Natural approaches for the management of restless legs syndrome

Restless legs syndrome (RLS), also called Willis-Ekbom Disease, is a common neurological disorder characterised by an irresistible urge to move the legs.¹ It is often associated with unpleasant sensations, such as cramping, soreness, or a ‘creeping, crawling’ feeling which is typically felt in the calf, however, can be experienced anywhere along the leg.² These symptoms can vary in duration and severity for the individual, and most commonly occur at rest or in the evening, therefore impacting sleep.³ As the fourth leading cause of insomnia,⁴ RLS is a public health concern, with insufficient sleep linked to the development of numerous health conditions, including chronic respiratory diseases, dementia, mental health disorders, musculoskeletal issues, and cardiometabolic diseases.⁵ It is estimated to affect 7% of the global population,⁶ with women twice as likely to suffer from the condition than men.⁷

Due to the debilitating nature of this condition as a result of pain and sleep disruption, RLS can significantly reduce quality of life.⁴ Until recent years, dopaminergic agents have been widely considered as the first-line pharmacological treatment for RLS, however, long-term treatment can lead to a progressive worsening of RLS symptoms.⁸ Therefore, addressing any underlying cause and finding natural alternatives to support this condition is crucial.