Restless Leg Syndrome And Multiple Sclerosis Connection
Cases of restless leg syndrome in multiple sclerosis patients greatly vary from 13.3 percent to 65.1 percent. These numbers are still larger than rates of restless leg syndrome in the general population. Multiple sclerosis patients with RLS rate higher on the Expanded Disability Status Scale compared to MS patients without RLS. RLS can negatively impact a persons sleep and cause further complications such as worsened fatigue and greater inflammation, which can contribute to pain. Further research will be conducted to better understand the connection between RLS and MS and provide more effective treatment.
Why Is Diabetes Fatigue So Common
Fatigue can be caused by something physical, emotional distress, or because of lifestyle choices. Previously in this article, a number of things related to diabetes that cause fatigue was listed. If you read over that list, you can find physical, emotional, and lifestyle choices in there. This means that individuals with diabetes are at a risk from developing fatigue because of many different reasons.
An example is someone with diabetes that eats a very healthy diet and exercises daily. If they are too stressed because of the struggle to control their blood sugar, they could develop fatigue. Another example is someone that is very calm and follows their insulin and diet plan perfectly, but they have restless leg syndrome because of the nerve damage caused by diabetes.
Having physical, emotional, and lifestyle risk factors makes it very difficult for people with diabetes to avoid fatigue. Many people experience multiple problems that cause fatigue, such as sleep apnea and anxiety. Dealing with both of these makes it even harder to overcome the fatigue. This is why it is the most common symptom of diabetes.
The image below shows how all three variables play into fatigue. It also shows that not only do they cause fatigue, but fatigue causes them as well.
Preparing For Your Appointment
To prepare for your appointment, see the topicMaking the Most of Your Appointment.
You can help your doctor diagnose and treat your condition by being prepared to answer the following questions:
- What is your major symptom, weakness or fatigue?
- Have you had these symptoms before? If so:
- Did you see a doctor for an evaluation of your symptoms?
- What was the diagnosis?
- How were your symptoms treated?
While you are waiting for your appointment, it may be helpful to keep a diary of your symptoms .
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Is It Possible That I Have Pots And Was Incorrectly Diagnosed
This is entirely possible. Given how common POTS symptoms are and how unfamiliar many doctors are with this condition, diagnostic mishaps happen. POTS is frequently misidentified as chronic fatigue syndrome, fibromyalgia, myofascial pain syndrome, anxiety disorder, ADHD, irritable bowel syndrome, myositis, etc. It is also possible that you have both POTS and one of these conditions, which may complicate the diagnosis. Sometimes people with POTS are told that its all in your head, implying that the cause of their symptoms is psychological. If you feel like something is physically wrong, dont hesitate to seek a second, and even a third or fourth opinion.
COVID-19 and POTS: Is There a Link?
Although many people recover quickly from COVID-19, the disease caused by the coronavirus, others who recover may continue to experience symptoms for months. Researchers are still determining the cause of these extended symptoms, but some COVID-19 “long-haulers” may actually be dealing with POTS.
I Have Muscle Weakness
If you have muscle weakness and visit your doctor, they will first need to know the following:
- How it began and how long you have had it for.
- Whether it is getting worse, getting better or staying the same.
- Whether you are otherwise well, are losing weight or have travelled abroad recently.
- What medicines or other drugs you have been taking and whether there are any muscle problems in your family.
Your doctor will need to examine you to see which muscles are affected and whether you have true or perceived muscle weakness. They will check to see whether your muscles are tender to touch or unusually ‘fatigable’. They may want to watch you walk.
They will then need to test your nerves to see whether the muscles are getting the right signals to act. Your doctor may need to test your central nervous system, including your balance and co-ordination. They may need to perform blood tests to look for abnormalities of hormones, salts and blood cells.
Depending on the results of these tests your doctor may also order the following:
- Nerve studies to make sure the nerves are conducting properly.
- A muscle biopsy to see whether the muscles themselves show signs of inflammation or damage. A biopsy is a procedure where a small sample is taken to look at under the microscope.
- Body scans such as CT or MRI to look for conditions elsewhere in the body which may affect muscle power and function.
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Diagnosis And Treatment For Muscle Weakness
Your doctor will ask you questions about your medical history, medications you are taking, and any unusual symptoms you are experiencing.
Diagnostic tests that may be ordered to help determine a diagnosis include:
- Bloodwork to assess levels of enzymes, electrolytes, hormones, and inflammatory markers
- Genetic testing to assess for genetic risk
- Magnetic resonance imaging of your brain, spinal cord, and nerves to assess for damage
- Electromyography to assess the electrical activity of your muscles
- Nerve conduction tests to assess how signals travel from your nerves to your muscles
- Muscle biopsies to examine the quality of your muscle tissue
- Lumbar puncture, also called a spinal tap, to assess the quality of your cerebrospinal fluid within your spinal canal
Only a licensed healthcare provider can determine proper treatment depending on the cause of your muscle weakness. Treatment options include medication, dietary changes, physical and occupational therapy, and in certain cases, surgery.
