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Stopping Sleepless
Nights: What You Need to Know about Restless Legs Syndrome,
a Common but Unrecognized Condition
by: ARA Content
(ARA) - "Creepy-crawly," "prickly," "tingling,"
and "twitching" ... These are the words typically
used to describe one of the most common but relatively unknown
sleep disorders in the United States: Restless Legs Syndrome
(RLS).
According to the National Institutes of Health (NIH), nearly
12 million Americans have RLS, and even though it's slowly
becoming more recognized, many researchers believe RLS is
misdiagnosed or never diagnosed at all, since many people
feel their symptoms will not be taken seriously or cannot
be treated. To address the continuing need for public education,
the RLS Foundation, an organization committed to providing
information and assisting RLS patients in finding a doctor
or support group, is funding new research and sponsoring educational
initiatives.
"My mother, my sister and I had these awful sensations.
We couldn't sleep or sit still on long car rides. It was difficult
for my father, our doctors and even my wife, to understand,"
said Bob Waterman, chairman of the RLS Foundation's board
of directors. "We were relieved to finally discover we
had a real illness; it had a name; it could be treated."
The classic symptom of RLS is uncomfortable sensations in
the legs that worsen at night or when the legs have not moved
for an extended period of time. The only way to relieve this
feeling is by moving the legs, making a good night's sleep
or any activities that restrict movement, such as long drives,
plane trips, or going to movies or sporting events, very difficult.
"People suffering from RLS not only see their quality
of life diminish, but they may be unaware they have a real
disorder that can be diagnosed and treated," said John
Winkelman, M.D., Ph.D., sleep specialist at Harvard Medical
School and member of the RLS Foundation's medical advisory
board. "Physicians also need to be aware of RLS so they
can properly diagnose patients and prescribe the most appropriate
medication when necessary."
Among the primary symptoms of RLS are:
- Compelling or irresistible urge to move the affected limbs
(most often the legs);
- Uncomfortable (creepy-crawly) sensations deep in the limbs;
- The urge to move and the uncomfortable sensations are
relieved with movement of the affected limbs;
- Symptoms are worse in the evening and at night, especially
when the individual is at rest.
Associated features of RLS include:
- Periodic leg movements (PLM), characterized by a repetitive
jerking of the leg, either during sleep or when awake;
- Sleep disturbance and fatigue;
- Family history;
- Absence of other conditions known to cause RLS symptoms,
such as iron deficiency and pregnancy.
"By educating yourself, you develop a greater understanding
of the condition and can have a more productive discussion
with your doctor," said Waterman. "The recognition
of RLS symptoms by you and your doctor will lead to a quicker
diagnosis and treatment."
The RLS Foundation recently held its first national meeting
to share new research among doctors and patients. The foundation
has also established Sept. 23, the birth date of RLS discoverer
Dr. Karl Ekbom, as the annual International RLS Awareness
Day.
While new research is being conducted, there are many effective
treatments for RLS currently available. In mild cases, simple
lifestyle changes such as taking baths, having massages, doing
yoga and other relaxation exercises, and eliminating caffeine
and alcohol may improve symptoms. In severe cases, various
classes of medication, including dopaminergic agents, sedatives,
anti-convulsants and pain relievers, have relieved RLS symptoms.
However, all of the classes of drugs have varying benefits
and side effects, so patients must discuss which medication
is most appropriate for them with their doctors.
For more information about RLS or to find a local support
group, please call the RLS Foundation's toll free number at
(877) 463-6757 or visit the foundation's Web site at www.rls.org.
About The Author
Courtesy of ARA Content, www.ARAcontent.com;
e-mail: info@ARAcontent.com
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