Restless legs syndrome history and symptoms: Difference between revisions

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{{Restless legs syndrome}}
{{Restless legs syndrome}}


{{CMG}}; {{AE}}  
{{CMG}}; {{AE}} {{MMJ}}
==Overview==
==Overview==
The majority of patients with [disease name] are asymptomatic.
The majority of patients with [disease name] are asymptomatic.
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===History===
===History===
Patients with restless legs syndrome may have a positive history of:
Patients with restless legs syndrome may have a positive history of:
*Family history of restless legs syndrome
*Family history of restless legs syndrome<ref name="pmid17068272">{{cite journal| author=Dhawan V, Ali M, Chaudhuri KR| title=Genetic aspects of restless legs syndrome. | journal=Postgrad Med J | year= 2006 | volume= 82 | issue= 972 | pages= 626-9 | pmid=17068272 | doi=10.1136/pgmj.2006.045690 | pmc=2653903 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17068272  }} </ref>
* [[Iron deficiency]] [[Anemia]]
* [[Iron deficiency Anemia]]<ref name="pmid17566122">{{cite journal| author=Allen RP, Earley CJ| title=The role of iron in restless legs syndrome. | journal=Mov Disord | year= 2007 | volume= 22 Suppl 18 | issue=  | pages= S440-8 | pmid=17566122 | doi=10.1002/mds.21607 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17566122  }} </ref>
* [[Kidney diseases]]
* [[Kidney diseases]]<ref name="pmid27765002">{{cite journal| author=Lin Z, Zhao C, Luo Q, Xia X, Yu X, Huang F| title=Prevalence of restless legs syndrome in chronic kidney disease: a systematic review and meta-analysis of observational studies. | journal=Ren Fail | year= 2016 | volume= 38 | issue= 9 | pages= 1335-1346 | pmid=27765002 | doi=10.1080/0886022X.2016.1227564 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27765002  }} </ref>


===Common Symptoms===
===Common Symptoms===
Common symptoms of [disease] include:
Common symptoms of [disease] include:<ref name="pmid23748511">{{cite journal| author=Bogan RK, Cheray JA| title=Restless legs syndrome: a review of diagnosis and management in primary care. | journal=Postgrad Med | year= 2013 | volume= 125 | issue= 3 | pages= 99-111 | pmid=23748511 | doi=10.3810/pgm.2013.05.2636 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23748511  }} </ref>
*[Symptom 1]
*Urge to move the legs
*[Symptom 2]
*Uncomfortable and bothersome sensations in the affected limbs
*[Symptom 3]
*[Symptom 3]
 
Symptoms appear when the legs are at rest and are worst in the evening and at night. They force patients to keep moving their legs.<ref name="pmid19817966">{{cite journal| author=Ekbom K, Ulfberg J| title=Restless legs syndrome. | journal=J Intern Med | year= 2009 | volume= 266 | issue= 5 | pages= 419-31 | pmid=19817966 | doi=10.1111/j.1365-2796.2009.02159.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19817966  }} </ref>
Symptoms get worse when sitting or lying down.
===Less Common Symptoms===
===Less Common Symptoms===
Less common symptoms of [disease name] include  
Less common symptoms of [disease name] include  

Revision as of 17:04, 5 April 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]

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:[4]

  • Urge to move the legs
  • Uncomfortable and bothersome sensations in the affected limbs
  • [Symptom 3]

Symptoms appear when the legs are at rest and are worst in the evening and at night. They force patients to keep moving their legs.[5] Symptoms get worse when sitting or lying down.

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

  1. Dhawan V, Ali M, Chaudhuri KR (2006). "Genetic aspects of restless legs syndrome". Postgrad Med J. 82 (972): 626–9. doi:10.1136/pgmj.2006.045690. PMC 2653903. PMID 17068272.
  2. Allen RP, Earley CJ (2007). "The role of iron in restless legs syndrome". Mov Disord. 22 Suppl 18: S440–8. doi:10.1002/mds.21607. PMID 17566122.
  3. Lin Z, Zhao C, Luo Q, Xia X, Yu X, Huang F (2016). "Prevalence of restless legs syndrome in chronic kidney disease: a systematic review and meta-analysis of observational studies". Ren Fail. 38 (9): 1335–1346. doi:10.1080/0886022X.2016.1227564. PMID 27765002.
  4. Bogan RK, Cheray JA (2013). "Restless legs syndrome: a review of diagnosis and management in primary care". Postgrad Med. 125 (3): 99–111. doi:10.3810/pgm.2013.05.2636. PMID 23748511.
  5. Ekbom K, Ulfberg J (2009). "Restless legs syndrome". J Intern Med. 266 (5): 419–31. doi:10.1111/j.1365-2796.2009.02159.x. PMID 19817966.

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