Understanding RLS

Restless Legs Syndrome

Restless Legs Syndrome (RLS) is a neurological condition that causes irresistible urges to move the legs, especially during periods of rest or at night. Explore its symptoms, triggers, and how it intersects with other sleep disorders like sleepwalking.

What Is Restless Legs Syndrome?

Restless Legs Syndrome (also known as Willis-Ekbom Disease) is characterized by unpleasant sensations in the legs and an overwhelming need to move them. These symptoms often occur in the evening or at night, making it difficult to fall or stay asleep. Although not dangerous, RLS can greatly impact sleep quality and overall well-being. Understanding RLS is the first step to managing its effects—especially for those also affected by parasomnias like sleepwalking.

RLS and Its Link to Sleepwalking

While RLS and sleepwalking are different in origin, they can both lead to nighttime disturbances that affect the quality of sleep. In some individuals, the discomfort of RLS may contribute to fragmented sleep patterns—potentially increasing the likelihood of parasomnias like sleepwalking. Recognizing how these conditions interact can help individuals and families manage their impact more effectively.

Possible Causes

What Might Trigger Restless Legs Syndrome

RLS can be caused or worsened by a variety of underlying conditions, lifestyle factors, and even medications. Identifying your personal triggers is essential to managing symptoms and improving your sleep quality.

Iron Deficiency

Low iron levels are one of the most common contributors to RLS symptoms.

Pregnancy

Hormonal changes during pregnancy—especially in the third trimester—can intensify RLS symptoms.

Certain Medications

Antidepressants and antihistamines may worsen or trigger symptoms in sensitive individuals.

Chronic Sleep Deprivation

Lack of sleep can heighten the intensity and frequency of RLS sensations.

Neurological Disorders

Conditions like Parkinson’s disease are often linked to secondary RLS symptoms.

Caffeine or Alcohol Intake

Both can irritate the nervous system and trigger or worsen RLS episodes.

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DID YOU KNOW

Sleepwalking in numbers

Sleepwalking affects both children and adults, often running in families. Linked to mental health and long-term persistence, it’s more common than many realize and deserves better awareness and support.

Eyes Open, Mind Asleep

Sleepwalkers often navigate familiar spaces without being aware.

Deep Sleep Trigger

Most episodes begin during the deepest stage of sleep.

Episodes Vary in Length

Sleepwalking can last a few seconds—or up to 30 minutes.

Waking Is Safe

It’s okay to wake a sleepwalker—they may just be a bit disoriented.

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Sleepwalking more common in kids

Children vs Adults 

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Kids sleepwalk when both parents do

Family Connection

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Higher odds in people with depression

Experienced Doctor

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Adults report 5+ years of episodes

Chronic Cases 

EXPERTS’ POINT OF VIEW

What Experts Say About Sleepwalking

Experts from various fields share their insights on sleepwalking, its causes, risks, and effective treatments, helping to raise awareness and improve understanding of this complex condition.

"Generally sleepwalking is pretty harmless, but it can occasionally result in injury to the sleepwalker or possibly those close to them, and for some people, it can be a big problem.”

Clinical Psychologist & Sleep Researcher

"20% of children and 2-3% of adults have some form of abnormal night-time behaviour although many people do not go to their GP about this. Often simple advice and time is all that is needed."

Consultant Neurologist & Sleep Specialist

“Sleepwalking and sleep talking are often regarded as punch lines pulled straight from a sitcom... But these behaviors are no joke.”

Sleep Medicine Specialist, Mass Eye and Ear

“Sleep doesn’t come naturally to everyone and that’s okay. What matters most is seeing the signs and doing something about it ASAP.”

Clinical Psychologist & Sleep Specialist

FAQS

Frequently Asked Questions About Restless Legs Syndrome

Still have questions about Restless Legs Syndrome? Here are answers to some of the most common queries about symptoms, causes, and how RLS relates to other sleep disruptions.

RLS symptoms include tingling, itching, or crawling sensations in the legs and a strong urge to move them, especially at night.

Yes, while it primarily affects the legs, RLS can sometimes impact the arms or other limbs.

No, but RLS can disrupt sleep and contribute to the conditions that may trigger sleepwalking episodes.

Symptoms often worsen at rest and during the evening due to the body’s circadian rhythm and reduced activity levels.

Yes, although less common, children can develop RLS—often mistaken for growing pains or behavioral issues.

In some cases, RLS can be chronic, but symptoms may improve with lifestyle changes or medical treatment.

RLS is typically diagnosed based on clinical symptoms, medical history, and sometimes blood tests for iron levels.