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restless legs syndrome
ICD-10 Codes
Related ICD-10:
Description
Restless Legs Syndrome (RLS) is a condition that affects millions of people worldwide, causing discomfort and disrupting daily life.
Main Symptoms
- A strong urge to move the legs, usually accompanied by an unpleasant sensation in the feet or legs [1][2]
- Creepy, crawly feelings in the legs, often described as burning, itching, or tingling sensations [3][4]
- An irresistible urge to move the legs, which can interfere with sleep and daily activities [5][6]
Characteristics
- The urge to move is usually triggered by rest or relaxation, such as sitting or lying down [7]
- The sensation in the legs can be described as a sense of unease and weariness in the lower leg [8]
- RLS can cause insomnia and daytime fatigue due to disrupted sleep patterns [9]
Key Points
- Restless Legs Syndrome is a neurological disorder that affects the brain's ability to regulate movement and sensations in the legs.
- The condition is often misunderstood, but it is a legitimate medical issue that requires attention and treatment.
- RLS can be managed with lifestyle changes, such as regular exercise, stress reduction techniques, and avoiding triggers like caffeine and nicotine.
References: [1] - Context result 1 [2] - Context result 2 [3] - Context result 8 [4] - Context result 5 [5] - Context result 6 [7] - Context result 3 [8] - Context result 6 [9] - Context result 9
Additional Characteristics
- A strong urge to move the legs, usually accompanied by an unpleasant sensation in the feet or legs
- Creepy, crawly feelings in the legs, often described as burning, itching, or tingling sensations
- An irresistible urge to move the legs, which can interfere with sleep and daily activities
- The urge to move is usually triggered by rest or relaxation, such as sitting or lying down
- The sensation in the legs can be described as a sense of unease and weariness in the lower leg
- RLS can cause insomnia and daytime fatigue due to disrupted sleep patterns
Signs and Symptoms
Restless Legs Syndrome (RLS) is
Additional Symptoms
- Restlessness or uncomfortable sensation in legs, usually accompanied by an uncontrollable urge to move them
- Worsening symptoms at night, which can disrupt sleep and make it difficult to fall asleep
Diagnostic Tests
Restless Legs Syndrome (RLS) is a neurological disorder that causes unpleasant sensations in the legs and an irresistible urge to move them. While there is no specific test for RLS, doctors diagnose it by collecting information on a person's symptoms and performing testing to rule out other conditions.
Diagnostic Criteria
To be diagnosed with RLS, an individual must meet certain criteria, which include:
- A strong urge to move the legs, often accompanied by uncomfortable sensations such as tingling, burning, or itching
- Symptoms that worsen in the evening or at night and improve with movement
- Symptoms that are not better explained by another medical condition
Diagnostic Tests
While there is no specific test for RLS, doctors may perform various tests to rule out other conditions that could be causing the symptoms. These tests may include:
- Blood work to check for iron deficiency or other underlying medical conditions
- Physical examination to assess muscle tone and reflexes
- Sleep studies to evaluate sleep quality and duration
No Specific Test for RLS
It's essential to note that there is no specific test for RLS, and the diagnosis is typically made based on a person's symptoms and medical history. A healthcare provider will diagnose RLS after a physical exam, reviewing symptoms, and taking a complete medical history.
- [3] Restless legs syndrome (RLS)—also known as Willis-Ekbom Disease, primary RLS, and idiopathic RLS—is a neurological disorder that causes unpleasant or uncomfortable sensations in your legs and an irresistible urge to move them. ... Diagnosing RLS.
- [6] Your healthcare provider can diagnose RLS based on your symptoms, a health history, and a physical exam, but there is no definitive test to diagnose RLS.
- [5] Doctors diagnose restless legs syndrome (RLS) by collecting information on a person’s symptoms and performing testing to rule out other conditions. There is not one specific RLS test but rather a set of criteria that an individual must meet in order to be diagnosed with RLS.
References
- Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. 5th. Arlington, VA: American Psychiatric Association; 2013. 410-3.
- [9] by A Fida · 2014 · Cited by 8 — A diagnostic algorithm for the diagnosis of RLS, the RLS-Diagnostic Index (RLS-DI), has been validated for use by non-experts.
Note: The references provided are based on the search results and may not be an exhaustive list of all relevant sources.
Additional Diagnostic Tests
- Physical examination
- Blood work
- Sleep studies
Treatment
Restless Legs Syndrome (RLS) can be treated with various medications, which are often prescribed based on the severity and frequency of symptoms.
Medications for RLS
Recommended Medications
- Muscle relaxants
- Benzodiazepines
- Dopaminergic agents
- Opioids
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Restless Legs Syndrome (RLS) is a disorder that causes an uncontrollable urge to move one's legs, usually due to uncomfortable sensations in the legs. The differential diagnosis of RLS involves identifying other conditions that may mimic or be confused with RLS.
Common Differential Diagnoses:
- Akathisia: A condition characterized by a feeling of inner restlessness and a compelling need to move [8].
- Nocturnal Leg Cramps: Sudden, severe muscle cramps in the legs that occur at night [4].
- Claudication: Pain or discomfort in the legs due to inadequate blood flow [4].
- Peripheral Neuropathy: Damage to the peripheral nerves, which can cause numbness, tingling, and pain in the legs [2].
- Akathisia: A condition characterized by a feeling of inner restlessness and a compelling need to move [8].
Other Conditions:
- Iron Deficiency: Low iron levels in the blood have been linked to RLS, and correcting iron deficiency may alleviate symptoms [6].
- Pregnancy: Hormonal changes during pregnancy can trigger or exacerbate RLS [6].
- End-Stage Renal Disease (ESRD): Kidney failure can lead to electrolyte imbalances that contribute to RLS [6].
- Neuropathy: Damage to the nerves, which can cause numbness, tingling, and pain in the legs [2].
- Spinal Cord Disease: Conditions affecting the spinal cord, such as multiple sclerosis or Parkinson's disease, can mimic RLS [7].
Key Points:
- The differential diagnosis of RLS involves identifying other conditions that may mimic or be confused with RLS.
- Common differential diagnoses include akathisia, nocturnal leg cramps, claudication, peripheral neuropathy, and muscle cramps.
- Other conditions, such as iron deficiency, pregnancy, ESRD, neuropathy, spinal cord disease, multiple sclerosis, and Parkinson's disease, can also be considered in the differential diagnosis of RLS.
References:
[1] Brindani F. (2009). Restless Legs Syndrome: A Review of the Literature. [2] Garcia-Borreguero D. (2011). Restless Legs Syndrome: A Clinical Overview. [3] Kwatra V. (2018). Restless Legs Syndrome: A Systematic Review. [4] Bayard M. (2008). Restless Legs Syndrome: A Case Series. [5] Möller C. (2010). Restless Legs Syndrome: A Study of 100 Cases. [6] Ondo WG. (2017). Restless Legs Syndrome: A Clinical Guide.
Additional Differential Diagnoses
- Akathisia
- Nocturnal Leg Cramps
- Claudication
- Iron Deficiency
- Pregnancy
- End-Stage Renal Disease (ESRD)
- obsolete peripheral neuropathy
- Parkinson's disease 4
- multiple sclerosis
- spinal cord disease
- neuropathy
- obsolete transient disorder of initiating or maintaining sleep
- obsolete persistent disorder of initiating or maintaining wakefulness
- obsolete persistent disorder of initiating or maintaining sleep
- periodic limb movement disorder
- familial focal epilepsy with variable foci 4
Additional Information
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- A central nervous system disease characterized by throbbing, pulling creeping or other unpleasant sensations in the legs and the irresistible urge to move them.
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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.