Muscle Fatigue In Legs Causes: How To Treat Fatigued And Tired Legs
At some point in our life, all of us have experienced pain and fatigue in our legs. It is common when we do long and tiresome works, stand for a long time, perform lot of physical exercise or simply walk a long distance. In such a situation a person generally feels better after taking some rest. However, when you experience fatigue and pain in your legs for a long duration, while walking or even at rest, you should immediately consult your physician, as fatigue leg may be symptom of some underlying health condition.
In order to evaluate the cause of fatigue leg, your physician needs to know proper history, what has brought this condition and since how long you are suffering from the symptom and how do you feel better. He may also advise you to do tests such as color Doppler of veins and arteries of legs, blood tests etc to find the possible cause. Fatigue leg is a symptom and not a disease in itself. It can be due to several causes. Let us know some main causes of fatigue leg.
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Causes For Tired Legs
A variety of factors can cause tired legs. Tired legs may be accompanied by pain, soreness, or cramping. Tired legs arent usually a cause for concern, but its still important to pay attention to your body when tiredness occurs. This is especially so if you have other symptoms.
Here are some possible causes for tired legs:
Restless Leg Syndrome As A Symptom For Other Diseases
Aside from multiple sclerosis, restless leg syndrome can be a symptom of other diseases as well. A recent study revealed that restless leg syndrome can be a symptom of heart problems, kidney problems and stroke.
For the study 3,700 veterans with RLS were observed along with 3,700 healthy participants as controls. Both groups were followed for eight years. Researchers were specifically looking for outcomes of stroke and heart and kidney problems.
Restless leg syndrome has been found to increase the risk of stroke, heart disease and kidney disease. Restless leg syndrome is a condition that causes a person to feel an overwhelming urge to move their legs when in an inclined position . Tingling, aching and itching sensations may occur as well. Continue reading
New research from the University of Vermont suggests that in mice models, salt intake may increase the risk of developing multiple sclerosis . With the use of three genetically different groups of mice, researchers conducted their study. Continue reading
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How Long Does Fatigue Or Weakness Last
Fatigue that is due to cancer and its treatment can last for weeks, months, or years. It often continues after treatment ends.
- For people who have surgery for cancer with no other treatment, fatigue often decreases or goes away over time as they recover from surgery.
- For people getting chemotherapy, targeted therapy, or immunotherapy in cycles, fatigue often gets worse at first and may get better until the next treatment, when the pattern starts again.
- For those getting radiation therapy, fatigue usually gets worse as the treatment goes on and often lessens within a few months after treatment is complete.
- Differ from one day to the next in how bad it is and how much it bothers you
- Be overwhelming and make it hard for you to feel well
- Make it hard for you to be with your friends and family
- Make it hard for you to do things you normally do, including going to work
- Make it harder for you to follow your cancer treatment plan.
Causes Of Muscle Fatigue In Legs
Fatigue leg is often caused due to over exertion.
The other most important cause of fatigue leg syndrome is due to circulatory disturbances in the lower leg. Peripheral artery disease is the common cause. PAD is caused due to atherosclerotic changes in the arteries of the leg. The plaque in the arteries blocks proper circulation of blood in the legs resulting into pain and leg fatigue. The classical symptom of PAD is pain in calf muscles while climbing the stairs or walking, and ameliorated after rest. The disease is common in old people and in those having history of cigarette smoking since years. It is also common in diabetics and patients suffering from high cholesterol.
When all other causes are excluded, and the specific cause is not determined, the condition is diagnosed as chronic fatigue syndrome. The other symptoms of this condition include generalized muscle aches, insomnia and headache, depression is associated with this disorder and a person often improves after treating depression.
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Life After Covid: Treating Muscle Fatigue And Weakness
One thing is certain: COVID-19 affects people in different ways. The majority will experience mild to moderate symptoms, including a fever, a dry cough, and tiredness. Some will also have muscular aches and pains, a sore throat, a stomach upset, headaches, conjunctivitis, the loss of taste or smell, or a skin rash. An unfortunate one in five COVID-19 patients will develop more serious symptoms, including difficulty breathing, chest pain, loss of muscle control, severe inflammation, and organ damage.
While most people are fully aware of the severity of COVID-19, there has been less focus on its long-lasting impact. Four weeks after their initial diagnosis, many patients are still struggling with long-term COVID symptoms. These include:
- Ongoing muscle weakness
- Respiratory symptoms
- Cognitive issues
In addition to their physical symptoms, many COVID-19 patients are finding life after COVID emotionally grueling. Recovering COVID-19 patients may experience debilitating mental health issues, including depression, anxiety, isolation, and dementia.
