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Treatment for Restless Legs Syndrome in Denver/Littleton Area

Restless Legs SyndromeRestless legs syndrome (RLS) is a neurologic movement disorder of the limbs that is often associated with a sleep complaint. Patients with RLS may report sensations, such as an almost irresistible urge to move the legs, that are not painful but are distinctly bothersome. RLS can lead to significant physical and emotional disability.

Signs and symptoms

  • An urge to move the legs that is usually accompanied by or occurs in response to uncomfortable and unpleasant sensations in the legs, characterized by all of the following: (1) the urge to move the legs begins or worsens during periods of rest or inactivity; (2) the urge is partially or totally relieved by movement; and (3) the urge to move legs is worse in the evening or at night than during the day or occurs only in the evening or at night
  • Symptoms occur at least 3 times per week and have persisted for at least 3 months
  • Symptoms cause significant distress or impairment in social, occupational, educational, academic, behavioral or other areas of functioning
  • The symptoms cannot be attributed to another mental disorder or medical condition (e.g., leg edema, arthritis, leg cramps) or behavioral condition (e.g. positional discomfort, habitual foot tapping)
  • The disturbance cannot be explained by the effects of a drug of abuse or medication

Approximately 85% of patients with RLS have periodic movements of sleep, usually involving the legs (periodic leg movements of sleep [PLMS]). PLMS is characterized by involuntary, forceful dorsiflexion of the foot lasting 0.5-5 seconds and occurring every 20-40 seconds throughout sleep.

Other features commonly associated with RLS but not required for diagnosis include the following:

  • Sleep disturbances
  • Daytime fatigue
  • Involuntary, repetitive, periodic, jerking limb movements: Either during sleep or while awake and at rest


All patients with symptoms of RLS should be tested for iron deficiency. At a minimum, a ferritin level should be obtained, although a complete iron panel, including the following, is preferable, since ferritin can be falsely elevated in acute inflammatory states:

  • Iron levels
  • Ferritin
  • Transferrin saturation
  • Total iron binding capacity

Suffering From Restless Legs Syndrome?

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