Restless Legs at Night: Could Venous Insufficiency Be the Cause?

August 23, 2024
By United Vein & Vascular Centers®

Do you experience an uncontrollable urge to move your legs, especially at night? This persistent desire, often accompanied by strange crawling, aching, or throbbing sensations, could be a sign of vein disease. This can be very frustrating to sleep disruption and might be linked to a more serious underlying venous insufficiency condition.

This blog post delves into the connection between restless legs and venous insufficiency, exploring how one can influence the other. We’ll also explore vein treatment options available at United Vein & Vascular Centers that can potentially alleviate both restless legs and the underlying vein problem.

The Link Between Restless Legs and Venous Insufficiency:

Venous insufficiency is a condition where the valves in the leg veins become weak or damaged, hindering their ability to efficiently pump blood back to the heart. This can lead to blood pooling in the legs, a condition called venous stasis.

While not a direct cause, venous stasis can sometimes mimic restless leg syndrome symptoms. Here’s why:

  • Increased Pressure: Blood pooling in the legs due to venous insufficiency can put additional pressure on nerves, potentially triggering the uncomfortable sensations and the urge to move the legs associated with RLS.
  • Leg Inflammation: Venous stasis can lead to inflammation in the legs, which may further irritate nerves and contribute to the restless feeling.
  • Circulatory Issues: Poor circulation caused by venous insufficiency can affect the blood supply to nerves in the legs, potentially leading to abnormal sensations and the urge to move.

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Symptoms of Venous Insufficiency to Watch Out For:

While restless legs at night can be a sign of venous insufficiency, it’s important to consider other symptoms as well. Here are some common signs of venous insufficiency:

  • Visible varicose veins: These are twisted, enlarged veins that appear blue or purple under the skin.
  • Leg pain, aching, or heaviness: This discomfort often worsens with prolonged standing or sitting and improves with elevation.
  • Swelling in the ankles and feet: This can occur due to fluid buildup caused by poor blood flow.
  • Skin changes: Dry, itchy, or discolored skin on the lower legs can be a sign of advanced venous insufficiency.

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Risk Factors For Restless Leg Syndrome

Restless Leg Syndrome (RLS) is a neurological disorder characterized by an uncontrollable urge to move the legs, typically due to uncomfortable sensations. The exact cause of RLS is often unknown, but several risk factors have been identified:

  • Genetics. Family history: RLS often runs in families, suggesting a genetic component.
  • Increasing Age: Although RLS can occur at any age, the risk increases as people get older.
  • Gender: Women are more likely to develop RLS than men.
  • Iron Deficiency: Iron deficiency, even without anemia, can contribute to RLS symptoms.
  • Chronic Conditions: Several chronic diseases, such as Parkinson’s disease, diabetes, peripheral neuropathy, and kidney failure, are associated with RLS.
  • Certain medications: Some drugs, including anti nausea agents, antipsychotic drugs, antidepressants that increase serotonin, and some cold and allergy medications that contain antihistamines, can trigger or worsen RLS symptoms.
  • Pregnancy: Pregnancy, particularly in the last trimester, can temporarily increase the risk of RLS.
  • Lifestyle Factors: Lack of exercise, smoking, and alcohol use can contribute to RLS.
  • Sleep Deprivation: Insufficient or poor-quality sleep can exacerbate RLS symptoms.
  • Other Neurological Conditions: Conditions affecting the nervous system, such as multiple sclerosis and spinal cord injuries, can increase the risk of RLS.

Treatment for Restless Legs Due to Venous Insufficiency:

At United Vein & Vascular Centers, we offer minimally invasive vein treatments to address venous insufficiency and improve blood flow in the legs. Some treatment options include:

  • Radiofrequency ablation: Radiofrequency energy is used to heat and close diseased veins.
  • VenaSeal closure system: A medical adhesive is used to seal diseased veins shut.
  • Sclerotherapy: A solution is injected into small varicose veins to cause them to shrink and disappear.
  • Varithena:  Varithena is a revolutionary treatment that utilizes radiofrequency energy to eliminate varicose veins. It is a minimally invasive procedure that uses a thin catheter inserted into the affected vein. The radiofrequency energy causes the vein walls to collapse and seal shut, effectively removing the varicose vein.

How United Vein & Vascular Centers Can Help:

At United Vein & Vascular Centers, we understand the frustration of restless legs at night and the sleep disruption it can cause. We offer a comprehensive vein evaluation to diagnose the underlying cause of your restless legs, including potential venous insufficiency.

Our team of vein specialists will assess your symptoms, medical history, and perform a physical examination to determine the best course of action. If your restless legs are linked to venous insufficiency, we can discuss minimally invasive treatment options to improve blood flow and circulation in your legs. This may potentially alleviate some of the discomfort and promote better sleep. To learn more, schedule a free vein screening today.

If you’re concerned about your vein health, schedule a consultation with a vein and vascular specialist to put your mind at ease

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