Restless Legs

Lifestyle modifications

NUTRITION

  • In some cases nicotine, caffeine and alcohol increase the symptoms. If these substances increase symptoms of RLS recommend to avoid/minimize the intake (1, 2).
  • Iron: Iron deficiency may cause restless legs syndrome. Start iron supplementation if ferritin is below 75mcg/l. Vitamin C increases iron absorption (2).
  • There is a significant association between vitamin D levels and restless legs syndrome. Normalize vitamin D levels if deficiency is present (3).
  • There is increased risk of restless legs syndrome among obese individuals (4)

PHYSICAL ACTIVITY

  • Moderate regular exercise (1)
  • For symptomatic relief – walking, bicycling, soaking the affected limbs, and leg massage, including pneumatic compression (1)

SLEEP

  • Reduced sleep may aggravate symptoms of RLS in many patients. Thus, improving sleep may possibly reduce symptoms of RLS (2).

OTHER

  • Mental alerting activities, such as working on a computer or doing crossword puzzles, at times of rest or boredom (2).
  • Stretching, warm baths before bedtime (1).

References

  1. 1) https://www.uptodate.com/contents/management-of-restless-legs-syndrome-and-periodic-limb-movement-disorder-in-adults
  2. 2) https://bestpractice.bmj.com/topics/en-us/65/management-approach
  3. 3) www.sciencedirect.com/science/article/abs/pii/S13899457203038161
  4. 4) https://pubmed.ncbi.nlm.nih.gov/29674254/

Resources

EXPLANATION TO EVIDENCE PRESENTATION

Figure: Evidence pyramid

Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD font

Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE font

​Evidence based on randomized controlled trials is written in PLAIN font

Evidence based on observational / cohort studies is written in CURSIVE font