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News > Restless Leg Syndrome Linked to Fibromyalgia
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Restless Leg Syndrome Linked to Fibromyalgia

A study finds these two conditions commonly overlap.

By Jennifer Davis

11/4/10 Restless leg syndrome is about 10 times more common in people with fibromyalgia than those without, which might be one reason people with fibromyalgia often report difficulty sleeping, according to new research.

“Restless leg syndrome can be associated with a number of primary disorders, such as anemia and kidney failure. I think this study suggests we should add fibromyalgia to the potential associations of restless leg syndrome,” says Nathaniel F. Watson, MD, one of the study authors and an associate professor of neurology at the University of Washington in Seattle.

Fibromyalgia is a little understood arthritis-related condition characterized by widespread pain, fatigue, sleeping difficulties, and problems with memory or mental clarity. Restless leg syndrome is another condition doctors don’t totally understand; it causes people to want to move and stretch their legs constantly to relieve discomfort they feel deep in their thighs and calves.

In the Oct. 15 issue of the Journal of Clinical Sleep Medicine, researchers at the University of Washington in Seattle describe their study of sleep quality in two groups. The first group consisted of 172 people, 93 percent of them women, with fibromyalgia and a mean age of 50. The control group consisted of 63 people without fibromyalgia, 56 percent of them women, with a mean age of 41. Both groups were asked a series of questions to assess their quality of sleep and level of insomnia. The results show restless leg syndrome in 33 percent of those with fibromyalgia and just 3.1 percent of those without fibromyalgia.

“I think this is likely going to be new information to many. Restless leg syndrome is somewhat of an esoteric diagnosis that many providers may not be aware of.  They may not be asking their patients the right questions to get to the right diagnosis, so it may be something people have been experiencing, but didn’t know it was a treatable disorder,” Dr. Watson says.

“We do have good treatments for it,” he adds, such as ropinirole, or Requip, and pramipexole, or Mirapex, which are approved to treat restless leg syndrome. “[Medication] can vastly improve it in some instances. It can go away completely. It just depends on the patient.”

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marcy
20 Sep 2011, 14:02
I have neuropathy, anemia, osteoporosis, restless leg syndrome, fibromyalgia, and rheumatoid arthritis. I have had 3 surgeries on each leg. They are ALL titanium, I have broken every bone. I am in constant pain. I take requip, neurontin, flexeril, elavil at night. I still kick, roll and toss. Never getting rested. I payed 80 for support hose for daytime. That helped a little. Any ideas?
Anita
13 Feb 2011, 18:32
I was recently screened at a health fair because I was having leg pains especially at night. I had a leg dopler test done which showed I had gross Venous reflux disease which causes leg pains in the calves and thighs at night also.I showed no signs of varicose veins. I was told by the doctor that this can be confused with restless legs syndrome. Since I started wearing support hose during the day, the pains are much less at night. You may want to be screened for this, if you do have leg pains with fibromyalgia. I hope this helps
Tina Steele
13 Jan 2011, 13:33
In order for a person to be considered as having fibromyalgia at least 11 of the most common 18 trigger points should test positive for pain. In other words, pain located just in a person's shoulder would not constitute fibromyalgia. Thus, Denise, I would suggest that you consult your doctor again regarding this diagnosis. The connection between FM and RLS has been known for quite some time, so this is nothing new to those of us who have been around these illnesses for a while, but it's a step forward in that fibromyalgia is finally being taken seriously as a condition, and one that requires much more research.
Melissa
15 Nov 2010, 17:19
I have found a site that makes the connection between the hypothalamus and myalgic encephalomyelitis & chronic fatigue. It makes sense if you think about it since the hypothalamus is the sleep center. I'm not saying I support or agree, just that there is info out there.

http://www.sleepydust.net/DISORDER-HYPOTHALAMUS.html
Celeste Cooper
14 Nov 2010, 11:43
Absolutely, RLS and PLM should be considered in the proposed diagnostic criteria for FM, as well as the presence of myofascial trigger points. I am an advocate and have been communicating with physicians and other advocated in the field of FM study. Sleep studies should be done on all FM patients and the absence of healing sleep stage and presence of PLM must be considered in sleep quality. I hope you will read my most recent letter to the NIH, ACR and editors of Arthritis Care and Research who published the proposed criteria for diagnosing FM. You can find it at this link. http://fmcfstriggerpoints.blogspot.com/2010_10_01_archive.html
Thank you Celeste Cooper, RN, patient, author
Steve
12 Nov 2010, 19:51
I'd like to know where Beth got her information, too. I've been diagnosed with FM many times, as well as RLS, and I've researched long and hard. I've never seen anything about the hypothalamus, but would be interested in references.
Denise
07 Nov 2010, 14:09
I'd like to know what Beth's qualifications are to make such a statement that both of these conditions are caused by hypothalamus. I have not read anthing that would substantiate her claim. I have both fibromyalgia and restless legs. I have had restless legs all of my life (I'm 62)and fibromyalgia pain in my shoulder for ten years.
Beth
05 Nov 2010, 04:58
Fibromyalgia is NOTHING to do with arthritis. Argh. It's an overacting hypothalamus or what they call 'hypothalamitis'.
As for the RLS, that's true. Its an effect of the overactive hypothalamus that's causing the fibromyalgia. However, too many people spend far too much time trying to treat/research the effects of fibromyalgia instead of treating/researching the CAUSE which is the overactive hypothalamus.

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