title: [Doctor, I have pain and pins and needles in my legs at night].
abstract: Restless legs syndrome (RLS) is a frequent chronic condition. It causes discomfort in the lower limbs with an urge to move the legs and sometimes paresthesias. It's frequently associated with sleep and mood disorders causing a significant impact on quality of life. There are four clinical criteria to diagnose it. Treatment includes management of reversible factors and if needed symptomatic treatment. Depending on symptoms severity, non-drug measures can be tried. First-line medication treatment should be dopaminergic agonists. Second-line treatments include, anticonvulsivants (gabapentine), benzodiazepine (clonazepam) or opioids based on predominant symptoms. Difficult cases should be referred to a specialist.
authors.affiliation: Département de Médecine et Santé Communautaires PMU. sophie.guinand@hospvd.ch
authors.forename: Sophie
authors.initials: S
authors.lastname: Guinand
authors.affiliation: Département de Médecine et Santé Communautaires PMU.
authors.forename: Baptiste
authors.initials: B
authors.lastname: Pedrazzini
authors.affiliation: Centre d'Investigation et de Recherche sur le Sommeil CHUV, Lausanne.
authors.forename: Raphaël
authors.initials: R
authors.lastname: Heinzer
authors.affiliation: Département de Médecine et Santé Communautaires PMU.
authors.forename: Jacques
authors.initials: J
authors.lastname: Cornuz
authors.affiliation: Département de Médecine et Santé Communautaires PMU.
authors.forename: Bernard
authors.initials: B
authors.lastname: Favrat
mesh_terms: D006801:Humans; D019964:Mood Disorders / Q000209:etiology; D010292:Paresthesia / Q000209:etiology; D011788:Quality of Life; D012017:Referral and Consultation; D012148:Restless Legs Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D012720:Severity of Illness Index; D012893:Sleep Wake Disorders / Q000209:etiology