Restless Leg Syndrome
What is a Restless Leg Syndrome?
Restless Leg Syndrome (RLS) is a sensory, neurological disorder characterised by unpleasant sensations in the legs and the compelling need to move the legs. The most common sensations have been described as cramping, soreness, creeping or crawling sensation in the calves or feet, varying in severity from mild discomfort to severe pain. Restless Leg Syndrome is usually experienced when trying to sleep or when seated.
Restless Leg Syndrome Symptoms?
The most distinctive symptoms of Restless Leg Syndrome are cramping, soreness, creeping or crawling in the lower legs when lying down and trying to relax. As a result, most people with RLS have difficulty falling asleep and staying asleep. Over a period of time, this may cause daytime exhaustion and fatigue.
What Causes Restless Legs?
The exact cause of Restless Leg Syndrome is unknown, but it has been linked to:
- Iron deficiency and poor iron transport around the body;
- Family genetics – 50% of RLS is linked to genetic chromosome 12 or 14, depending on the family;
- chronic diseases such as kidney failure, diabetes, Parkinson’s disease, and peripheral neuropathies;
- pregnant women in their last trimester;
- people taking certain medications – such as anti-nausea, anti-seizure, and antipsychotic drugs.Restless Leg Syndrome
Treatment for Restless Leg Syndrome
- Several medications may treat the disorder, including central nervous system depressants, benzodiazepines, opioids and anticonvulsants. Medications that affect dopamine transmission in the central nervous system (Sinemet, Madopar, Pergolide and Cabergoline) have been shown to help with Restless Leg Syndrome. Your GP or specialist will provide you with the relevant support and medication if you require it.
- If you are Iron, folate or magnesium deficient, your GP will be able to perform a blood test to confirm any deficiencies and prescribe the necessary supplements.
Therapy – Exercise
- Movement can bring temporary relief from the symptoms of Restless Leg Syndrome. This is why you may feel that walking in the night when you get symptoms feels good. Alternatively, performing a regular moderate exercise program may help reduce your symptoms and help you sleep better. However, excessive exercise has been reported by some patients to aggravate RLS symptoms.
Your physiotherapist will be able to monitor and advise you on suitable exercises to help with Restless Leg Syndrome.
Therapy – Massage, Heat and Ice
- While there is no conclusive evidence suggesting massaging cures Restless Leg Syndrome, many patients feel symptoms can be eased by regular massage.
- Using a heat pack, having a warm bath or placing an ice pack on your symptomatic areas for 10-15mins before bed may also help relieve symptoms.
Certain lifestyle changes and activities may reduce or eliminate symptoms for patients with no apparent associated medical condition. These include:
- decreased use of caffeine,
- decreased use of alcohol,
- decreased use of tobacco,
- addressing any stressful influences in your life.
For specific advice, please contact your physiotherapist for advice.
General Arthritis Information
Rheumatoid Conditions – Overview
Osteoarthritis – Overview
- Hip Arthritis (Osteoarthritis)
- Knee Arthritis
- Ankle Arthritis
- Shoulder Arthritis
- Hand or Wrist Arthritis
What is the PhysioWorks Difference?
You'll be impressed with the experienced physiotherapists, massage therapists, allied health team and reception staff who represent PhysioWorks.
To ensure that we remain highly qualified, PhysioWorks is committed to participating in continuing education to provide optimal care.
If you've been searching for health practitioners with a serious interest in your rehabilitation or injury prevention program, our staff have either participated or are still participating in competitive sports at a representative level.
We also currently provide physiotherapy and massage services for numerous sports clubs. Our experience helps us understand what you need to do to safely and quickly return to your sporting field, home duties, or employment.
How You'll Benefit from the PhysioWorks Difference?
At PhysioWorks physiotherapy and massage clinics, we strive to offer our clients quick, effective and long-lasting results by providing high-quality treatment.
We aim to get you better quicker in a friendly and caring environment conducive to successful healing.
With many years of clinical experience, our friendly service and quality treatment is a benchmark not only in Brisbane but Australia-wide.
What are Some of the BIG Differences?
Our therapists pride themselves on keeping up to date with the latest research and treatment skills to ensure that they provide you with the most advantageous treatment methods. They are continually updating their knowledge via seminars, conferences, workshops, scientific journals etc.
