Restless Leg Syndrome

What Is Restless Leg Syndrome?

Restless leg syndrome (RLS), medically known as Willis-Ekbom disease, is a neurological disorder characterized by an irresistible urge to move the legs, accompanied by uncomfortable sensations described as crawling, creeping, pulling, itching, burning, or throbbing. These sensations occur primarily when the body is at rest, particularly during evening hours and at night, creating a cycle of sleep disruption that significantly impacts quality of life.

The hallmark feature of RLS is that symptoms are temporarily relieved by movement, distinguishing it from other conditions that cause leg discomfort. Patients describe a compulsive need to pace, stretch, or constantly move their legs to find relief. This movement provides temporary respite, but symptoms typically return within minutes of attempting to rest again.

RLS affects approximately 5-15% of adults, with women twice as likely to develop the condition. Recent clinical studies have revealed that 22-36% of RLS patients have underlying venous insufficiency, and treating vein disease can provide remarkable improvement in symptoms. The timing of RLS symptoms aligns with venous insufficiency progression, as venous pressure worsens throughout the day, explaining why symptoms are most severe in evening and nighttime hours.

What Are the Symptoms of Restless Leg Syndrome?

Restless leg syndrome presents with distinctive symptoms that create a recognizable pattern, though intensity can range from mild occasional episodes to severe nightly disturbances.

The primary symptom is an overwhelming, irresistible urge to move the legs accompanied by deeply uncomfortable sensations. Patients describe feelings of crawling insects under the skin, creeping or pulling sensations deep within leg muscles, electric shock-like jolts, burning or aching discomfort, throbbing feelings, and restless energy demanding movement.

Symptoms typically begin or worsen when attempting to rest, particularly at night. Many patients report interference with falling asleep, watching television or traveling. Discomfort is characteristically relieved by movement, including walking, stretching or massaging legs, but relief is temporary with symptoms returning after movement stops.

Sleep disruption is the most significant impact, causing difficulty falling asleep, frequent nighttime awakenings, poor sleep quality and chronic sleep deprivation. This creates secondary symptoms including excessive daytime fatigue, difficulty concentrating, reduced work performance, increased irritability, anxiety and depression.

Many patients also experience periodic limb movements during sleep, characterized by repetitive leg jerking every 20-40 seconds throughout the night, further fragmenting sleep and potentially disturbing sleeping partners.

Restless Leg Syndrome Treatment at the Vein Care Center

At the Vein Care Center, our specialized approach to restless leg syndrome distinguishes us through unique expertise in identifying and treating vascular-related causes often overlooked by traditional neurological approaches. Dr. Manu B. Aggarwal and her experienced team have helped countless patients find relief through targeted vascular treatments.

As the fourth practice and third private office in Ohio accredited as a Vein Center, we maintain the highest care standards and utilize the latest diagnostic technologies. Our advanced duplex ultrasound technology diagnoses venous reflux contributing to symptoms, providing targeted treatment that addresses root causes rather than just managing symptoms.

Our minimally invasive vascular treatments are performed in-office with excellent safety profiles and minimal downtime. Most patients return to normal activities within 24-48 hours, with progressive symptom improvement as treated veins heal. Studies demonstrate 87-90% of patients with vascular-related RLS experience significant improvement after successful vein treatment, with many reporting complete resolution of nighttime leg discomfort.

Our integrated approach addresses immediate symptom relief and long-term vein health, preventing the progression of venous insufficiency that could worsen restless leg symptoms. We provide comprehensive follow-up care, monitoring progress and adjusting treatment for optimal outcomes.