How is restless legs syndrome diagnosed?

Restless legs syndrome is a common sensorimotor disorder that mainly affects the legs, and its diagnostic criteria include the following. First, the basic diagnostic criteria: including the patient's strong desire to move the legs, often accompanied by various uncomfortable sensory symptoms; onset or exacerbation at rest; Partial or complete remission after activity; Worse in the evening and at night.

The clinical course is diverse, ranging from fluctuating in mild patients to chronic progression in moderate to severe disease. sleep disturbances, daytime drowsiness and fatigue; With the exception of iron deficiency, pregnancy, and end-stage renal disease, physical examination and ancillary tests are usually unabnormal.

Go to the hospital and get your brain waves done. Combined with the symptoms, it can be comprehensively judged, and the symptoms alone may not be certain.

The diagnosis of restless legs syndrome is mainly based on the patient's clinical manifestations, combined with various related examinations, for example, combined with radiographs and psychological tests, etc., which can not only confirm whether there is restless legs syndrome, but also need to go to a mental health center for medical treatment if there is restless legs syndrome, and under the guidance of the doctor, systematic **, appropriate medications**, and can also be assisted by acupuncture and massage.

The diagnosis of restless legs syndrome is first based on its clinical manifestations, such as whether there is obvious discomfort in the legs before going to bed, and then whether there is a desire to exercise the legs vigorously, and whether a series of discomforts are significantly reduced after a little exercise.

Secondly, in order to rule out some other factors caused by leg discomfort, it can be confirmed by further relevant physical examination, or to rule out restless leg syndrome, for example, polysomnography can be done, which can find some leg movements and leg movements of the patient, and then some neuromyomyography can be done to rule out other neuromuscular lesions caused by restless legs.

The target of restless legs syndrome is mainly through some of his clinical manifestations, such as clear discomfort in the legs before going to bed, a strong desire to exercise the legs, after a little exercise, this discomfort will also be reduced, to judge, to rule out some other causes of leg discomfort, can be clarified or excluded through some relevant physical examinations, for example, polysomnography can be done. Then do some neuromyomyography to rule out other neuromuscular lesions caused by restless legs, and furthermore, to rule out some other clinical diseases caused by leg movements, and then the diagnosis of restless legs syndrome can be confirmed.

There are two conditions of restless legs syndrome: first, primary, restless legs syndrome that has a certain relationship with heredity, which is only symptomatic and has no specificity. Second, secondary restless leg syndrome, find the cause and the primary disease, such as iron deficiency anemia to iron deficiency anemia, lower limb circulatory disorders to improve lower limb circulation.

For ****, the effect is better. In addition, drugs can be taken for the symptoms of restless legs**, and there are various drugs, such as levodopa**, dopamine receptor agonists**; There can also be traditional Chinese medicine, syndrome differentiation treatment of traditional Chinese medicine, as well as acupuncture, massage and other methods; There are also physiotherapy, psychological counseling and other aspects of the best methods. According to the patient's condition and symptoms, the physician can take a targeted approach to be effective.

Restless legs syndrome, the time may be long, and the patient's mood, seasonal changes, etc. have a certain relationship, **should be targeted**, and the effect of diagnosis and treatment by experts will be better. As for which specific method is better, it depends on the patient's condition.

Restless legs syndrome is a syndrome in which the calf suffers from unbearable discomfort at rest, which can be temporarily relieved by exercise and massage. The clinical manifestation is a spontaneous, unbearable painful abnormal sensation in the lower limbs, which can cause sleep and life disorders due to excessive leg activity, and seriously affect daily life and work. Symptomatic relief is required, with dopaminergic drugs such as medopa or dopa agonists such as pramipexole preferred, and dopamine agonists are effective in most patients.

When the efficacy of dopaminergic drugs is not good or can not be tolerated, gabapentin can be used or combined. Some severe refractory patients can use opioids, if the patient is seriously anxious, use trazodone orally for 1-3 months before bedtime, the effect is stable, the effect is small, the price is low, the compliance is good, and it has a hypnotic effect.

Restless legs syndrome is also known as restless legs syndrome. Restless legs syndrome is a neurosensorimotor disorder of the legs. It is mainly manifested as extreme discomfort in both lower limbs at rest or at rest.

At present, the causes of restless legs syndrome are mainly believed to be related to the following causes:

1. Caused by the imbalance of the brain neurotransmitters dopamine and acetylcholine;

2. Due to the lack of trace elements, iron and zinc are not in the shape of ants;

3. Metabolic liver and kidney insufficiency and electrolyte imbalance may be caused by nalinin;

4. Due to psychological factors, psychological disorders can lead to restless legs syndrome.

At present, it is believed that restless legs syndrome is the result of a combination of various causes, ** is also to give adjustment of dopamine, and supplement trace elements, adjust psychology**, etc., to improve symptoms.

