Abstract
Background: Restless leg syndrome (RLS) and chronic venous insufficiency (CVI) share similar circadian timings and epidemiological characteristics.Objective: The objective of the study was to investigate whether treating superficial venous reflux (SVR) improves the RLS severity in patients with CVI and whether there is an association of the RLS severity with the number of refluxed veins.Materials and methods: Patients with RLS and duplex ultrasound-proven SVR were identified from a database of 134 patients. All patients underwent endovenous radiofrequency ablation and ultrasound-guided foam sclerotherapy. International RLS (IRLS) rating scale questionnaires were reviewed to assess pre- and post-intervention RLS status.Results: Thirty-five patients were identified. The average baseline IRLS score was 19.83 (moderate RLS) and improved to 7.89 (mild RLS) after treatment (p < .0001), corresponding to 63% decrease in symptoms. Ten patients (29%) had a follow-up score of 0, indicating complete relief of RLS symptoms. Twenty patients (57%) had decreased IRLS scores of 10 points or more (i.e. 1 grade level of severity). Six patients had no improvement. There was no association of the RLS severity with the number of refluxed veins.Conclusion: The study found that correcting SVR improves RLS symptoms, suggesting an association between CVI and RLS. Venous ultrasound study and intervention should be considered for potential patients.
Highlights
Restless leg syndrome (RLS), known as Willis-Ekbom disease, is characterized by an irresistible urge to move the legs to obtain relief from an uncomfortable sensation in the legs
The objective of the study was to investigate whether treating superficial venous reflux (SVR) improves the RLS severity in patients with chronic venous insufficiency (CVI) and whether there is an association of the RLS severity with the number of refluxed veins
We retrospectively studied the effect of endovenous radiofrequency ablation (RFA) and ultrasound-guided foam sclerotherapy (UGFS) in patients with superficial venous reflux to determine the effect on RLS symptoms and whether there is an association of the severity of RLS with the number of refluxed saphenous veins
Summary
Restless leg syndrome (RLS), known as Willis-Ekbom disease, is characterized by an irresistible urge to move the legs to obtain relief from an uncomfortable sensation in the legs. RLS was first described in 1945 with an estimated prevalence of 5% [1]. The prevalence has been found to be 3%-15% [2,3,4]. Patients have difficulty even communicating and describing their symptoms [7]. How to cite this article Sundaresan S, Migden M R, Silapunt S (April 02, 2019) Treatment of Leg Veins for Restless Leg Syndrome: A Retrospective Review. Restless leg syndrome (RLS) and chronic venous insufficiency (CVI) share similar circadian timings and epidemiological characteristics
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