We started our discussion about restless legs syndrome (RLS) in my recent blog, so let’s continue where we left off.
Mild symptoms of RLS occur in 5-15% of the general population, which makes it the second or third most common sleep disorder. Of these cases, only about 2-3% are considered clinically severe enough to require treatment. It appears to occur more commonly in females and can even affect children. Due to the difficult to describe leg sensations that are felt, children may be wrongly diagnosed with “growing pains” or even attention deficit hyperactivity disorder (ADHD). RLS symptoms occur more commonly as we age. Individuals who experience symptoms at a younger age tend to worsen as they get older, though there cases when the disease resolves spontaneously when the sufferer gets older.
Sleep disturbance is a major complaint in patients and is usually the main reason why they seek medical help. Though the dis...
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...
What exactly is a "black box" warning? Simply put, it's the strongest warning that the U.S. Food and Drug Administration (FDA) can require on a drug's packaging. The FDA requires the black box warning when studies suggest a drug can cause a serious or life-threatening side effect. The text of the warning is set apart from other information in a black box, so that doctors, pharmacists, and patients can easily see it. What did the FDA advisory panel recommend? The FDA itself hasn't made a decision about acetaminophen, but an FDA advisory panel has made 10 recommendations concerning the drug. Among those recommendations, the panel voted to remove acetaminophen-containing painkillers such as Vicodin, Tylenol 3, and Percocet from the nation's formularies. It also voted in favor of removing all acetaminophen-containing prescription drugs from the market. But the panel voted to keep over-the-counter (OTC) pills that combine acetaminophen and other ingredients, su...
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