Restless Leg Syndrome
- Ava Thiessen
- Feb 25
- 2 min read
More Than Just "Fidgety Legs"
Most of us have experienced the urge to move our legs after sitting for too long. But for some, this sensation becomes persistent, uncomfortable, and disruptive - especially at night.
Restless leg syndrome (RLS) is more than just “fidgety legs.” It is a neurologic condition that can significantly impact sleep quality, mood, and long-term health.
What is Restless Leg Syndrome?
Restless leg syndrome (RLS), also called Willis-Ekbom disease, is characterized by:
An uncomfortable sensation in the legs (aching, burning, tingling, crawling)
An overwhelming urge to move the legs
Symptoms that worsen at rest
Relief with movement
Symptoms that are most severe in the evening or at night
Because symptoms peak at night, RLS can significantly impair sleep onset and sleep quality. Over time, chronic sleep disruption can affect mood, energy, cognitive function, and cardiovascular health.
Health Implications of RLS
RLS is not just a nuisance. It has been associated with:
Increased risk of cardiovascular disease
High blood pressure
Depression and anxiety
Decreased quality of life
Poor sleep alone increases systemic inflammation, insulin resistance, and stress hormone dysregulation, which may partially explain the broader health impact.
Underlying Causes of RLS
Associated Medical Conditions
RLS can occur on its own (primary RLS), but it is also more common in certain medical conditions:
Kidney disease
Iron deficiency anemia
Multiple sclerosis
Diabetes & peripheral neuropathy
Parkinson’s disease
Pregnancy
Iron deficiency is particularly important, even in the absence of overt anemia. Low ferritin levels are strongly linked to RLS severity because iron plays a key role in dopamine signalling in the brain.
Medications
Certain medications are associated with triggering or worsening symptoms:
Serotonergic antidepressants (SSRIs, SNRIs)
Dopamine antagonists
Antihistamines
Lifestyle Factors
Some individuals notice symptom flares with:
Caffeine
Nicotine
Alcohol
Refined sugar
Sleep deprivation
Because RLS is closely tied to nervous system regulation, overstimulation in the evening can increase symptom severity.
Foundations of Treatment
Management depends on the underlying drivers. A comprehensive approach may include:
Iron Optimization
Checking ferritin (not just hemoglobin)
Supporting iron intake and absorption if low
Nervous System Regulation
Consistent sleep-wake timing
Reducing evening stimulation (gaming, screen time, caffeine, etc.)
Gentle stretching before bed
Magnesium (if appropriate)
Exercise Timing
Favour morning or earlier-day movement; research shows that evening exercise may worsen symptoms and morning exercise improves symptoms
Avoid heavy lower-body training late in the evening
Keep a consistent exercise routine. Abrupt increases or sudden cessation of exercise can trigger symptoms
Dietary Counselling
Identifying and reducing triggers such as caffeine, alcohol, and nicotine
Supporting balanced blood sugar throughout the day
Ensuring adequate intake of iron-rich and nutrient-dense foods
Reviewing overall dietary patterns that may contribute to inflammation or sleep disruption
Correcting any nutrient deficiencies that may be contributing to symptoms
Looking for Support?
Restless leg syndrome is often dismissed as minor, but for many people, it is deeply disruptive.
Because iron status, nervous system balance, medication use, sleep patterns, and underlying medical conditions can all play a role, treatment must be individualized.
If you’re struggling with persistent RLS symptoms and poor sleep, a personalized assessment can help uncover the root contributors and guide targeted support.
Learn more or book an appointment at:
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