Restless Leg Syndrome Assessment

Undiagnosed Restless Leg Syndrome Assessment
About Danielle Geraldi-Samara, M.D. Danielle Geraldi-Samara, M.D. is a board certified neurologist at the Park Slope Family Health Center in New York.
About Danielle Geraldi-Samara, M.D. Danielle Geraldi-Samara, M.D. is a board certified neurologist at the Park Slope Family Health Center in New York.

Restless Leg Syndrome Introduction On Screen: Dr. Danielle Geraldi-Samara: Board Certified Neurologist Dr. Geraldi-Samara: Restless Leg Syndrome is a very common neurologic disorder and it is on the spectrum of what we call movement disorders. About 10 years ago there was an international RLS study that was conducted. Out of that study came a rating scale. It is a scale based on zero to 40; with zero being no symptoms that are referable to RLS and 40 being the most severe syndrome. Now, this is very important to us as neurologists because it gives us a tool by which we can diagnose RLS and also it helps us assess the severity in a patient in which we have already diagnosed the syndrome.

About Danielle Geraldi-Samara, M.D. Danielle Geraldi-Samara, M.D. is a board certified neurologist at the Park Slope Family Health Center in New York.

Arms and Legs

Rate the severity of your RLS symptoms in your legs or arms.

Arms and Legs How severe are your symptoms in your arms and legs? In this question we use a small scale of zero to four to gauge the severity of the symptoms, with zero being no symptoms at all and four being very severe, debilitating symptoms. And then in between there we have one being mild symptoms, which I would classify as something that is maybe mildly annoying but that is something you can function through; whereas the more sever end of the spectrum of three and four would be something that would impair your ability to function normally throughout the day.

About Danielle Geraldi-Samara, M.D. Danielle Geraldi-Samara, M.D. is a board certified neurologist at the Park Slope Family Health Center in New York.

Moving Around

How intense is the need to move around because of your RLS symptoms?

Moving Around How intense are the feelings to move around because of your RLS symptoms? We are using the scale from zero to four, with zero being no urge to move around at all to four which I would say would be a feeling of constantly needing to move around or actually constantly moving around your extremities, or even involuntary movements of the arms and legs.

About Danielle Geraldi-Samara, M.D. Danielle Geraldi-Samara, M.D. is a board certified neurologist at the Park Slope Family Health Center in New York.

Movement and Relief

Rate the amount of relief from RLS you experience after walking around or moving your arms.

How much relief from your RLS do you receive from walking around or moving your arms? This is a very important question because it hits on one of the key criterion for RLS diagnosis. One would be complete or near complete relief from the symptoms, but four would be no relief at all. So in RLS whether that relief is temporary or partial, there should be some kind of relief with movement. If there is no relief at all, and you would answer four to this question, then the diagnosis of RLS is brought into question and your practitioner should entertain other causes of these unpleasant sensations.

About Danielle Geraldi-Samara, M.D. Danielle Geraldi-Samara, M.D. is a board certified neurologist at the Park Slope Family Health Center in New York.

Sleep and Rest

How severely is your sleep impacted by your RLS symptoms?

How is your sleep impacted by your RLS? It is really the sleep disturbance and sleep deprivation that is at the core of the disability and the impairment of function that we see in RLS. One would be that you can attain 5-7 hours of sleep at night which is close to a full night of sleep, and four being the inability to sleep at all.

About Danielle Geraldi-Samara, M.D. Danielle Geraldi-Samara, M.D. is a board certified neurologist at the Park Slope Family Health Center in New York.

Feeling Rundown or Tired

Rate the severity of any daytime tiredness or sleepiness you experience due to your RLS symptoms.

How tired or rundown do you feel throughout the day because of your Restless Leg Syndrome (RLS)? Mild tiredness would mean that you are just mildly sleepy, maybe, through the day. A moderate degree of tiredness would be a feeling where you are out and about and you feel maybe tired or an urge to nap in the middle of the day. And then on the more severe end of the spectrum, again this is a level of tiredness that I would consider an impediment to your daily routine.

About Danielle Geraldi-Samara, M.D. Danielle Geraldi-Samara, M.D. is a board certified neurologist at the Park Slope Family Health Center in New York.

Frequency

On average, how often do you get RLS symptoms?

On average, how often do you experience your RLS symptoms? This just helps your practitioner gauge the severity of your symptoms. If you’re, for example, unable to qualify the symptoms, which is very common in RLS, so that unpleasant sensation is sometimes very difficult for patients to describe to us.

About Danielle Geraldi-Samara, M.D. Danielle Geraldi-Samara, M.D. is a board certified neurologist at the Park Slope Family Health Center in New York.

Duration of Symptoms

When your RLS symptoms show up, how long do they last?

When your RLS symptoms show up, how long do they last? At the severe end of the spectrum, number four, we have symptoms that last 8 hours or more. If you think about that, that is pretty much your whole night’s sleep or a third of your day. That is really significant impairment. Then we have the mild end of the spectrum where some people just experience symptoms for a half hour or 15 minutes at the end of the day where they are kicking back and relaxing after work.