Restless legs syndrome refers to a syndrome in which the deep calf is uncomfortable at rest, which can be temporarily relieved by exercise massage, also known as restless legs syndrome. The clinical manifestation is usually extreme discomfort in both lower limbs during sleep at night, forcing the patient to constantly move the lower limbs or walk on the ground, resulting in severe sleep disturbances.

Although the disease is not harmful to life, but seriously affects the quality of life of patients, foreign epidemiological data show that its prevalence is 1%-10% of the total population, and the prevalence rate in China is estimated to be common in middle-aged and elderly people.

At present, it is believed that restless legs syndrome is a central nervous system disease, and the specific ** has not been fully clarified, and it is mainly divided into primary and secondary, and patients with primary restless legs syndrome are often accompanied by a family history. Patients with secondary restless legs syndrome may be seen in ischemic anemia, pregnant or parturious women, late stage of renal disease, rheumatic diseases, diabetes mellitus, Parkinson's disease, type 2 hereditary motor sensory neuropathy, type 1 and 2 spinocerebellar ataxia, and multiple sclerosis.

The clinical feature is a spontaneous, unbearable, painful abnormal sensation in the lower extremities. The gastrocnemius muscle is the most common, and occasionally the thighs or upper limbs can be present, usually symmetrical. Patients often complain of tearing, wriggling, tingling, burning, pain, or itching in the deep extremities.

The patient has a strong sense of urgency to move and leads to hyperactivity. Symptoms occur at rest, and activity partially or completely relieves them. Normally, symptoms become intense at night and peak after midnight when people are forced to kick, move their joints, or massage their legs, often describing "not having a comfortable place to put their legs."

In severe cases, it is necessary to get up and walk without stopping to be relieved. Insomnia is an inevitable consequence, and most patients have periodicmovements of the body during sleep (PMS). PMS is a stereotyped, repetitive flexion of the leg that occurs during REM sleep and awakens the patient.

Due to nighttime sleep disturbances, the patient suffers from severe daytime sleepiness and reduced ability to work.

Restless leg syndrome refers to a syndrome in which the deep calf is uncomfortable at rest, which can be temporarily relieved by exercise and massage, and its clinical manifestations are usually in the sleep or quiet state, the lower limbs appear such as tearing, peristalsis, burning sensation and other extreme discomfort, forcing the patient to keep moving the lower limbs or walking on the ground, resulting in severe sleep disorder. Restless legs syndrome will seriously affect the patient's sleep, which will make it difficult for the patient to fall asleep, or the number of awakenings in the middle will increase, fatigue and weakness will occur the next day, and even memory loss, affecting study and work. Although the disease is not life-threatening, it seriously affects the quality of life of patients.

The prevalence in China is estimated to be common in middle-aged and elderly people.

There are many people who may feel pain in their calves for no reason in their daily life, and the pain will be relieved after getting up and walking. Many people may not have heard of the disease "restless legs syndrome", but in fact, many people have mild restless legs syndrome, and the most obvious feature of restless legs syndrome is that when resting, the calves will be painful and stiff.

Restless legs syndrome is a neurological disorder also known as restless legs syndrome. The prevalence is about 5% of adults, and the incidence is more common in adults. It can be used by both men and women, but it is more common in women, accounting for about two-thirds, and the prevalence is higher in the elderly.

It is a motor sleep disorder characterized by indescribable discomfort at rest, which forces involuntary movements of the limbs. The disease is hereditary in familia, calcium deficiency, anemia, lumbar lesions, diabetes, kidney disease, etc. The frequency of its symptoms increases with age.

So can restless legs syndrome cause paralysis in a person?

1. Restless legs syndrome mainly appears on the lower legs of the human body, and if it is not effectively allowed to develop, it may cause paralysis of the patient. In the case of restless leg syndrome, everyone should carry out ** in the future, do not let it develop, to avoid paralysis.

2. Insomnia. Patients with restless legs syndrome will often have cramps and pain in their calves when they are on bed rest, which will cause patients to be unable to fall asleep normally, which will cause patients to have insomnia, and long-term insomnia will also cause patients to have memory loss and neurasthenia, which will seriously affect the daily work and life of patients. Researchers have found that decreased sleep is associated with a 75% increased risk of developing dementia, so older adults with restless legs syndrome have a higher risk of developing dementia if they are chronically sleep deprived.

3. Depression. According to the medical survey, 70% of patients with restless legs syndrome suffer from depression, and some women and men have sleep deprivation symptoms. At the same time, lack of sleep is also one of the important factors that induce depression and anxiety.

A recent study of 216 patients with chronic sleep deprivation found that 46% were diagnosed with a psychiatric disorder, with depressive disorders being the most common.

Leg syndrome is a condition in which patients experience discomfort in the deep calves when they are resting or sleeping, which is often unbearable. Restless legs syndrome is a central nervous system disorder that causes the disease to be unclear.

Restless legs syndrome can be given dopamine receptor agonists**, or it can be combined with local massage, physiotherapy, acupuncture and other combinations**.