Doctor insights on:
Lazy Leg Syndrome
What's the best medicine for rstless leg syndrome. I won't sleep more that a hour or two and it starts again, please help me?
My preference: From a safety and side effect point of view is horizant. This's is an extended release form of gabapentin. Although Lyrica (pregabalin) did slightly better in a recent study, it is not approved for this. Also, Lyrica (pregabalin) carries a considerable risk of weight gain. Antiparkinson's drugs work but sometimes eventually cause the symptoms to worsen during the day. Klonopin can be helpful.
What is RLS?: Restless Leg is a condition where you have an uncomfortable sensation (burning, crawling, cramping, aching, tingling, etc.) in you legs that cause an urgent/irresistible need to move your legs (walking, moving legs, messaging, rubbing, etc.). This movement usually occurs when going to bed and can progress to the daytime and sometimes to the arms. See a movement disorder neurologist for Treatment.See 3 more doctor answers
Multiple: Dopamine agonists work best and include ropinorole, pramipexole, the new Neupro (rotigotine) patch. More traditional meds have included l-dopa, and clonazepam. If you have anemia or kidney disease, better treatment of these conditions may work. Check serum ferritin as some folks may have issues with iron metabolism. Rls is occasionally associated with ms>.See 2 more doctor answers
NOT FULLY KNOWN: But do find some patients with disruption of iron stores, so, can check ferritin levels. We do find some problem with dopamine issues, and find success in using dopamine agonists, but another approach using Horizant, affects different brain chemicals. May be some genetic links in a few families, and association with a sleep disorder in some also found.
Dopamine lack: I think restless leg syndrome is probably caused in susceptible people (tends to be familial) by a relative lack of sufficient Dopamine and is often associated with fatigue, dopamine-blocking medicines, chronic illness, and the end of gestation. Medications that increase Dopamine are frequently helpful as can be Neurontin (gabapentin) and Klonopin (clonazepam)..See 1 more doctor answer
Rarely: First, this syndrome should be a diagnosis of exclusion when sciatica has no other discernible cause. Pain, the typical symptom, could cause disuse and secondary weakness over time. Weakness of sciatic nerve driven muscles is rare in pirformis syndrome.
RLS is treatable: If not yet done, you need to make sure that your RLS is not a consequence of iron deficiency, as it appears to be in many patients. If not, there are now medications e.g. pramipexol or ropinirole, that have been shown to be quite effective in managing the symptoms of RLS. Also, you should consider minimizing known factors like alcohol and caffeine. Check the RLS foundation website: http://rls. Org
What is the best perscription for the periformis syndrome disease.? What is something that makes me sure that I have this disease plus pain in leg.?
It depends: Piriformis syndrome is like sciatica. There is pain behind the hip in the buttocks, occasionally radiating into the lower leg. There is usually tenderness in the buttocks area along the piriformis muscle belly where it crosses the sciatic nerve. Treatment includes stretching or local steroid injection. An MRI will show if the piriformis is the source of pain or whether its something else.
Surgical emergency: True compartment syndrome is a medical emergency! It is usually exquisitely tender, noted after a traumatic injury to an arm or leg. The affected area is very tense and firm, with absent pulses. If there is concerned for compartment syndrome, you should be seen immediately by a doctorSee 1 more doctor answer
Almost always not: Even if an entire leg is bigger, or half of the body or facial structures, we do not het know what courses them. Be sure to exclude unilateral congenital dislocation the hip. If the foot is bigger, there is a wonderful organization which matches mirror images of feet. If child A has a size 8 right foot and a size 7 left foot, they find child B with a size 8 left foot and a size 7 right foot.
I have hyper mobility syndrome and difference in leg length, I'm always achey or hurting is this the reason why?
Likely: Joint hypermobility syndrome (jhs) has a broad spectrum symptoms & degrees of joint laxity. Is common in women. Sacroiliac joint can be hypermobile &, as it shifts, invokes functional (not actual) leg length change; imparting tilting of upright body tower, widespread adaptive chronic muscle spasm, & causes fibromyalgia (my own theory). See discussions my chronic pain board at quora. Com (free).See 1 more doctor answer
What is piriformis syndrome. What does it cause and how could you get relieved of. Does it cause pain in the whole leg.? Please help me.
Excellemt Question: Many cases, more than many doctors can imagine, of so called 'sciatica' and due to piriformis syndrome, which is a compression of the sciatic nerve as it travels thru buttock, into leg. A form of 'entrapment syndrome'. Clinical exam makes dx. My mantra: best diagnostic tool between the ears). Causes pain down lower leg; rx is specific stretching exercises+. C a trained physical therapist.See 1 more doctor answer
RLS: If you have an urge to move your legs due to "creepy, "crawling, " uneasy discomfort, or aching feeling especially at night that gets better with movement and worse at rest then you may have restless legs syndrome (rls). Rls can be due to many secondary causes or be a syndrome on its own. It is best to seek advice of a sleep medicine specialist who can help make that diagnosis.