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Managing Daytime Symptoms of Restless Leg Syndrome (RLS)

Medically reviewed by John Sammis, D.O.
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5 min read

Restless Leg Syndrome (RLS) is a neurological disorder that causes an uncontrollable urge to move the legs, usually due to uncomfortable sensations. While RLS is most commonly associated with symptoms that occur at night, many patients experience daytime symptoms that can interfere with daily activities, work, and overall quality of life. Managing these symptoms involves a combination of lifestyle changes, proper sleep hygiene, and sometimes medications. Below are key strategies that can help patients manage the daytime symptoms of RLS:

Understand the Symptoms

  • Restlessness in the legs: Patients often describe an itching, crawling, or tingling sensation in the legs.
  • Discomfort during rest: Symptoms tend to worsen when sitting or lying down for extended periods, such as during long meetings or car rides.
  • Temporary relief with movement: Walking or stretching can alleviate symptoms temporarily.
  • Fatigue and irritability: Daytime RLS can lead to poor sleep at night, resulting in daytime fatigue and mood changes.

Maintain a Regular Exercise Routine

  • Moderate exercise: Regular physical activity can help reduce RLS symptoms, but it's important to avoid vigorous exercise in the evening as it may worsen symptoms.
  • Stretching and yoga: Gentle stretching exercises or yoga can help relax the muscles and reduce discomfort.
  • Short walks: Taking brief walks throughout the day, especially during periods of rest or inactivity, can help manage symptoms.

Develop Good Sleep Hygiene

  • Establish a sleep routine: Going to bed and waking up at the same time each day can help regulate your circadian rhythm, reducing nighttime symptoms.
  • Create a relaxing bedtime environment: Ensure that your bedroom is comfortable, quiet, and conducive to sleep.
  • Limit caffeine and alcohol: Both substances can exacerbate RLS symptoms and disrupt sleep, so it's best to avoid them, especially in the afternoon and evening.

Adjust Workplace Environment

  • Frequent breaks: If you have a desk job, take regular breaks to stand, stretch, or walk around.
  • Adjust seating: Consider ergonomic seating arrangements to minimize discomfort during long periods of sitting.
  • Foot exercises: Use a footrest or engage in simple foot exercises (like ankle rotations) to promote circulation and relieve leg tension.

Dietary Considerations

  • Iron-rich foods: Some cases of RLS are linked to iron deficiency, so include iron-rich foods like leafy greens, legumes, and fortified cereals in your diet. Consult your doctor before considering iron supplements.
  • Stay hydrated: Dehydration can exacerbate symptoms, so ensure that you’re drinking enough water throughout the day.
  • Limit triggers: Foods high in sugar or processed ingredients can trigger RLS in some individuals. Pay attention to any dietary changes that may correlate with symptom flare-ups.

Relaxation Techniques

  • Massage: Regular leg massages can help relieve muscle tension and promote circulation, easing discomfort.
  • Warm baths: Taking a warm bath can relax muscles and alleviate the tingling sensations associated with RLS.
  • Mindfulness and meditation: Stress and anxiety can worsen RLS symptoms. Practicing mindfulness or meditation can help manage stress and reduce the intensity of symptoms.

Medications and Supplements

  • Over-the-counter treatments: Non-prescription medications like ibuprofen or acetaminophen may offer temporary relief from leg discomfort.
  • Consult a healthcare provider: If lifestyle modifications are not effective, your doctor may recommend medications such as dopamine agonists, anticonvulsants, or muscle relaxants. In some cases, iron supplements may be necessary if low iron levels are detected.

Coping Strategies for Daytime Challenges

  • Plan ahead: If you know you’ll be sitting for extended periods (e.g., during meetings or travel), plan to take breaks to walk or stretch.
  • Use distractions: Engaging in activities that keep your mind focused, such as reading, knitting, or puzzles, can help distract from RLS symptoms.
  • Support network: Joining an RLS support group or community can provide valuable coping tips and emotional support.

Conclusion

Managing the daytime symptoms of Restless Leg Syndrome can be challenging, but with the right strategies, it is possible to lead a fulfilling and comfortable life. By incorporating regular exercise, improving sleep habits, making adjustments to your work environment, and consulting with healthcare professionals, you can minimize the impact of RLS on your daily activities. Always work with your healthcare provider to tailor a management plan that suits your individual needs.