About Danielle Geraldi-Samara, M.D. Danielle Geraldi-Samara, M.D. is a board certified neurologist at the Park Slope Family Health Center in New York.

Lifestyle and Activities

Overall how are your RLS symptoms affecting your daily life? Your life at work, your social life, etc?

Overall how are your RLS symptoms affecting your daily life? Your life at work, your social life, etc? Look at both the severity and the duration of your symptoms in relation to its impact on your life.

About Danielle Geraldi-Samara, M.D. Danielle Geraldi-Samara, M.D. is a board certified neurologist at the Park Slope Family Health Center in New York.

Mood and Depression

How does RLS affect your mood?

How does RLS affect your mood? So you might ask, “well what is the relationship between RLS and mood?” I think that it is a direct consequence of the sleep deprivation. When you are not getting restful sleep, one consequence could be mood disturbance, and this can manifest in a number of ways. You can feel irritable, you can be short-tempered and start snapping at coworkers or family when you do not mean to. You can feel symptoms of anxiety or nervousness. You can feel sadness and depressive symptoms. You can be crying excessively. These are all indicators that the sleep deprivation that is a result of the RLS can be moving in to the sphere of mood disorder or mood disturbance.

About Danielle Geraldi-Samara, M.D. Danielle Geraldi-Samara, M.D. is a board certified neurologist at the Park Slope Family Health Center in New York.

Overall Severity

How severe is your RLS as a whole, overall?

How severe is your RLS as a whole, overall? This is the last question and this is really your opportunity to look at the big picture. Look at all aspects of the syndrome. Look at how often it occurs, how severe your symptoms are and then ultimately how this impacts your lifestyle.

Table of Contents
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  • Arms and Legs

    Rate the severity of your RLS symptoms in your arms and legs.

  • Moving Around

    How intense is the need to move around because of your RLS symptoms?

  • Movement and Relief

    Rate the amount of relief from RLS you experience after walking around or moving your arms.

  • Sleep and Rest

    How severely is your sleep impacted by your RLS symptoms?

  • Feeling Rundown or Tired

    Rate the severity of any daytime tiredness or sleepiness you experience due to your RLS symptoms.

  • Frequency

    On average, how often do you experience your RLS symptoms?

  • Duration of Symptoms

    When your RLS symptoms show up, how long do they last?

  • Lifestyle and Activities

    Overall how are your RLS symptoms affecting your daily life? Your life at work, your social life, etc?

  • Mood and Depression

    How does RLS affect your mood?

  • Overall Severity

    How severe is your RLS as a whole, overall?

Below are the results from your assessment. Talk to your doctor about next steps in your recovery process.

Your Results: Very Severe

Score 32-40: You're likely experiencing very severe RLS symptoms. Take this assessment with you and discuss your condition with your doctor or an RLS specialist. You can learn more about RLS, its causes, possible treatments, medication, and more in our RLS Learning Center.
Tell us what you think about the assessment. Take the survey. More information about condition here. This content is for informational only and should not be considered medical advice, diagnosis or treatment recommendations. Visit terms of use here.

Your Results: Severe

Score 23-31: You’re likely experiencing severe RLS symptoms. Take this assessment with you and discuss your condition with your doctor or an RLS specialist. You can learn more about RLS, its causes, possible treatments, medication, and more in our RLS Learning Center.
Tell us what you think about the assessment. Take the survey. More information about condition here. This content is for informational only and should not be considered medical advice, diagnosis or treatment recommendations. Visit terms of use here.

Your Results: Moderate

Score 14-22: You’re likely experiencing moderate RLS symptoms Take this assessment with you and discuss your condition with your doctor or an RLS specialist. You can learn more about RLS, its causes, possible treatments, medication, and more in our RLS Learning Center.
Tell us what you think about the assessment. Take the survey. More information about condition here. This content is for informational only and should not be considered medical advice, diagnosis or treatment recommendations. Visit terms of use here.

Your Results: Mild

Score 8-13: You’re likely experiencing mild RLS symptoms. Take this assessment with you and discuss your condition with your doctor or an RLS specialist. You can learn more about RLS, its causes, possible treatments, medication, and more in our RLS Learning Center.
Tell us what you think about the assessment. Take the survey. More information about condition here. This content is for informational only and should not be considered medical advice, diagnosis or treatment recommendations. Visit terms of use here.

Your Results: None

Score 0-7: You’re likely experiencing no RLS symptoms. Take this assessment with you and discuss your condition with your doctor or an RLS specialist. You can learn more about RLS, its causes, possible treatments, medication, and more in our RLS Learning Center.
Tell us what you think about the assessment. Take the survey. More information about condition here. This content is for informational only and should not be considered medical advice, diagnosis or treatment recommendations. Visit terms of use here.

Next Steps:

Print or email a copy of your results
to discuss with your doctor.