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RLS and Exercise: The Right Workouts to Reduce Restless Leg Syndrome Symptoms

Medically reviewed by John Sammis, D.O.
An older woman with grey hair in a ponytail stretches by sitting on the ground, extending one leg and touching her foot. She wears a blue tank top, blue leggings, and white sneakers.
5 min read

Restless Leg Syndrome (RLS) can cause uncomfortable sensations and an overwhelming urge to move the legs, especially during rest. While this condition is often most disruptive at night, it can affect people throughout the day as well. Regular exercise has been shown to help reduce the severity of RLS symptoms. However, the type, timing, and intensity of exercise play a critical role in managing the condition effectively. Here’s a guide to understanding the right workouts to help alleviate RLS symptoms:

Low-Impact Aerobic Exercise

  • Walking: A simple, low-impact exercise like walking can significantly help people with RLS. Walking increases blood flow, promotes circulation, and can reduce the urge to move the legs. Aim for at least 30 minutes of walking each day.
  • Cycling: Indoor or outdoor cycling is another excellent low-impact workout that can help relieve leg discomfort and restless sensations. Cycling also strengthens leg muscles, which may reduce RLS symptoms over time.
  • Swimming: Swimming is a full-body workout that is gentle on the joints and muscles. This form of exercise can help calm the body, reduce stress, and improve circulation, all of which can alleviate RLS symptoms.

Yoga and Stretching

  • Yoga for relaxation: Yoga combines stretching with deep breathing and relaxation techniques, which can help reduce muscle tension and ease RLS symptoms. Focus on gentle yoga poses that stretch the legs and promote relaxation, such as child’s pose, downward dog, and seated forward bends.
  • Targeted leg stretches: Stretching the hamstrings, calves, and quadriceps can help relieve tension in the legs. Regularly performing stretches in the morning and before bed may help manage RLS symptoms.
  • Gentle movements: Light exercises like tai chi, which focus on slow, flowing movements, can help maintain flexibility and promote relaxation, offering relief from RLS symptoms without overexerting the muscles.

Strength Training

  • Leg-specific exercises: Strengthening the muscles in your legs may help reduce RLS symptoms over time. Exercises like leg presses, squats, and lunges can be incorporated into your workout routine to build leg strength without causing muscle strain.
  • Resistance bands: Using resistance bands to perform leg exercises can help build muscle tone gently. The added resistance provides a low-impact workout, ideal for those looking to avoid strenuous activity that might aggravate RLS.

Avoid High-Intensity Workouts

  • Limit vigorous exercise: High-intensity workouts, such as sprinting, heavy weightlifting, or intense cardio sessions, can sometimes exacerbate RLS symptoms. These exercises can cause excessive muscle fatigue, leading to worsened symptoms, particularly in the evening.
  • Avoid late-evening workouts: Exercising too late in the day, especially with high-intensity activities, may stimulate the nervous system and worsen RLS symptoms at night. It's best to finish your exercise routine at least a few hours before bedtime to allow your body to relax.

Incorporate Mind-Body Techniques

  • Pilates: Pilates emphasizes core strength and muscle control, offering a way to build leg strength while also improving flexibility. The focus on slow, controlled movements makes it a great option for RLS patients.
  • Breathing exercises: Deep breathing exercises or meditation techniques combined with physical activity can help reduce the stress and anxiety that often exacerbate RLS symptoms.

Consistency is Key

  • Establish a routine: To see the benefits of exercise on RLS symptoms, consistency is key. Incorporate these low-impact exercises into your daily or weekly routine, aiming for at least 150 minutes of moderate activity per week.
  • Listen to your body: While exercise can help manage RLS symptoms, overexertion can have the opposite effect. Be mindful of your body’s limits and adjust your routine as needed to avoid worsening symptoms.

Conclusion

Exercise is an effective way to manage the symptoms of Restless Leg Syndrome when done correctly. Low-impact aerobic exercises like walking, cycling, and swimming can improve circulation and reduce leg discomfort. Yoga, stretching, and strength training can help relax the muscles and build endurance, while mind-body techniques can help manage stress levels. By staying consistent with a balanced workout routine and avoiding high-intensity exercises close to bedtime, individuals with RLS can experience relief and enjoy a better quality of life. Always consult with your healthcare provider before beginning any new exercise routine to ensure it is suitable for your condition.