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...
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...
There are many reasons why knee stiffness occurs after joint replacement. In this article, ways to predict and manage such a problem are reported. Computerized records of almost 10,000 patients were reviewed to provide this information. Stiffness was defined for this study as less than 90-degrees of knee flexion. Two groups of patients were compared. The first group had a total knee replacement (TKR) with stiffness afterwards. The second (control) group had a TKR without stiffness. Everything about these patients was compared. For example, age, race, sex, and body mass index were compared. Range of motion before the surgery was reported. Details of the operation such as length of time and blood loss were included. The authors report that more patients with stiff knees after TKR were younger than the control group patients. Women were affected more often than men. They had shorter patellar (kneecap) length and longer patellar tendon. These changes lead to a slightly different position of...
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