2025 Guide to Restless Leg Syndrome

Getting a good night’s sleep seems to be more challenging than ever. Some of us open our phones or turn on our TVs the moment we climb into bed. For others, the distractions are internal. But what if you’re having trouble lying still because you can’t stop moving your legs? 

 

If you experience restless legs at night, you’re not alone. In fact, Restless Leg Syndrome (RLS) affects about 8% of the U.S. population. And for some of these people, RLS may be a manifestation of underlying vein disease. 

 

Has your quality of life been impacted by RLS? In this guide, we will help you understand its causes, your symptoms, and the various RLS treatment options available for relief.

Table of Contents

What is Restless Leg Syndrome?

Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a complex neurological and sleep disorder that causes an irresistible urge to move one’s legs. The condition usually affects people during periods of rest or inactivity — particularly at night. 

 

Individuals with RLS may experience uncomfortable sensations such as leg pain or leg cramps. While surrendering to the overpowering need for movement temporarily relieves these symptoms, the constant urge can significantly impact relaxation and sleep quality.

 

Medical professionals recognize two types of RLS:

  • Early-onset RLS: Diagnosed before age 45, this form typically has a genetic component, appearing in multiple family members. The condition tends to develop gradually, allowing patients more time to adapt to and manage their symptoms.
  • Late-onset RLS: This type of RLS appears after age 45 and typically follows a more aggressive development pattern.
Restless leg syndrome

What Causes Restless Leg Syndrome?

The mechanisms behind RLS remain somewhat mysterious to medical researchers, but scientific evidence suggests a genetic link. For many individuals, a family history of RLS increases the likelihood of experiencing its symptoms. However, RLS can also be triggered by various health factors and lifestyle choices. 

Key factors that may contribute to RLS include:

Medical Conditions:

  • Chronic conditions like kidney disease and heart disease
  • Vascular health issues, including vein disease and high blood pressure
  • Iron deficiency or anemia
  • Peripheral neuropathy
  • Pregnancy (particularly in the third trimester)

Lifestyle Factors:

  • Sedentary behavior or insufficient physical activity
  • Excessive consumption of caffeine
  • Regular tobacco use
  • Alcohol consumption
  • Chronic stress and anxiety

Symptoms of Restless Leg Syndrome

Recognizing the symptoms of RLS is the first step toward diagnosis and treatment. It manifests itself as a distinct physical urge, typically during periods of rest. As a result, it can significantly impact your ability to sleep, leading to daytime fatigue and decreased quality of life if not treated. 

 

Common RLS symptoms include:

 

Physical Sensations

  • An overwhelming urge to move one’s legs that becomes increasingly intense during periods of inactivity
  • The urge is relieved once you move your legs — whether you jerk them, stretch them, or start walking
  • Muscle twitches or involuntary leg movements
  • Uncomfortable leg pain described as crawling, tingling, or throbbing

 

Timing

  • Symptoms typically worsen at night
  • Increased intensity during long periods of sitting or lying down
  • Sleep disruption leading to fatigue, decreased concentration, or mood changes

How to Treat Restless Leg Syndrome At Home

stretching and exercising to improve leg circulation

While there is no cure for RLS, you can significantly improve your quality of life through a combination of lifestyle changes, self-care practices, and medical treatments.

Due to its slower progression, early-onset RLS often responds well to lifestyle modifications and targeted treatments. Late-onset cases are more likely to stem from underlying medical conditions rather than genetic factors, making it important to identify and address contributing health issues for effective management.

Lifestyle Modifications

Exercise and movement play a critical role in managing RLS symptoms. Regular physical activity is proven to be one of the most effective, natural RLS treatments for reducing severity. Consider incorporating these movement habits into your daily routine:

  • Establish a consistent exercise schedule with activities like walking, swimming, or cycling.
  • Take brief walking breaks every few hours, especially during long periods of sitting.
  • Practice gentle stretching exercises in the morning and evening.
  • Perform leg massages when immediate movement isn’t possible.
  • Consider low-impact activities like yoga that combine movement with stress reduction.

Health and Dietary Modifications

Making thoughtful changes to your health habits can also alleviate RLS symptoms:

  • Reduce or eliminate caffeine consumption, particularly in the afternoon and evening.
  • Limit alcohol intake, as it can worsen symptoms and affect sleep quality.
  • Quit smoking, as tobacco use has been linked to increased RLS severity.
  • Develop a consistent sleep schedule to help regulate your body’s natural rhythms.
  • Practice stress-management techniques such as meditation or deep breathing exercises.

Medical Intervention

While lifestyle changes are the foundation of RLS treatment, there are medications and other professional treatments available for additional relief. Consult with your healthcare provider about medications that may help, such as:

  • Those that increase dopamine 
  • Muscle relaxants
  • Sleep aids

 

Schedule regular check-ups to:

  • Review your medications, as some may contribute to RLS symptoms
  • Monitor iron levels and other relevant blood work
  • Assess the effectiveness of your treatment plan
  • Discuss any changes in symptom patterns or severity

Consult with a vein specialist if you’re experiencing persistent symptoms despite making lifestyle changes. Since vein disease can be an underlying contributor to RLS symptoms, a vein clinic may help identify whether vascular issues play a role in your condition. Early intervention for any underlying vein problems can prevent more serious complications and potentially provide relief from RLS.

Restless Leg Syndrome Treatment at Gilvydis Vein Clinic

Gilvydis Vein Clinic Rockford Illinois office and team

Finding the right combination of RLS treatments often requires patience and collaboration with healthcare providers. What works best for one person may not be as effective for another, so don’t hesitate to discuss your treatment plan if you’re not experiencing adequate relief.

 

Gilvydis Vein Clinic is here to support you in exploring RLS solutions for restored rest and quality of life. Effective treatment begins with a clear understanding of your symptoms and whether or not vein disease is a contributing factor.

 

Relief from RLS is just a click away.

Medically Reviewed By:

Dr. Gilvydis

Dr. Rimas Gilvydis, M.D, is the co-founder of Northern Illinois Vein Clinic (NIVC) in Rockford, Illinois, and the founder of Gilvydis Vein Clinic (GVC) in Naperville, Sycamore, and Geneva, Illinois. A board-certified interventionalist and diplomate of the American Board of Venous & Lymphatic Medicine, Dr. Gilvydis has been treating varicose veins with minimally invasive techniques since they were first introduced.

Genetics plays a crucial role in vein health, with family history being the most significant predictor of varicose veins. If your parents or siblings have experienced vein issues, you’re significantly more likely to develop similar conditions. 

Get Back to You.

Over 24,000 Successful Vein Treatments
& Counting

We’re proud to be one of three vein centers in Illinois  with an IAC accreditation. Get back on your feet with a team of vein specialists who help you understand your vein treatment options.

Dr. Rimas Gilvydis along side other vein specialists

Get back to yourself.

We’re proud to be one of three vein centers in Illinois  with an IAC accreditation. Get back on your feet with a team of vein specialists who help you understand your vein treatment options.