Restless Legs Syndrome (RLS) Overview

Balasahana Suresh
Restless Legs Syndrome (RLS) is a condition characterized by an unpleasant urge to move the legs, often accompanied by tingling, crawling, or burning sensations. Symptoms usually worsen at rest, particularly at night, making it hard to fall asleep or stay asleep.

Why Winter Makes Restless Legs Worse

Cold Temperatures Affect Nerves and Blood Flow

Cold causes blood vessels to constrict, reducing circulation to the extremities.

Poor blood flow can irritate nerves and make the tingling or crawling sensations of RLS worse.

This is why people often notice more leg discomfort when trying to sleep in a cold room.

Reduced Physical Activity

In winter, people are often less active due to shorter daylight hours and colder weather.

Sitting or lying down for long periods without movement triggers RLS symptoms, as the condition tends to worsen at rest.

Vitamin D and iron Deficiency

Lack of sunlight in winter reduces vitamin D levels, which may play a role in RLS.

Low iron levels, common in winter due to dietary changes or decreased absorption, can worsen restless legs because iron is crucial for dopamine function in the brain.

Disrupted Sleep Patterns

Winter often brings longer nights and less sunlight, which can disrupt circadian rhythms.

RLS symptoms are strongly tied to your body’s internal clock, often peaking in the evening or night.

Dry Skin and Muscle Stiffness

Cold, dry air can lead to stiffer muscles and dry skin, which may contribute to sensations of discomfort in the legs.

Tips to Reduce Winter Restless Legs

Keep Legs Warm

Use blankets, socks, or heated pads to maintain blood flow to your legs.

Stay Active During the Day

Light exercise such as walking, stretching, or yoga can reduce symptoms at night.

Address Nutrient Deficiencies

Ensure adequate iron, magnesium, and vitamin D intake. A blood test can help check levels.

Evening Stretching or Massage

Gentle leg stretches, foam rolling, or self-massage can relax muscles and ease sensations.

Avoid Triggers

Limit caffeine, nicotine, and alcohol, especially in the evening, as these can worsen RLS.

Establish a Consistent Sleep Routine

Going to bed and waking up at the same time daily helps regulate circadian rhythm and may reduce night-time symptoms.

When to See a Doctor

If restless legs:

  • Are severe or worsening
  • Interfere with sleep and daily life
  • Occur along with other symptoms like numbness, weakness, or swelling
…then a doctor may check for iron deficiency, nerve disorders, or other underlying conditions and suggest medications or therapy.

Summary

Restless legs in winter are often due to a combination of:

  • Cold-induced poor circulation
  • Reduced activity
  • Vitamin D or iron deficiencies
  • Disrupted circadian rhythm
By keeping legs warm, staying active, and correcting nutrient deficiencies, you can often significantly reduce discomfort and improve sleep.

 

Disclaimer:

The views and opinions expressed in this article are those of the author and do not necessarily reflect the official policy or position of any agency, organization, employer, or company. All information provided is for general informational purposes only. While every effort has been made to ensure accuracy, we make no representations or warranties of any kind, express or implied, about the completeness, reliability, or suitability of the information contained herein. Readers are advised to verify facts and seek professional advice where necessary. Any reliance placed on such information is strictly at the reader’s own risk.

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