भारत में रेस्टलेस लेग्स सिंड्रोम का उपचार, कारण, लक्षण और शीर्ष अस्पताल

परिभाषा

Restless legs syndrome (RLS) is a neurologic disorder. It is characterized by:

• Unpleasant sensations in the legs
• An irresistible urge to move your legs

का कारण बनता है

The cause of primary RLS is unknown. In some cases, RLS may be genetic. Or, it may be caused by other conditions or certain drugs. This is called secondary RLS.

Many people with RLS also have periodic limb movement disorder (PLMD). This is a related motor disorder characterized by:

• Involuntary, repetitive, jerking movements
• Interrupted sleep because of periodic leg movements

जोखिम कारक

These factors increase your chance of developing RLS:

• Family members with RLS
• Pregnancy—Some women have RLS during pregnancy. The symptoms usually go away after giving birth.
• Low iron levels—with or without anemia —may happen if you give blood a lot.
• Northern European descent
• Chronic disease, which can lead to secondary RLS:
  • Peripheral neuropathy
  • Chronic kidney failure
  • Chronic venous insufficiency —varicose veins
  • Radiculopathy—nerve problem
  • रक्ताल्पता
  • मधुमेह
  • कैंसर
  • Chronic obstructive pulmonary disease
  • रूमेटाइड गठिया
  • कोंजेस्टिव दिल विफलता
• Certain medicines, including tricyclic antidepressants, selective serotonin reuptake inhibitors [SSRIs], lithium, caffeine, dopamine antagonists, and sedating antihistamines

लक्षण

लक्षणों में शामिल हो सकते हैं:

• Feelings of tingling, creeping, pulling, prickling, pins and needles, or pain in the legs during periods of rest or inactivity—may also occur in the arms
• Symptoms typically get worse at night
• A strong urge to relieve uncomfortable sensations with movement
• Restlessness, including floor pacing, tossing and turning in bed, and rubbing the legs
• Difficulty falling asleep and staying asleep
• Hypersomnia—recurrent episodes of excessive daytime sleepiness or prolonged nighttime sleep

Symptoms may begin at any age. But, they are most common in people older than 60 years old. Symptoms usually increase in the evening and during times of rest, relaxation, or inactivity. For this reason, people with RLS generally have insomnia, which may be severe.

निदान

The doctor will ask about your symptoms and medical history. A physical and neurologic exam will be done. The diagnosis is based mainly on your symptoms. There is no specific test for RLS.

• Tests to check for conditions that may trigger RLS include:
  • रक्त परीक्षण
  • Monitoring of leg activity during sleep
  • Study of leg muscles, such as electromyography (EMG) and nerve conduction studies