Restless Leg Syndrome

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Marketa

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I have a client that with restless leg syndrome. This is not the reason why he is coming for massage, but was wondering if massage would help.

The only research I could find was one study that said massage was as effective as medication for RLS but it was using 45 minute leg massage 2x per week.

I only see this client once a week, and he has other issues that require more attention. I don't usually get to spend more than 15-20 minutes on legs.

Has anyone has any success with this or any suggestions?
Thanks.
 


Joyful Qi,

Just read elsewhere today, cannot find it now of course, that individuals with a more shuffling gait tend to have more problems with RLS than the rest of the population. Then followed a suggestion for supplements, calcium-magnesium-zinc [in combination] and one or two other supps I cannot remember to aid in relieving the "jumpiness". Will try to find the article and get back to you ASAP.

But, with that article in mind, does your client have a "shuffley" gait? You know the kind where, if you were a mom you'd be yelling, "PICK UP YOUR FEET ALREADY!" My hubby tends to have, as he calls it, "the jumps" when he's been walking a lot and he shuffles, not walks. I find that his adductors are hellish tight, the hips are less than flexible at the trochanters and the backs of the knees are tight as well. MAYBE, if you checked some of those locations you might find something that you could work on to see if that would be of any assistance for your client.


FWIW
 


Hi,

This is my first post to the forum. I've wondered about restless leg syndrome for years. As a practitioner I've had a handful of clients over the years who have had RLS during the treatment, but always while in supine, and almost always occurring in one leg only. Occasionally extra weight (folded towels, rice packs, etc.) placed on the leg will help control twitches, but nothing has worked for every client every time.

I, myself, have also experienced this while getting massages or facials. I find that removing the bolster from underneath my knees often helps, as does rotating my knees outward (frog stretch) or otherwise adjusting my hip and knee angles. But even this relief is often short-lived.

Currently I have a client with the worst RLS I've come across. None of my tricks offer her relief, and surprisingly she also suffers while lying prone and while the affected leg is being massaged - two situations I've never encountered.

I'm willing to try any suggestions you could offer (for my client and for myself!)

Regarding AnastasiaB's post, I wouldn't consider that I, or my client, have a shuffley gait. In my own case, I'm pretty consistent with postural/structural stretches and getting my own bodywork so I don't think a walking gait is a factor in these instances.
 


Link #7 on the research page of my website lists a study that show positive effects of massage and MFR on restless leg syndrome. Check it out.
http://www.myofascialpainrelief.com/MFRresearch.html
 


does your client have a "shuffley" gait?

No, the client does not have a shuffley gait, but thanks AnstasiaB for the info on the nutritional supplements. I will research it a little more.

WaltFritz that for the link, the site is great - but link #7 is inactive. Either way it is a great weath of info! :)

I will try the different bolster techniques too, thanks. If I find anything the works really well I will post it.

Thanks All!!
 


Try as I might, I have been totally unable to locate the article I read. Will find it someday, I hope........
 


Joyful_Qi
Thanks for the heads up. I found the abstract which should now be active. No full text available out there right now.
 


Restless Leg Syndrome falls under the category of sleep disorders according to Ruth Werner. Any sleep disorder benefits from a relaxing massage like Swedish.
 


Restless Leg Syndrome falls under the category of sleep disorders according to Ruth Werner. Any sleep disorder benefits from a relaxing massage like Swedish

Thanks so much! That is perfect, with the other issues I am addressing with this client swedish is all I can really do. :D
 


You're welcome. If you have any more questions please ask. I teach and specialize in pathology.
 


Hi,
My husband has RLS and his gets really bad when he has air blowing on his legs or if they get cold. Keep his legs warm and covered up as much as possible.
 
LMT w/ Restless leg

Hi Everyone,


Found the site last night & this is my first post. Sorry its so long but I hope this helps. I have been in a series of car accidents, diagnosed with 2 "possible" herniated disks, thoracic outlet syndrome, a hyper mobile sacrum, sciatica, fibromyalgia, restless leg syndrome & TMJ over the last 10 years. For me the RLS comes & goes as a priority for treatment when getting massage. It does not always hurt so it often gets moved to the bottom of the list. I no longer use the meds for treatment of RLS & rely on massage as needed. The meds made me really groggy.

The original post stated that the client was not seeking treatment for the RLS but had other issues going on. When speaking to other therapists I find that RLS often makes therapists feel they need to address the RLS in some way, you don't. Just try to make your client comfortable (phys & emot.). For many RLS sufferers it is a secondary condition & by treating the other conditions you are still treating the RLS.

This is what I have found to help myself:

During the session if the leg needs to twitch. let it. The pain often comes when the leg can't move, the twitching itself doesn't actually always hurt (for me) but not being able to move is when the pain starts. Clients may try to stop their leg from twitching, by tightening their muscles so as not to distract you as a therapist, this makes the pain worse. Let them, let go.

