PLMS/Restless Legs

Definition

Often appears in healthy people and is not related to emotional or psychological disorders. It can affect both the legs and the arms. Described as an unpleasant "creepy, crawly" sensation that occurs when sitting still or lying still.

Symptoms

• Unpleasant feeling in limbs (creepy, crawly)
• Temporary relief occurs by moving or stretching limbs
• Can be disturbing enough to cause insomnia
• The sleep loss and daytime disturbance can make you feel anxious or depressed
• Periodic Limb Movement Disorder/Nocturnal Myoclonus (PLMD)

Definition

• Inability to sleep at night
• It can affect both the legs and the arms
• Involuntary movements that occur when a person is asleep

Symptoms

• Unpleasant feeling in limbs (creepy, crawly)
• Occurs during first half of the night - usually every 30 seconds
• Difficulty staying asleep from brief awakenings due to leg movements
• Excessive daytime sleepiness
• Bed partner may complain of being kicked

How to Get Diagnosed

If you suspect you have PLMD or PLMS you should talk with your physician about getting diagnosed. If you do not have a physician you can be seen in our sleep clinic or call Genesis On-call at 563-421-2000.

Evaluation

• Your physician will start by getting a complete medical history
• The physician will want to speak with your bed partner or other members of your household about your sleeping and daytime behavior
• To diagnose PLMD and determine the severity your physician may refer you for a sleep study.

Treatment

• Home remedies are effective for some people with RLS
• Hot Bath
• Leg Massage
• Applied Heat
• Ice Packs
• Aspirin or other pain relievers
• Regular exercise
• Elimination of caffeine
• When home remedies do not help - several drugs may be tried
• Many people with PLMD need no treatment since they sleep through the limb movements
• Others sleep lightly and are easily disturbed by the movements
• Sleep Hygiene Rules can help to sleep more soundly
• Medications can be used to treat the symptoms