Dear Dr. Rosenberg,
I have Multiple Sclerosis—relapsing-remitting type. My legs begin to ache whenever I get into bed. My only way to get relief is to move them or massage them. My neurologist says this is a manifestation of my MS. If so, why at night and why do I have it every night? My husband thinks it Restless Legs Syndrome.
I agree with your husband. RLS is more common in patients with MS, but it is not a manifestation of the MS. The acronym URGE is helpful in diagnosing RLS. U = urge to move, R = rest induced, gets worse when not moving, G = gets better with movement, E = tend to come on in the evening, especially around bedtime for many. If your symptoms are similar to URGE, I would discuss this with your health care provider and seek treatment. There are several excellent treatments available. In addition, some blood tests may reveal a reversible cause.
Dr. Robert Rosenberg, D.O., FCCP, DABSM
Robert S. Rosenberg, DO, FCCP, is the medical director of the Sleep Disorders Center of Prescott Valley, Arizona and sleep medicine consultant for Mountain Heart Health Services in Flagstaff, Arizona. Dr. Rosenberg is board certified in sleep medicine, pulmonary medicine, and internal medicine. He is a contributing sleep expert blogger and his advice has appeared in Women’s Health, Prevention, Ladies’ Home Journal, Parenting, and O Magazine, among others. Dr Rosenberg is a weekly newspaper columnist addressing sleep Q&As. Dr. Rosenberg appears on TV and radio and lectures throughout the country on Sleep Medicine. His book Sleep Soundly Every Night, Feel Fantastic Every Day is a best seller. Dr Rosenberg’s latest book is The Doctor’s Guide to Sleep Solutions for Stress & Anxiety. Visit Dr Rosenberg’s website WWW.AnswersForSleep.com which is a wealth of information on sleep topics.