The Difficulty of Diagnosing Restless Leg Syndrome

The Difficulty of Diagnosing Restless Leg Syndrome

Even experienced doctors have difficulty making a definitive diagnosis of restless leg syndrome (RLS), thus, causing frustration among many patients. But once you get a diagnosis, doctors and patients can agree on an effective symptom management program.

The Reasons for the Difficulty

The main reason for the difficulty is the ups and downs in the severity of RLS symptoms. The symptoms at the doctor’s office are less evident because these become worse during the night when the patient is in his home.

The condition can also either appear or worsen during pregnancy. However, the doctor will usually dismiss it as part of being pregnant. People with diabetes, rheumatoid arthritis, and anemia are more likely to have it (i.e., more common in these groups). Know that even healthy people without these health issues can experience its symptoms, too.

You and your doctor should work closely to determine if your symptoms are due to RLS. However, your doctor will likely not jump to conclusions since there may be other health issues underlying your set of symptoms.

The Criteria for Diagnosis

Doctors typically use criteria to support a definitive diagnosis of RLS. Restless legs syndrome/Willis-Ekbom disease (RLS/WED). It characterizes by the uncontrollable urge to move your legs. This condition is often brought on by leg discomfort, frequently in the evening when you’re lying or sitting down. You can have temporary relief by moving your legs, but it can disrupt your sleep, resulting in daytime drowsiness.

The criteria for RLS diagnosis include the following:

  • You have a strong, often irresistible urge to move your legs. However, such an urge can be accompanied by uncomfortable sensations in your legs, such as itching, pulling, creeping, gnawing, or tugging.
  • Your symptoms improve as soon as you move your legs for as long as you do. Your relief may be partial or complete, but it’s generally temporary.
  • It may also disturb your sleep. That’s because you want to walk around or even shake your legs while sleeping.
  • Your symptoms either start or become worse when you’re resting.
  • Your symptoms are worse during the night, especially when you’re lying down in bed.

Fortunately, once you get a diagnosis, RLS is a treatable condition. Your doctor will recommend a holistic approach consisting of medication therapy – gabapentin is among the drugs prescribed – lifestyle changes, and coping mechanisms.