What Is Restless Leg Syndrome (RLS)?
Restless Leg Syndrome and Periodic Limb Syndrome treatment begins with understanding these two common neurological conditions that disrupt sleep and quality of life. Restless Leg Syndrome (RLS) is a condition characterized by discomfort in the legs, prompting the afflicted individual to move their legs to alleviate the sensation. Spells of RLS commonly occur during inactivity, especially when a person is sleeping, seated, or resting. Although stretching the legs relieves discomfort, stopping causes it to return.
Causes of Restless Leg Syndrome
RLS may develop genetically or due to secondary causes. Research indicates a strong familial link, especially in cases where the syndrome develops earlier in life (Guo et al., 2017).
Secondary causes of RLS include:
- Iron deficiency
- Pregnancy
- Peripheral nerve damage
- End-stage renal disease
Dopamine, a critical neurotransmitter responsible for body movement regulation, becomes impaired when iron is deficient. This impairment leads to increased spinal cord excitability, resulting in involuntary leg movements.
RLS Treatment Options
Pharmacological Treatments for RLS
Pharmacological treatment often includes dopaminergic drugs such as:
- Pramipexole
- Ropinirole
These medications increase dopamine levels to help stabilize movement. However, they may cause side effects like:
- Sleepiness
- Impulse control disorders
Patient education is crucial. Patients should be made aware of possible side effects and the importance of reporting them to their healthcare provider.
Non-Pharmacological Approaches for RLS
One effective non-drug strategy is addressing underlying sleep disorders. It’s generally recommended to try non-pharmacological methods before starting drug therapy.
What Is Periodic Limb Syndrome (PLS)?
Periodic Limb Syndrome (PLS) is another sleep-related movement disorder characterized by repetitive limb movements during sleep, often occurring every 20 to 40 seconds.
Possible Causes of PLS
While the exact cause of PLS remains unclear, several risk factors have been identified:
- Genetic markers such as MEIS1 and BTBD9, also linked to RLS (Catoire et al., 2018)
- Iron and ferritin deficiencies, which can intensify the condition
PLS Treatment Options
Medications for Periodic Limb Syndrome
PLS can be treated with both pharmacological and non-pharmacological methods. Common medications include:
- Pramipexole
- Ropinirole
- Pregabalin
These dopamine receptor agonists increase dopamine levels, improving muscle control. Side effects, including sleepiness and impulsivity, are similar to those seen in RLS treatment. Patient education remains key to successful treatment management.
Non-Drug Treatments for PLS
Exercise is a proven non-pharmacological treatment option. Studies show a correlation between reduced periodic limb movements and increased beta-endorphin levels, which are boosted through moderate physical activity (Franco et al., 2019). Thus, incorporating regular exercise can be a highly effective way to manage PLS without medication.
Final Thoughts
Both Restless Leg Syndrome and Periodic Limb Syndrome treatment require a combination of proper diagnosis, medication when necessary, and lifestyle changes. A personalized plan, patient education, and non-drug therapies like exercise can significantly improve outcomes for those affected. Interestingly, the pursuit of physical well-being and restful sleep aligns with ancient philosophical ideas about living well, like Aristotle’s concept of eudaimonia, or human flourishing. Explore how Aristotle connects purpose and health in this article.
References
- Catoire, H., et al. (2018). A direct interaction between two restless legs syndrome predisposing genes: MEIS1 and SKOR1. Scientific Reports, 8(1). https://doi.org/10.1038/s41598-018-30665-6
- Franco, B., et al. (2019). Exercise as a favorable non-pharmacologic treatment to sleep-related movement disorders: A Review. Sleep Science, 12(2). https://doi.org/10.5935/1984-0063.20190064
- Guo, S., et al. (2017). Restless legs syndrome: From pathophysiology to clinical diagnosis and management.Frontiers in Aging Neuroscience, 9. https://doi.org/10.3389/fnagi.2017.00171

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