Is Your Itchy Sensation a Sign of Restless Legs Syndrome? - Neurology

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Itching in the muscles could be a symptom of Restless Legs Syndrome (RLS), but it is important to consider other potential causes as well. RLS is characterized by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. If you are experiencing persistent itching or discomfort, it is advisable to consult a healthcare professional for a proper


This situation sometimes occurs; recently, I've been waking up from sleep due to itching.
I searched online, and some people say it could be Restless Legs Syndrome, while others suggest it might be an allergy.
I found that Restless Legs Syndrome seems to involve a crawling sensation, but I only experience itching.
No matter how much I scratch, I can't reach the itchy spot.
Later, I discovered that the itching sensation feels like it's deep within the flesh, and I can only relieve it by pinching.
What could be the possible cause of this?

Niming, 30~39 year old female. Ask Date: 2022/06/26

Dr. Jiang Junyi reply Neurology


Hello, Sir: You mentioned that "I can't even reach the itchy spot, and later discovered that the itch is deep inside." If it is an allergy, it could potentially be systemic.
However, if your symptoms are localized to specific areas of nerve distribution, peripheral nerve issues may need to be considered.
Abnormalities in peripheral nerves can present with: 1.
Pain characterized by burning, tingling, or other unusual sensations.
2.
Symptoms that have a specific dermatomal distribution, where touch or pressure can provoke the symptoms.
3.
Accompanied by muscle soreness and weakness.
Peripheral nerve examinations typically utilize electrophysiological tests for diagnosis.
Nerve conduction studies assess the conduction velocity and waveform of large fiber nerves.
Electromyography evaluates the muscle response in the affected nerve distribution area.
I recommend that you visit a neurology clinic for further examination and follow-up.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health, peace, and happiness.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital, cares about you.

Reply Date: 2022/06/26

More Info


Restless Legs Syndrome (RLS) is a neurological disorder characterized by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. While the classic symptoms of RLS include feelings of crawling, tingling, or "ants crawling" sensations in the legs, it can also manifest in various ways, including itching or a deep-seated discomfort that may not be easily localized.
In your case, the sensation of itching that awakens you from sleep could potentially be related to RLS, especially if it is accompanied by an urge to move your legs. However, it is important to note that RLS is typically associated with sensations that are more than just itching; they often include a strong desire to move the legs to relieve discomfort. The fact that you describe the itch as being "inside" your leg and requiring pressure to alleviate it suggests that it may not be a typical skin-related itch but rather a deeper neurological sensation.

There are several potential causes for your symptoms:
1. Restless Legs Syndrome: As mentioned, RLS could be a possibility, especially if you experience relief from moving your legs. The sensations can vary widely among individuals, and some may experience itching or a deep discomfort rather than the classic crawling sensations.

2. Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can lead to various sensations, including itching, tingling, or pain. It is often associated with conditions like diabetes, vitamin deficiencies, or alcohol use.

3. Allergic Reactions or Skin Conditions: While you mentioned that you have ruled out allergies, it is still worth considering that certain skin conditions, such as eczema or dermatitis, could cause itching that feels deeper than the skin level.
4. Circulatory Issues: Poor circulation can lead to sensations in the legs that may be interpreted as itching or discomfort. Conditions like venous insufficiency or peripheral artery disease could contribute to these sensations.

5. Psychological Factors: Anxiety and stress can sometimes manifest as physical sensations, including itching or discomfort in the legs. If you are experiencing heightened stress or anxiety, it could be contributing to your symptoms.

Given the complexity of your symptoms, it would be advisable to consult a healthcare professional, preferably a neurologist or a specialist in sleep medicine. They can conduct a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly nerve conduction studies or blood tests to rule out other conditions.
In the meantime, consider keeping a symptom diary to track when the itching occurs, its duration, and any associated factors (such as stress levels, physical activity, or dietary changes). This information can be valuable for your healthcare provider in determining the underlying cause of your symptoms.

In summary, while your itchy sensation could be related to Restless Legs Syndrome, it is essential to explore other potential causes. A comprehensive evaluation by a medical professional will help clarify the situation and guide you toward appropriate treatment options.

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