Medications The American Academy of Sleep Medicine recommends medications for RLS or PLMD only for persons who fit strict diagnostic criteria, and who experience excessive daytime sleepiness as a result of these conditions. (Excessive daytime sleepiness results from nighttime sleeplessness due to RLS or PLMD symptoms). More research and physician training is needed to better diagnose and treat RLS with medications in children and adolescents. Little is known about the best way to treat RLS in general, but some experts suggest the following for adults: If lifestyle changes do not control the problem, over-the-counter pain relievers should be the first form of treatment. People with RLS should have a test for iron deficiency. If they are iron deficient, they should start treatment with iron supplements. Dopaminergic drugs (drugs that increase levels of dopamine) are the standard medicines for treating severe RLS, PLMD, or both. Other drugs may be helpful if dopaminergic drugs fail, or for pat...
Restless leg syndrome (RLS) is a common and sometimes
devastating condition. I see it quite frequently
in many of my chronic pain patients. In
fact, it contributes to quite a bit of chronic pain, because of the difficulty
it causes in terms of getting a good night's rest, and because it in and of
itself can be rather painful. And there
are diseases associated with chronic pain which can result in so-called
Restless Leg Syndrome is a nighttime condition that has a huge impact on
daytime functioning for those afflicted.
The diagnosis of RLS is mostly arrived at through interviews
with the patient, and basically involves four important features:
is a compelling need to move, usually associated with unpleasant
sensations in the legs, which have been described variously as painful,
electric or "creepy-crawly."
sensations of RLS are worse or exclusively present at rest.
sensations are at least partial...
Studies show muscle weakness after total knee replacement (TKR) is common months and even years after the surgery. This study compares the force produced during a single-leg press after TKR. Nine patients with TKR were compared to nine adults without TKR (the control group). This is the first study to measure force produced by the leg after TKR in a weight-bearing position. It's unique because force is examined across several joints using many muscle groups. This gives a better idea of what's going on in a fully weight-bearing position. Other studies have reported on forces in one joint at a time. Often only the knee extensor muscles are tested. The authors report that there is much less force through the leg with the joint replacement. These measures were lower when compared to the patient's healthy leg and when compared to the control group. This shows that the entire leg, not just one set of muscles, has less power. The researchers suggest that the loss of force in the leg with the TK...
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