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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Restless Leg Syndrome

I have had restless leg syndrome for over 20 years. I had been treated by a neurologist in the past but he moved out of state so my primary care physician just continued to refill my prescriptions for me. Recently the RX doesn t seem to be working as well unless I up the dosage. I concerned this isn t the best solution and feel I should have an evaluation and need to find a doctor. Is a neurologist the best choice?
Mon, 18 Apr 2016
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Physical Therapist or Physiotherapist 's  Response
hi,

as mentioned by you about the restless leg syndrome, little description will help you understand how the medicine works and what can be the long run story of it.

As medicine will act as a symptomatic relief, since the principle is to work on the PAIN GATE THEORY, and it will surely help you.Also to understand here is any pain killer on a long run will not be good as it may damage the kidneys and later pain killer will be contra-indicated in your case.

As you mentioned about the Restless leg syndrome, reaching close to the root of the cause will be insightful. There are three test which will help to us to help you better with low dosage of medicine. The first test if - EMG, NCV and MRI of lumbar spine.
The nerves provides both - the sensory and the motor signals. When the nerve is having disruption in its course it may give the sensory and motor dysfunction.

Performing regular exercises for the core, pelvic floor, spine strengthening, hip muscle strengthening and lower limbs strengthening will be advised

As i have been dealing with many cases of RLS, and all responds well to the therapy with combination of the Medication and exercise. You can discuss the same with your current physician.

Regards
Jay Indravadan Patel

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Emergency Medicine Specialist Dr. Brian Elston, MPAS, PA-C's  Response
Good question. The answer is yes, you should go to a neurologist for this, as s/he is an expert with the neurological system and a primary care usually has a much more limited breadth of knowledge regarding more specific illnesses such as RLS.

cheers.
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Suggest Treatment For Restless Leg Syndrome

hi, as mentioned by you about the restless leg syndrome, little description will help you understand how the medicine works and what can be the long run story of it. As medicine will act as a symptomatic relief, since the principle is to work on the PAIN GATE THEORY, and it will surely help you.Also to understand here is any pain killer on a long run will not be good as it may damage the kidneys and later pain killer will be contra-indicated in your case. As you mentioned about the Restless leg syndrome, reaching close to the root of the cause will be insightful. There are three test which will help to us to help you better with low dosage of medicine. The first test if - EMG, NCV and MRI of lumbar spine. The nerves provides both - the sensory and the motor signals. When the nerve is having disruption in its course it may give the sensory and motor dysfunction. Performing regular exercises for the core, pelvic floor, spine strengthening, hip muscle strengthening and lower limbs strengthening will be advised As i have been dealing with many cases of RLS, and all responds well to the therapy with combination of the Medication and exercise. You can discuss the same with your current physician. Regards Jay Indravadan Patel