Stretching, stretching, stretching!!! Stretch your client's legs every which way you can. This has helped me with the pain. Just watch your head, I've had clients twitch & almost kick me in the face....

Polarity Therapy has been really helpful for me. I think this is partly because during the session, twitching is welcome as it is interpreted as an energetic release, instead of RLS. At the end of a session my legs calm down & don't twitch through the night. They can go crazy during the session, I can relax & I don't try to control it or make it stop. Just the connotation of "twitching" in this instance, helps me relax.

Eastern vs Western Massage: there always seems to be a fine line here for me when my legs are sore. I want deep tissue but can't take it and then gentle light effluerage makes my legs more sensitive. Deeper, slower effluerage feels better. Circular effluerage on the quads & hams has always felt great. I generally don't like tapotement but in this instance it makes my legs feel better. Swedish in general can sometimes be frustrating to me & the therapist to find the right pressure. Shiatsu has always felt good. Palming, thumbing, stretching & a little energetic work thrown in, feels fab.

Foot Work: I usually do it near the beginning of a massage and sometimes it helps. The twitching may occur more during the foot work but then it seems to subside for the rest of the massage.


Michelle Kelly Dillon L.M.T.
 
More RLS

The mention of MFR is great. MFR has definitely helped me. The feeling of the slow stretch is heaven. The twitching causes the ms to constantly contract, lengthening the ms & fascia is great.

I also just wanted to mention that when speaking with other sufferers of RLS they have sometimes given up on massage because they are embarrassed that their legs twitch during the session. They say they can't relax because they are trying to keep their legs from twitching. The twitching tends to be the more obvious issue to the therapist because it can be seen. Therapists sometimes lose focus on what the client came in to treat so the client will for go getting a massage to treat other ailments. Remember to let your clients know that twitching is ok & focus on what they need at that moment.

MKD
 


Michelle,

Welcome to the forum and thank you for your helpful post. I'll try your suggestions and see what happens.

Take care.
 


Carolyn Dean, MD, ND, attributes this to magnesium deficiency.
"Magnesium Miracle"
http://www.carolyndean.com
 


I've found that MFR locally, in the affected areas, as well as more global MFR works great. Bilateral leg traction taps into the legs but also up into the pelvis and spine. Dural tube releases, both/either from the head or sacrum are helpful as well.
 


I have had RLS for as long as I can remember. My mother even recalls me at 10 or so, with twitchy legs during movies. She'd ask what was going on and I'd tell her my legs just felt like they had to move. Apparently I had an unusually young onset. The past few years, it has been driving me nuts. I'll have to get up and walk for hours to be able to sleep. Even when I was getting massages every day in school, it was bad and I had a hard time laying on my back for half the massage. I told my classmates to just ignore it, it wasn't anything they were doing.

Due to menstruation issues, my doc did a full battery of bloodwork, and everything came back normal even to the hemoglobin. But in doing more detective work, it was discovered that my ferratin levels were low. It's related to hemoglobin but it's the body's ability to store iron rather than just iron levels. I'm now on ferrous sulfate rather than just iron and it has changed my life. I haven't had RLS since a week after I started it. I also had other symptoms, seemingly unconnected such as a burning tongue. I know you can't prescribe medicine but it might benefit your patient to get a complete CBC/CMP/thyroid panel **as well as** ferritin levels checked. They don't routinely do ferritin levels so he might have to specifically ask for it. Another cause of RLS can be deficient magnesium levels, although those supplements didn't do much for me. As much as I love massage, even regular ones didn't seem to help. The ferrous sulfate has been a godsend and it's an inexpensive OTC med.
 
