Although RLS symptoms can vary, patients commonly report creepy-crawly, burning, tingling, or achy feelings in the legs or arms. These sensations create a desire to move the limbs and may produce motor restlessness. Symptoms are worse in the evening and are worse or exclusively present at rest, with temporary relief with movement. Symptoms also can occur during sleep and often lead to semirhythmic (periodic) limb movements during sleep (PLMS). PLMS are objective findings during overnight polysomnography recorded by leg electrodes. PLMS are present in most patients with RLS but can occur independently. PLMS frequently are described by a bed partner as restlessness, or repeated kicking of legs or thrashing of arms during sleep.

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