Restless Legs

Q: About four years ago, I started a rigorous exercise program, including daily workouts with Jane Fonda's "Aerobic Challenge" video tape.

Three months later I started experiencing restless legs at night, so I can't sleep. I've taken sleeping medications such as Sinemet, Desyrel, Elavil, Zanex, Baclofen and Clonopin off and on over the years. I quit the exercise, but the discomfort is still there.

The condition has since been diagnosed as restless legs syndrome, a type of sleep disorder I've been to a sleep disorder clinic, tried physiotherapy massage, acupuncture and I am now considering biofeedback. I am at the end of my rope.

R.F.
Hendersonville, Tennessee

A: Restless legs syndrome is a very perplexing condition, now thought to be a type of sleep disorder with its cause in the brain. Just as you're ready to fall asleep, your legs go into uncontrollable twitches. It's like having hiccoughs of the lower extremities.

Restless legs syndrome seems to come and go of its own accord; however, it does seem to be more common during periods of increased stress. It may also be associated with anemia, thyroid disorders, pregnancy, alcohol abuse, and metabolic or neurologic diseases. There may also be a genetic component.

It was probably not brought on by your exercise program - and this is one thing you should not give up. A physically tired body usually sleeps better.

You may benefit from vigorously exercising your legs before going to sleep, being careful to stretch your calves after the workout. A thorough stretching of your legs may reduce the condition. Biofeedback or yoga may help you relax.

New studies have shown that medications such as Tylenol, anti-inflammatories, Clonazepam, and some anti-seizure drugs may help. Write and let us know how you're doing.

About the authors: Carol L. Otis, M.D., is Chief Medical Advisor to the Sanex WTA and a UCLA student health physician. Roger Goldingay is a former professional soccer player. They are married and the co-authors of The Athletic Woman's Survival Guide.

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