Saturday 3 November 2012

Restless legs syndrome

Intro...
Unpleasant creeping discomfort that seems to arise deep within the legs & occasionally the arms.it occurs especially when person is in rest state,
especially lying down or in sitting and it lead to or force to move about leg. They also occurs in night and delays onset of sleep.Usualy restlessness occurs from knee to ankle joint.A sleep disorder associated with periodic movement during sleep may also occurs.Restless leg syndrome (RLS) occurs most often in middle-aged and older adults. Stress makes it worse.
It occurs in  with:
  • Anemic patients
  • Diabetic patients
  • Uremic patients
  • Neuropathic patients
  • Patient with chronic acidity
  • Asthematic patients

Treatment

 is aimed at reducing stress and helping the muscles relax. The following techniques may help:
  • Gentle stretching exercises
  • Massage
  • Warm bathsMedication

medication

  • Gabapantine(300mg once daily)
  • Diazepam(5mg once daily)
  • cLonazepam(5mg once daily)
  • Iron supplements(10ml twice)
  • Levodopa-carbidopa
  • iron supplements
  • vitamin b(as directed)
  • vitamin c(1000mg)

Most beneficial among these medicine is gabapentine and iron supplements.it should be taken until symptoms disappears.

REFFERENCES:
KATZANG'S BASIC & CLINICAL PHARMACOLOGY BY11TH EDITION EDITED BY BERTRAM G. KATZANG,MD,PhD
Biller J, Love BB, Schneck MJ. Sleep and its disorders. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, eds. Bradley: Neurology in Clinical Practice. 5th ed. Philadelphia, Pa: Butterworth-Heinemann Elsevier; 2008:chap 72.
Lang AE. Other movement disorders. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 417.

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