Restless legs is a condition that causes an uncontrollable urge to move your legs, usually because of an uncomfortable sensation. It typically happens in the evening or nighttime hours when you're sitting or lying down. Moving eases, the unpleasant feeling temporarily. Restless legs worsen as you age. It can disrupt sleep, which can interfere with daily activities. Symptoms can range from barely bothersome to incapacitating.
Early studies conducted in the 90s reported improvement of restless leg syndrome after patients had sclerotherapy for varicose veins. Sclerotherapy had been an option for treatment of saphenous reflux for decades before the advent of venous ablation with radiofrequency or laser.
In “The Effect of Sclerotherapy on Restless Leg Syndrome” in Dermatologic Surgery in 1995, the authors recommended screening patients who presented restless leg syndrome for venous insufficiency. They found that 98% of the patients had at least some degree of improvement of the restless leg syndrome, with the majority of them seeing significant improvement.
A study published in 2008 in Phlebology evaluated the International Restless Leg Score (IRLS) for 35 patients who were diagnosed with venous insufficiency and had an ablation procedure performed. After the vein ablation, the average patient discomfort score decreased by 80%. 50% percent of the patients had absolutely no symptoms of restless leg syndrome after their vein ablation. About 90% of patients had a near-complete resolution of their symptoms. In this study, the authors also recommend screening patients with restless leg syndrome for venous insufficiency because of the substantial benefit of using a noninvasive procedure is safer than the long-term use of drugs that were being prescribed for restless leg syndrome.
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