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When restless legs syndrome disturbs our sleep

Post by 
Dr. Mohamed Salama
Published 
January 24, 2023
W

hat is meant by restless legs syndrome?

Dr. Salama: Restless legs syndrome is one of the most common sleep disorders and occurs in 5 to 10% of the European population. Researchers describe the condition in studies as a modern clinical entity. Despite varying severity, restless legs syndrome can significantly affect sleep (in part due to periodic leg movements) and quality of life, with massive socioeconomic implications. Therefore, its detection and treatment are critical. However, screening methods have their limitations and should be improved. Furthermore, there are only a limited number of treatment options for restless legs syndrome, although they provide lasting relief for many patients.

Do we know what causes restless legs syndrome?

Dr. Salama: One possible cause of restless legs syndrome is chronic venous insufficiency. This is a disease of the veins in which blood is not pumped back to the heart properly and pools in the legs. This can cause pain, heaviness, itching and cramping in the legs. Some studies have shown that people with chronic venous insufficiency are at higher risk for restless leg syndrome.

What are the consequences of restless leg syndrome?

Dr. Salama: Chronic venous insufficiency can lead to a buildup of iron in the veins, which can increase the symptoms of restless legs syndrome. Consequently, treatment may also relieve the symptoms of restless legs syndrome.

Are there any interactions of restless legs syndrome with chronic vein insufficiency?

Dr. Salama: Several studies suggest that up to 22% of people with restless legs syndrome also have venous insufficiency. When restless legs occur with venous insufficiency, restless legs syndrome can be significantly improved by treating varicose veins. In a study published in the Journal of Phlebology, it was reported that restless legs syndrome symptoms were relieved by treating the varicose veins in 98% of patients who had both restless legs syndrome and venous disease. 80% of patients experience a long-term improvement.

What are the treatments for restless legs syndrome?

Dr. Salama: Treatment for restless legs syndrome may include medications such as dopamine agonists, which can increase dopamine release in the brain, thereby relieving the symptoms of restless legs syndrome. Lifestyle changes such as regular exercise, a healthy diet and avoiding stimulants can also help.

How does treatment begin at LBCL Surgery and Vein?

Dr. Salama: The first step in the practice is a simple exam and a non-invasive duplex ultrasound of the legs performed by the vein specialist. If underlying venous disease has been diagnosed and one is suffering from restless legs, then there is definitely Hoffnung! It is important that people with restless leg syndrome see their doctor to get the proper diagnosis and treatment. If chronic venous insufficiency is identified as a possible cause, its treatment can also relieve the symptoms of restless legs syndrome.

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Relief washes over you knowing that your condition has been treated and you no longer have to suffer from those uncomfortable symptoms again.
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