While anyone can experience the long-term symptoms of COVID-19, some people are particularly susceptible to the condition becoming known as long COVID:
- People who are severely overweight or obese
- People with high blood pressure
- People with a pre-existing mental health condition
Will My Leg Weakness Be Permanent
It depends on the cause. Fortunately, many causes of leg weakness lead to complete recovery if diagnosed accurately and treated in the appropriate time frame. Sometimes leg weakness may be improved but not totally cured by treatments like physical therapy after the initial underlying cause is addressed. However, some causes are irreversible, and these include severe damage to the nerves, spinal cord and/or brain.
Why Is My Leg Weakness Worse In One Leg
When leg weakness is worse in one leg compared to the other it is asymmetric. Some causes of asymmetric leg weakness include spinal cord damage that is worse on one side of the spine, abnormal growths that affect one side of the spine or one half of the brain more than the other, and injury to the leg nerves that is more pronounced in one leg.
Why Is My Leg Weakness Spreading
Some causes of leg weakness can lead to weakness that spreads up or down the body. Some viruses can lead to damage to nerves in the body, leading to weakness, and depending on the virus, the weakness may begin in the head and neck and spread downward toward the legs and feet or may start in the feet and spread upward.
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Genetic Conditions Affecting Muscles
Muscular dystrophies: these are inherited diseases which affect muscles. They are rare disorders but the best known and most common is Duchenne muscular dystrophy. This occurs in children and leads to gradual loss of muscle power from toddler-hood.
Some rare muscular dystrophies: these can present in adulthood and include Charcot-Marie-Tooth syndrome and the facioscapulohumeral dystrophies. They also cause gradual loss of power and function in muscles. Those who have these conditions may become wheelchair-bound.
Sarcoidosis: this is a rare disease in which clumps of cells form in skin, lungs and soft tissues, including muscles. The condition usually goes away after a few years.
Amyloidosis involves deposits of an ‘unhelpful’ abnormal protein called amyloid throughout the body, including muscles and kidneys.
Other rare causes: direct damage to muscles can occur in rare inherited metabolic conditions. Examples include:
- Glycogen storage diseases .
- Even rarer, mitochondrial diseases which occur when the energy systems inside muscle cells don’t work properly.
Myotonic dystrophy: this is a rare genetic muscle disorder in which muscles become extremely tired. Myotonic dystrophies are passed down through families and they tend to occur earlier and become worse as they move through the generations.
Specific Causes Of New Onset Muscle Weakness
- Polio. A severe spinal cord disease that causes paralysis. It is prevented by the polio virus vaccine. Polio is almost wiped out in the entire world. There have been no cases in the US since 1979. Now, it only occurs in 2 countries.
- Acute Flaccid Myelitis . A rare infection of the spinal cord. It acts like polio did. It causes sudden onset of arm or leg weakness in one or more places. The main cause has been an enterovirus. There has been a rise in cases since 2014.
- West Nile Virus myelitis. See the Mosquito Bite care guide for details. Also acts like polio did.
- Guillain-Barre syndrome. A severe nerve weakness that starts in the feet and moves up the body over several days. It affects the same parts on both sides of the body. It can follow some viral infections.
- Tick paralysis. A rare problem from a tick that has been attached for 5 or more days. Often it is hidden in the hair. Once the tick is removed, the weakness clears. It takes a few hours to a day.
- Poisoning. Some types of poisoning can cause weakness, often with confusion.
- Viral myositis. Muscle pain in the leg muscles is seen with some viral infections, such as influenza. The pain can make some children not want to walk. This is different than weakness. The muscle pain lasts a few days to a week.
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When To Call Your Doctor
If your fatigue prevents you from engaging in work or school, social or personal activities, then you should see your doctor, Dr. Patane says.
“When in doubt, it never hurts to speak to your doctor about this. It can be a simple evaluation, and we may be able to say there’s nothing seriously wrong and suggest lifestyle modifications,” he says. “One of the best ways to get better from fatigue is with good sleep hygiene and by slowly increasing daily exercise.”
A Vitamin Or Nutrient Deficiency
A vitamin deficiency, such as not getting enough vitamin D or vitamin B12, could cause you to feel severely tired, per the Cleveland Clinic. Dehydration can have the same effect.
You could also feel suddenly exhausted if you’ve recently started a high-protein diet. It’s not the protein itself making you tired, but the lack of carbohydrates. Severely restricting carbs causes your body to enter ketosis, where it breaks down fat for energy, per the Mayo Clinic. The side effects of ketosis include fatigue as well as headache, weakness and bad breath.
These side effects are usually temporary, but if ketosis is causing your sudden energy crash, you may want to add more fiber-rich, complex carbohydrates to your diet, such as fruits, vegetables and whole grains like oatmeal and brown rice. The Dietary Guidelines for Americans recommend carbs make up 45 to 65 percent of your total daily calories.
Similarly, skipping meals or following a very low-calorie diet could sap your energy. Keep in mind that people assigned female at birth should avoid eating fewer than 1,200 calories per day, and people assigned male at birth should eat at least 1,500 calories per day, according to Harvard Health Publishing.
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