Not only will you receive a detailed consultation, but we offer long-term solutions, not just quick fixes that, in reality, only last for a short time.
We attempt to treat the cause, not just the symptoms.
PhysioWorks clinics are modern thinking. Not only in their appearance but in the equipment we use and in our therapists' knowledge.
Our staff care about you! We are always willing to go that 'extra mile' to guarantee that we cater to our client's unique needs.
All in all, we feel that your chances of the correct diagnosis, the most effective treatment and the best outcomes are all the better at PhysioWorks.
What is Physiotherapy Treatment?
Physiotherapists help people affected by illness, injury or disability through exercise, manual joint therapy, soft tissue techniques education and advice. Physiotherapists maintain physical health, allow patients to manage pain and prevent disease for people of all ages. Physiotherapists help encourage pain-relief, injury recovery, enabling people to stay playing a sport, working or performing daily living activities while assisting them to remain functionally independent.
There is a multitude of different physiotherapy treatment approaches.
Acute & Sub-Acute Injury Management
Hands-On Physiotherapy Techniques
Your physiotherapist's training includes hands-on physiotherapy techniques such as:
- Joint Mobilisation (gentle joint gliding techniques)
- Joint Manipulation
- Physiotherapy Instrument Mobilisation (PIM)
- Minimal Energy Techniques (METs)
- Soft Tissue Techniques
Your physiotherapist has skilled training. Physiotherapy techniques have expanded over the past few decades. They have researched, upskilled and educated themselves in a spectrum of allied health skills. These skills include techniques shared with other healthcare practitioners. Professions include exercise physiologists, remedial massage therapists, osteopaths, acupuncturists, kinesiologists, chiropractors and occupational therapists, to name a few.
Your physiotherapist is a highly skilled professional who utilises strapping and taping techniques to prevent and assist injuries or pain relief and function.
Alternatively, your physiotherapist may recommend a supportive brace.
Acupuncture and Dry Needling
Many physiotherapists have acquired additional training in acupuncture and dry needling to assist pain relief and muscle function.
Physiotherapists have been trained in the use of exercise therapy to strengthen your muscles and improve your function. Physiotherapy exercises use evidence-based protocols where possible as an effective way that you can solve or prevent pain and injury. Your physiotherapist is highly-skilled in the prescription of the "best exercises" for you and the most appropriate "exercise dose" for you, depending on your rehabilitation status. Your physiotherapist will incorporate essential components of pilates, yoga and exercise physiology to provide you with the best result. They may even use Real-Time Ultrasound Physiotherapy so that you can watch your muscles contract on a screen as you correctly retrain them.
- Muscle Stretching
- Core Exercises
- Strengthening Exercises
- Balance Exercises
- Proprioception Exercises
- Real-Time Ultrasound Physiotherapy
- Swiss Ball Exercises
Biomechanical assessment, observation and diagnostic skills are paramount to the best treatment. Your physiotherapist is a highly skilled health professional. They possess superb diagnostic skills to detect and ultimately avoid musculoskeletal and sports injuries. Poor technique or posture is one of the most common sources of a repeat injury.
Aquatic water exercises are an effective method to provide low bodyweight exercises.
Sports physio requires an extra level of knowledge and physiotherapy to assist injury recovery, prevent injury and improve performance. For the best advice, consult a Sports Physiotherapist.
Women's Health Physiotherapy is a particular interest group of therapies.
Not only can your physiotherapist assist you in sport, but they can also help you at work. Ergonomics looks at the best postures and workstation set up for your body at work or home. Whether it be lifting technique improvement, education programs or workstation setups, your physiotherapist can help you.
Plus Much More
Your physiotherapist is a highly skilled body mechanic. A physiotherapist has particular interests in certain injuries or specific conditions. For advice regarding your problem, please contact your PhysioWorks team.
General Arthritis InformationWhat is Arthritis?
Rheumatology ConditionsRheumatoid Conditions - Overview
Osteoarthritis ConditionsOsteoarthritis - Overview
- Hip Arthritis (Osteoarthritis)
- Knee Arthritis
- Ankle Arthritis
- Shoulder Arthritis
- Hand or Wrist Arthritis
Article by John Miller
What is Therapeutic Ultrasound?Therapeutic ultrasound is an electrotherapy modality that has been used by physiotherapists since the 1940s. Via an ultrasound probe through a transmission coupling gel in direct contact with your skin, ultrasound waves are applied. Therapeutic ultrasound may increase:
- healing rates
- tissue heating
- local blood flow
- tissue relaxation
- scar tissue breakdown.
