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Sleep Strategies for Restless Leg Syndrome: How to Get a Good Night's Rest

Medically reviewed by John Sammis, D.O.
A man with short gray hair and a beard sleeps peacefully. He lies on his back on a white bed, using a large beige pillow and a yellow blanket.
4 min read

Restless Leg Syndrome (RLS) can make it challenging to get a good night's sleep. Many patients struggle with symptoms like leg discomfort, tingling, or the overwhelming urge to move their legs, which often intensifies in the evening or during periods of rest. Sleep deprivation caused by RLS can affect overall well-being, mood, and daily functioning. The good news is that several strategies can help improve sleep quality for those living with RLS. Here are some effective sleep strategies to consider:

Create a Relaxing Bedtime Routine

  • Establish a consistent sleep schedule: Going to bed and waking up at the same time each day helps regulate your body’s internal clock, making it easier to fall asleep and stay asleep.
  • Engage in calming activities: Spend 30-60 minutes before bed doing relaxing activities like reading, light stretching, or practicing deep breathing exercises to signal to your body that it’s time to wind down.
  • Avoid stimulating activities: Stay away from activities that may excite your brain, such as watching TV, scrolling through social media, or working on the computer, at least an hour before bed.

Optimize Your Sleep Environment

  • Cool, dark, and quiet: Keep your bedroom cool (around 60-67°F), dark, and quiet. Use blackout curtains, earplugs, or a white noise machine to create the ideal sleep environment.
  • Invest in a comfortable mattress and pillows: Ensure your mattress and pillows offer the right amount of support for your body. A comfortable sleep surface can help alleviate discomfort and prevent tossing and turning.
  • Reduce distractions: Keep electronic devices, such as phones and tablets, out of the bedroom to minimize distractions and prevent exposure to blue light, which can disrupt your circadian rhythm.

Incorporate Evening Relaxation Techniques

  • Warm baths: Soaking in a warm bath before bed can help relax your muscles and alleviate the sensations associated with RLS, making it easier to fall asleep.
  • Leg massages: Gently massaging your legs before bed can promote relaxation and improve circulation, reducing the urge to move.
  • Progressive muscle relaxation: This technique involves tensing and then relaxing each muscle group in your body, starting with your toes and working your way up. It can help calm your mind and body before sleep.

Make Diet and Lifestyle Adjustments

  • Avoid caffeine and nicotine: Both of these stimulants can worsen RLS symptoms and interfere with your ability to fall asleep. It’s best to avoid them, especially in the afternoon and evening.
  • Limit alcohol consumption: Although alcohol might make you feel drowsy initially, it can disrupt sleep and exacerbate RLS symptoms during the night.
  • Eat light meals before bed: A heavy meal right before bedtime can lead to discomfort and indigestion. Instead, opt for light, healthy snacks in the evening if you’re hungry.

Manage Stress and Anxiety

  • Practice mindfulness and meditation: Stress and anxiety can exacerbate RLS symptoms. Incorporating mindfulness meditation or deep breathing exercises into your bedtime routine can help reduce stress and prepare your mind for restful sleep.
  • Journaling: Writing down your thoughts and worries before bed can help clear your mind and prevent anxious thoughts from keeping you awake.

Use Sleep Aids and Medications if Necessary

  • Consult your doctor about medications: If RLS symptoms are severe and lifestyle changes alone aren’t helping, consult your doctor about medications that can reduce symptoms and improve sleep quality. Dopamine agonists, anticonvulsants, and iron supplements may be prescribed depending on the underlying cause of your RLS.
  • Consider over-the-counter sleep aids with caution: While some over-the-counter sleep aids might help in the short term, it’s important to talk to your healthcare provider before using them regularly, as they may not address the root cause of sleep disturbances.

Conclusion

Restless Leg Syndrome can be disruptive to your sleep, but with the right strategies, you can significantly improve your sleep quality. By creating a calming bedtime routine, optimizing your sleep environment, managing stress, and making dietary adjustments, you can ease RLS symptoms and enjoy more restful nights. Always consult with your healthcare provider to tailor a sleep management plan that best fits your needs and addresses the severity of your symptoms.