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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    Lily Spa :๐Ÿ’•๐Ÿ’•Thursday Schedule ๐Ÿ‡ฎ๐Ÿ‡ณ๐Ÿ‡ฎ๐Ÿ‡ณSana 23, , Punjabi girl , very pretty 36 DDD ๐Ÿ˜ˆGFE โค๏ธElena ( Latino ) Big Nature Boobs & SuSu ( Asian )Slim , ๐Ÿ˜๐Ÿ˜Porn Service ๐Ÿ”ฅDuo ๐Ÿ”ฅ,โ˜Ž๏ธ 6475318288
  31. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธLuna๐ŸŒธValentina๐ŸŒธKellyCall 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
  32. bnwellness_wilson:
    We have 4 young girls are working today, young cite Taiwanese Victoria 25โ€™s slime open mind and young flirty Tina 30โ€™s with sexy body open mind, sexy Coco and sweet GFE Ella are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  33. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน2 girls๏ผŒNina ใ€Cindy ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ5124 Dundas St W Etobicokeโ˜Ž๏ธ416-817-3366๐Ÿ‘ Table Shower Sea Salt Bath Body Scrub๐Ÿ˜˜ Japanese girl Nina โค๏ธ Natural Big Boobs 38 DD ๐Ÿ˜˜Pink Mini Nipples Hot body slide, super enjoyable๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ very provocative service๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜, Mia sexy girl 1.65 M.pretty boobs 36D๐Ÿ˜˜Superb service ๐Ÿ‘ massage, has therapeutic effect to loosen bones and relieve muscle pressure and will bring you unexpected service effects, she will bring you a little surpr
  34. AliceSpa:
    THURSDAY 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 girls here today at ALICE SPA. Open 10am to 9pm: BEBE is a young slim Vietnamese girl with a beauty face, C Cup, 5'2" & 100 Lbs, student and model looks, vg at fs multiple positions, bbbj ymmv must be clean and respectful. KITTY (12pm-9pm) is a new Korean girl, super busty, small body, new to the business.
  35. Moneylee:
    All season wellness center: Young girl big boobs beautiful face deep massage Midi,Young girl big boobs beautiful face deep massage Tina ,Young girl big breasted beautiful buttocks charming temperament big boobs Cindy ,Student big boobs buttocks Vicky, Enchanting sexy petite deep massage Sherry ,๐Ÿ address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿฆต๐Ÿฆต๐Ÿ‘…๐Ÿ‘…๐Ÿ‘„๐Ÿ‘„
  36. SL East Spa:
    ๐Ÿ’†โ€โ™€๐Ÿ’–Terrific Thursday ๐Ÿ’– Ultimate destination for Asian massages๐ŸŽ‰ Two fab spots: SL Richmond Hill & SL West Oakville โœจ Your passport to paradise with 9 enchanting girls fr China, HK โ€” ๐Ÿ†•Tiffany, Joey, Julie, Aaliyah, Coco, Yui, Meghan, Julia & New 34D Jasmineโ€”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 awaits๐Ÿ™Œ
  37. Moneylee:
    Full season wellness center: young girl pretty face nice figure Thai deep massage Vivian , pretty face nice figure Thai deep massage Yuki ,Young girl big breasted beautiful buttocks charming temperament big boobs Anjoo ,Young girl Big breasted saucy naughty Ella,Enchanting sexy petite deep massage Mary. 2560 Shepard ave Mississauga unit 1 .โ˜Ž๏ธ4379857899๐Ÿ‘…๐Ÿ‘…๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต
  38. Lilyspa1:
    Lily Spa :๐Ÿ’•๐Ÿ’•Thursday Schedule ๐Ÿ‡ฎ๐Ÿ‡ณ๐Ÿ‡ฎ๐Ÿ‡ณSana 23, , Punjabi girl , very pretty 36 DDD ๐Ÿ˜ˆGFE โค๏ธElena ( Latino ) Big Nature Boobs & SuSu ( Asian )Slim , ๐Ÿ˜๐Ÿ˜Porn Service ๐Ÿ”ฅDuo ๐Ÿ”ฅ,โ˜Ž๏ธ 6475318288
  39. Golden Flower Spa:
  40. BlueXado Therapy & Spa:
  41. Pink Flower Spa:
  42. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธCassy๐ŸŒธAkame๐ŸŒธIsabella๐ŸŒธVivian๐ŸŒธCindy Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  43. HollywoodSpa:
    ๐ŸŽญ๐—›๐—ข๐—Ÿ๐—Ÿ๐—ฌ๐—ช๐—ข๐—ข๐—— ๐—ฆ๐—ฃ๐—”๐ŸŽญ is now CLOSED as of April 30, 2025, due to land use changes. Thanks to all our loyal clients. We hope to reopen soon in a new location. ๐Ÿคž๐Ÿ™
  44. ForeverWarden:
    Thursday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Sophia & Tracy. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups. Her massage is nice, her services will drive you wild & her finish is a dream come true. Sophia is a sweet & pretty Chinese lady with natural B Cups and an awe-inspiring smooth rounded ass. Sophia can provide top notch services
  45. wilson holistic centre:
    new girl Tina works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  46. HolidaySpa:
    Thursday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: ANGELA, LUCY & CINDY. Angela is versatile and responsive. LUCY is a beautiful and slim Asian lady with a happy disposition and great services. CINDY is a slim & incredibly sexy lady with a smile that will melt your heart, & an ass that will fire up your spirit.
  47. SugarLoveSpa:
    Thursday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: LUNA, MIA, SARA & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž LUNA is a slim, VERY PETITE and capable Vietnamese beauty, nice natural 34C Cups. Luna can do everything. MIA is a young & slim ๐™Ž๐™‹๐™„๐™‰๐™‰๐™€๐™, very PRETTY & PETITE Vietnamese beauty with perfect natural A Cups, 5โ€™1โ€ & 90 Lbs, very versatile. Come and enjoy.
  48. wonderspa:
    ๐ŸŒบwelcome to wonder spaโ˜Ž๏ธ416-5000-800,L6a4H8๏ผŒopen10 to10.on Thursday ,Ensuit shower available ๐Ÿ…beautiful Jessica come back,deep tissue to relax massage and nice body slide๐Ÿ…sunny very good looking,big breasted sweet sensual touch really popular ๐ŸŒนlong hair young beautiful Lucy,friendly smile,back walk ,strong massage,hot stone,got more experience,relief your stress๐Ÿ”ฅmust try
  49. Annie Spa:
    Our famous sexy superstar Suki is BACK @ ANNIE SPA and working today Thursday May 1st with busty 36DD new young girl Bobo, Sexy Little Kitten Kitty and Sweet Sensual Busty Coco๐Ÿ”ฅ๐Ÿ˜˜ Suki only works on Thursdays and her schedule gets booked up very quickly so book your appointments well in advanceโ€ฆitโ€™s always a very special and busy day at Annie Spa when Suki is working ๐Ÿ’ฏ๐Ÿ˜˜โค๏ธ๐Ÿฅฐ Call Annie Spa and ask for May to book appointments ๐Ÿ’ฏโค๏ธ๐Ÿ™๐Ÿป 1001 Sandhurst Circle Unit #7 Finch and McCowan
  50. 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
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