How Could Ultrasound Help?Ultrasound increases local blood flow. This increase may help to reduce local swelling and promote soft tissue healing rates. A higher power density may soften scar tissue.
Specific Ultrasound UsesMastitis or blocked milk ducts successfully respond to therapeutic ultrasound. The effect is quite dramatic, with improvement within 24 to 72 hours. The most common conditions treated with ultrasound include soft tissue injuries such as muscle, ligament injuries or some tendinopathies. Phonophoresis uses ultrasound in a non-invasive way of administering medications to tissues below the skin. This method may assist patients who are uncomfortable with injections. With phonophoresis, the ultrasonic energy forces the drug through the skin.
What is an Ultrasound Dose?A typical ultrasound treatment will take from 3-10 minutes. Where scar tissue breakdown is the goal, this treatment time could be much longer. During the procedure, the head of the ultrasound probe is in constant motion. If kept in continuous motion, the patient should feel no discomfort at all. Some conditions treated with ultrasound include soft tissues injuries such as muscles or ligament injuries, tendinopathy, non-acute joint swelling and muscle spasm.
How Does an Ultrasound Work?A piezoelectric effect, caused by the vibration of crystals within the ultrasound head of the probe creates the sound waves. The ultrasound waves generated then pass through the skin cause a vibration of the local soft tissues. This repeated cavitation can cause deep heating locally though usually no sensation of heat will be felt by the patient. In situations where a heating effect is not desirable, an athermal application occurs. Athermal doses are typical during acute fresh injury and the associated acute inflammation.
When Should Ultrasound be Avoided?Contraindications of ultrasound include:
- local malignancy,
- over metal implants,
- local acute infection,
- vascular abnormalities,
- active epiphyseal regions (growth plates) in children,
- over the spinal cord in the area of a laminectomy,
- over the eyes, skull, or testes
- and, directly on the abdomen of pregnant women. Treatment ultrasound differs from diagnostic ultrasound!
What is Osteoarthritis?Osteoarthritis is one of the most common forms of arthritis, often referred to as degenerative arthritis. The joints show signs of wear: joint cartilage becomes thin, extra bony spurs grow in response to stress, and joint motion lessens. In advanced stages, osteoarthritis can be painful, functionally limiting and depressing.
What is the Osteoarthritis Cure?Unfortunately, there is no cure for osteoarthritis. But the good news is that there are some better ways to manage your osteoarthritis and slow the degeneration process. This improvement will result in making your life easier and more comfortable. Physiotherapy is a significant part of making your life living with osteoarthritis less painful, comfier and keeping you active. Research supports physiotherapy. Physio can reduce the pain and disability associated with arthritis, especially knee osteoarthritis. http://dx.doi.org/10.1136/bjsports-2016-096458 Seek the professional and helpful advice of your physiotherapist to start enjoying life again today!
Your Osteoarthritis DiagnosisX-rays are the most straightforward test to confirm osteoarthritis. An experienced practitioner will have an excellent idea of whether you have osteoarthritis when they examine you.
How Does Osteoarthritis Affect Older People?As you age, most people develop some degree of osteoarthritis. Our joints' wear and tear may occur due to ageing, injury, prolonged microtrauma, overuse of joints, or excess weight. Permanent bony changes occur and will exist even when there are no painful symptoms. Your degree of suffering varies. Whereas some people may be symptom-free others may suffer continuous disabling pain. The most common is mild or intermittent pain provoked by episodes of increased use or minor trauma. The joints most commonly affected are the weight-bearing joints: hip, knee, ankles, feet and spine. However, osteoarthritis can affect any joint in the body and is quite common in the hands and shoulders. Severe cases may require surgical treatment, but most will respond very well to your doctor's physiotherapy and medication.
Osteoarthritis SymptomsYou can suspect osteoarthritis if you experience one or more of the following symptoms:
- joint pain or tenderness that intermittently returns
- stiffness, particularly early morning stiffness
- joint swelling or deformity
- noticeable joint heat and redness
- joint movement is strenuous.