You’ve all seen the ads. You might have even heard about the charges of “disease mongering” that have been bandied about, specifically about this disorder. We are going to start covering the topic of restless legs syndrome (RLS). (By the way, disease mongering is when someone with a financial interest in a disease, like a pharmaceutical company with an effective medicine, publicizes a disorder with the sole intention of convincing people that they are sick and therefore in need of medical treatment.)
First, let’s talk about the medical aspects and then return to some of the controversy (in later blogs). RLS sufferers have a variety of unpleasant sensations that they describe, but often have a hard time putting a finger on exactly what they feel. The typical description is that there is an almost irresistible sensation that causes the sufferer to move their legs.
These unpleasant sensations are rarely described ...
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...
Leg lengthening and shortening are types of surgery to treat some children who have legs of unequal lengths.
These procedures may:
Lengthen an abnormally short leg
Shorten an abnormally long leg
Limit growth of a normal leg to allow a short leg to grow to a matching length
Epiphysiodesis; Epiphyseal arrest; Correction of unequal bone length; Bone lengthening; Bone shortening; Femoral lengthening; Femoral shortening
This series of treatments involves several surgical procedures, a long recovery period, and a number of risks -- but it can add up to 6 inches of length to a leg.
While the child is under general anesthesia:
The bone to be lengthened is cut.
Metal pins or screws are inserted through the skin and into the bone. Pins are placed above and below the cut in the bone, and the surgical cut in the skin is stitched closed.
A metal device (usually some ...
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