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...
How do you know when it's time for a knee joint replacement? When pain is not relieved by any other means. Quite often, the patient has severe arthritis as seen on X-ray. A 75-year old woman with a leg amputation below the knee is presented in this report. Her case is unusual because most people with an amputated leg have less arthritis in that leg. They tend to use the "good" leg more and favor the amputated side, putting less stress on the joint. In this case the patient had severe arthritis in both knees. At first she had the knee replaced on the nonamputated side. When she could no longer move the knee on the amputated side, that knee joint was replaced. A joint replacement on an amputated leg has more than the usual risks. For this woman, decreased blood flow led to the amputation in the first place. A joint replacement increases her risk of a second amputation further up the leg (mid-thigh). Physical therapy started the day after surgery. She went home on the eighth day, when she c...
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...
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