment. A variety of effective drugs are
available so that you and your doctor can find the one to suit you
Sleep hygiene measures that may benefit RLS
- Quiet, comfortable and cool sleeping environment
- Regular hour for going to bed at night
- Waking at the same time in morning
- Avoiding tea/coffee before bed
- Avoiding water tablets before bedtime
- Some people find sleeping late and rising late may
be beneficial
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