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...
I have often in these virtual pages emphasized the
importance of sleep in reducing the severity of chronic pain . Sleep has been shown in fibromyalgia studies
to be extremely important in reducing the pain fibromyalgia patients experience, and a lack of sleep appears to contribute to
the misery restless legs syndrome (RLS) patients experience.
Insomnia affects 10% to 20% of the United States
population. Among the elderly, the
percentage of those affected is 47%. For
the year 2007, it is estimated the cost of treating insomnia was approximately
$100 billion! We have all seen the
television commercials with the beaver and Abraham Lincoln.
There are several classes of medications for insomnia:
such as Restoril or Valium are effective in putting patients to sleep and
keeping them asleep, and they are relatively inexpensive. However, such drugs can have a hangover
effect, and a significant addiction potential...
Chronic fatigue syndrome, also known as myalgic encephalopathy or ME/CFS, is an autoimmune illness characterized by profound and prolonged exhaustion that is not relieved by rest and is not directly caused by other illnesses or conditions. People who have chronic fatigue syndrome report flu-like symptoms that do not go away in a few days or even a few weeks. The Center for Disease Control (CDC) estimates that four million Americans have ME/CFS. However, because it is such a complicated illness, only about 20 percent of them have been diagnosed. Symptoms Although the primary symptom of ME/CFS is extreme fatigue, the International Chronic Fatigue Syndrome Study Group identified eight additional primary symptoms: Loss of memory or concentration Sore throat Painful and mildly enlarged lymph nodes in neck or armpits Unexplained muscle soreness Pain that moves from one joint to another without swelling or redness Headache of a new type, pattern or severity Sleep disturbance Extreme e...
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