Sleep:Restless Legs Syndrome

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When Your Limbs Move in Your Sleep: PLMD and Its Restless Legs Connection


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Because restless legs syndrome (RLS) and periodic limb movement disorder (PLMD) are so similar, and because they often overlap, patients and even doctors can confuse the disorders.

RLS symptoms occur when a person is awake, and the condition can only be diagnosed based on what that person is feeling—not by a sleep study or an overnight observation. PLMD, described here, is what happens after a person falls asleep.

What is PLMD?
PLMD is a condition in which a person's legs, and sometimes arms, move repetitively and uncontrollably while he or she is asleep. These episodes of limb movement can disrupt the person's sleep, causing insomnia or daytime sleepiness. Periodic limb movement symptoms are only considered a disorder (PLMD) when insomnia or daytime sleepiness cannot be explained by any other problem, such as restless legs syndrome. Recently, it has been found that these movements are often linked to subtle breathing problems.

What causes PLMD?
The exact cause of PLMD is unknown.
PLMD shares many underlying factors with restless legs syndrome, such as a hereditary link, iron deficiency anemia, nerve problems, poor blood circulation in the legs, kidney disorders, and others. But the two conditions are generally seen as being related rather than as causing one another.

What are the symptoms of PLMD?
People with PLMD have trouble falling or staying asleep (insomnia) or they feel sleepy during the day because the movements disrupt their sleep. These movements usually are in the legs and occur in some type of pattern. Although a person often is not fully awakened by these movements, they interfere with normal sleep cycles. A bed partner's sleep may also be disrupted.

Last Updated: April 4, 2007 See Full Credits Disclaimer
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Last Updated: April 08, 2008


Last Updated: April 4, 2007
Author:
Kathe Gallagher, MSW
Medical Review:
Adam Husney, MD - Family Medicine

Wayne A. Hening, MD - Neurology

Karin M. Lindholm, DO - Neurology


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