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    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน Table shower .body scrub ๐Ÿ˜˜Three girls every day ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ 5124 Dundas West Street, Etobicoke โ˜Ž๏ธ 416-817-3366 ๐Ÿ‘ Newโ—๏ธNew girl Angela ,so young Petite and pretty๐Ÿ˜‹ open service ๐Ÿ˜œ๐Ÿ˜œ Sweet girl Luna deep massage ๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ Hot and sexy body very provocative service ๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜โค๏ธ You are welcome to make an appointment at any time or walk in directly through the back door. We have ample parking spaces available
  35. Sabrina Fox:
    I'M HOT BUSTY AFRICAN GIRL AVAILABLE AT WESTON & ST. CLAIR. LETS HOOK UP! ๐Ÿ“ž 647-271-9648
  36. ใ™ใฟใพใ›ใ‚“:
    Gabby , sunny , larissa , lora, michelle , christine on duty at top notch.
  37. Nu spring spa888:
    โค๏ธโค๏ธโค๏ธsexy hot Germany๐ŸŒธKorean ๐ŸŒธViennese girl working at๐Ÿ’“๐Ÿ’“ Nu spring spa โ˜Ž๏ธ416-669-8508โค๏ธโค๏ธโค๏ธ
  38. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธSusan๐ŸŒธLuna๐ŸŒธXuka๐ŸŒธLynda๐ŸŒธBrandy Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  39. SL East Spa:
    ๐Ÿ’†โ€โ™€๐Ÿ’–Tuesday ๐Ÿ’œ Ultimate destination for Asian massages๐ŸŽ‰ Two fab spots: SL Richmond Hill & SL West Oakvilleโœจ Your passport to paradise with 10 enchanting girls fr China, HK, Japan & Korea โ€” ๐Ÿ†• Aliyah, Lucy, Cindy, Yui, new Jojo, Coco, Cici, busty Amber, Kelly & Jasmine โ€” ready to pamper you๐ŸŽ๐Ÿ Ring us ๐Ÿ“ž647-695-6354 or text us ๐Ÿ“ฑ647-578-8169โœจ 160 East Beaver Cr., Unit 12, RichmondHill ๐Ÿ’ฐWhere Eastern charm meets Western comfort - your bliss awai
  40. SpringGreen.:
    Apple off your weeked with a bang๏ผ Judy is at spring green in downtown toronto Tuesday from 9am-9pm with apple and coco. apple is a very beautiful andcaring young lady๏ผkitty is super hot.๐Ÿ’‹๐Ÿ’‹647-891-0699 ask and text questions thanks๐Ÿ’‹๐Ÿ’‹
  41. wilson holistic centre:
    new girl works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  42. Spa in Markham:
    GOLDEN FS โ€“ 8380 Kennedy Rd ๐Ÿ“ž 905-258-0777 / 416-688-6886 ๐Ÿ‡ธ๐Ÿ‡ฌ CANDY, ๐Ÿ‡ญ๐Ÿ‡บ VANESSA, ๐Ÿ‡จ๐Ÿ‡ด MEGAN (2AM), ๐Ÿ‡ป๐Ÿ‡ณ JULIE (8PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookinggoldenlove
  43. FLOWER Spa - BLUEXADO | Thornhill | VAUGHAN:
    BLUEXADO FS โ€“ #06-1102 Centre St ๐Ÿ“ž 416-357-9797 / 416-678-8668 ๐Ÿ‡ป๐Ÿ‡ณ CICI, ๐Ÿ‡ป๐Ÿ‡ณ MY LINH, ๐Ÿ‡ป๐Ÿ‡ณ AMY, ๐Ÿ‡ป๐Ÿ‡ณ SHERRY ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingbluexadolove
  44. Red Rose Spa:
    ๐ŸŒธ We have 13 hot brown girls today ๐ŸŒธ MONICA, ASHA, MALIYA, MONIKA, ANGEL, MIMI, PREETI, ANGELINA, DIYA, PAYAL PEARL, KIRAN ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  45. FLOWER Spa โ€“ PINK | Scarborough | TORONTO:
    PINK FS โ€“ 3300 McNicoll Ave ๐Ÿ“ž 416-299-5515 / 416-817-3839 ๐Ÿ‡ฎ๐Ÿ‡ท ELINA, ๐Ÿ‡ป๐Ÿ‡ณ KELLY, ๐Ÿ‡ต๐Ÿ‡ญ MADY (1PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingpinklove
  46. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  47. DareDevil:
    ARIA WELLNESS ๐Ÿฌ๐ŸญADDRESS: 360 HWY 7, UNIT #6, โ™ฅ๏ธRICHMOND HILL,647-222-5683 (PHONES CALL ONLY, NO TEXT'N AVAILABLE) โ™ฅ๏ธTODAY'S Schedule!โ™ฅ๏ธ Loaded lineup with Beautiful Girls : Yoga Lucy, Killer Kelly, Adorable Eva, Magical Mia and Work out๐Ÿ‹๐Ÿšด๐Ÿ’ช Babe Amy! BUY 10 HOURS (GET 11 HOURS) **TODAY'S PICK OF THE DAY ARE ๐Ÿฌ๐ŸญLUCY AND KELLY๐Ÿฌ๐Ÿญ**
  48. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธNina๐ŸŒธAnna๐ŸŒธAmberCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  49. AliceSpa:
    TUESDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”, 4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 Young Beauties Today at Alice Spa. Open 10am to 9pm: CLOUDIA (10am-9pm): is Vietnamese, young, petite 5'2" & 96 Lbs, B Cup, best rim deep bbbj cim. $40 Room Fee + $80 (incl bbbj & fs). +$20 for rim/cim. Excellent open minded services. KITTY (1pm-9pm) is a new Korean girl, super busty, small body, new
  50. wonderspa:
    ๐ŸŒบWonder spa,(9421Jane st unit127)call416-5000-800โ˜Ž๏ธbest massage in vaughan,Tuesday RMT available,๐Ÿ’„sexy very young girl Mimi๏ผŒlong legs ,natural c cup,very good looking amazing massage nice body slide,really popular ๐ŸŽlong hair Lucy Q smile,very good looking ,strong to relax oil ,back walk,more experience,relief your pain,amazing ending๐Ÿ”ฅ๐ŸŒน๐ŸŒนmust try
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