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Restless Leg Syndrome

Neurology
Aisha NairGender: FemaleAge: 44 years (Adult) Chronicity: 2 years

Presenting Complaints & History

  • Irresistible urge to move legs, especially when lying down in bed
  • Crawling, pulling, or creeping sensation deep inside the calves
  • Symptoms relieved temporarily by pacing or stretching legs
  • Severe sleep-onset delay and daytime tiredness

Clinical Assessment

Presented with restlessness in legs that disrupted her sleep every night. Iron levels were normal; wanted a non-sedative treatment.

Diagnostic Investigations: Serum Ferritin normal at 48 ng/mL; basic metabolic and kidney panels normal.

Homeopathic Therapeutics & Management

Constitutional treatment to regulate motor excitability, balance dopamine pathway sensitivity, and soothe leg sensations.

Selected Constitutional Remedies: Zincum Metallicum and Rhus Toxicodendron

Lifestyle & Nutritional Support

Warm leg baths before bed, stretching calf muscles, avoiding caffeine in the evening, and regular exercise.

Clinical Outcome

Follow-up Period: 5 months
  • Crawling and pulling sensations in legs reduced by 90%
  • No further irresistible urge to move legs at night
  • Sleep-onset latency reduced to a normal 15 minutes
  • Improved daytime energy and quality of life
Medically reviewed by Dr. Navaneeth K. Unni
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