Restless Legs: Common Causes and Tests to Identify Them

Learn about the common causes of restless legs and the tests used to identify them. Understand when to consult a doctor for this condition.

Sep 15, 2026 2 min read

Restless legs syndrome (RLS) is a condition characterized by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. These sensations typically occur in the evening or nighttime when you're sitting or lying down. Understanding the common causes and the tests that can identify them can help manage this condition effectively.

What Causes Restless Legs Syndrome?

Restless legs syndrome can be caused by a variety of factors. It is often linked to genetics, meaning it can run in families. Other common causes include iron deficiency, kidney failure, diabetes, and certain medications. Pregnant women may also experience RLS, especially in the last trimester. Additionally, lifestyle factors such as caffeine consumption and lack of physical activity can contribute to the symptoms.

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How is Restless Legs Syndrome Diagnosed?

Diagnosing RLS typically involves a clinical evaluation, where a healthcare provider will review your symptoms and medical history. There is no specific laboratory test for RLS, but certain tests can help identify underlying causes. Blood tests may be performed to check for iron deficiency or other nutritional deficiencies. In some cases, a sleep study may be recommended to rule out other sleep disorders.

Tests Used to Identify Underlying Causes

  • Blood Tests: These are commonly used to check for iron deficiency, as low iron levels are often associated with RLS. Serum ferritin, a blood marker that reflects iron stores in the body, is particularly useful.
  • Kidney Function Tests: Since kidney failure can be a cause of RLS, assessing kidney function through blood tests can be important.
  • Blood Sugar Tests: Diabetes is another condition linked to RLS, so testing blood sugar levels can help determine if diabetes is a contributing factor.

Lifestyle and Management

Managing RLS often involves addressing the underlying causes. If iron deficiency is identified, iron supplements may be recommended. Lifestyle changes such as reducing caffeine intake, quitting smoking, and increasing physical activity can also help alleviate symptoms. In some cases, medications may be prescribed to manage the symptoms.

Frequently Asked Questions

What are the symptoms of restless legs syndrome? Restless legs syndrome is characterized by an urge to move the legs, often accompanied by uncomfortable sensations. These symptoms typically worsen in the evening or at night.

Can restless legs syndrome be cured? While there is no cure for RLS, symptoms can often be managed effectively with lifestyle changes and treatment of underlying causes.

Is restless legs syndrome common during pregnancy? Yes, many women experience RLS during pregnancy, particularly in the third trimester. Symptoms usually improve after childbirth.

When to See a Doctor

If you experience frequent or severe symptoms of restless legs syndrome that interfere with your sleep or daily activities, it is important to consult a healthcare provider. They can help determine the underlying cause and recommend appropriate management strategies.

Decisions about your health and treatment should always be made in consultation with your healthcare provider.

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