Freedom from Restless Legs: A Comprehensive Guide to Treating RLS

June 14, 2024

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Do you struggle to fall asleep at night due to an uncontrollable urge to move your legs? You may be suffering from restless leg syndrome (RLS), a disorder that affects 10% – 15% of the U.S. population. This frustrating condition can significantly impact your quality of life, leaving you exhausted and irritable during the day.

 

While there is no definitive cure for RLS, there are several effective treatments that can significantly reduce symptoms and help you regain control over your sleep and daily functioning. As a leading vein treatment center, Colorado Skin & Vein has helped countless patients find relief from RLS.

 

\”Many of my patients are surprised to learn that their restless leg symptoms are often connected to underlying vein issues,\” says David Verebelyi, MD, RVT who is Chief of Laser Surgery at Colorado Skin & Vein. \”By treating venous insufficiency, we\’re able to provide significant relief from restless leg.\”

 

Understanding Restless Leg Syndrome

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Restless leg syndrome is a disorder characterized by an irresistible urge to move the legs, usually accompanied by uncomfortable sensations like tingling, crawling, or aching. These symptoms typically worsen at night and during periods of rest, making it difficult to fall asleep or stay asleep.

 

While the exact cause of RLS is still being studied, several factors can trigger or exacerbate symptoms. The main issue seems to be swelling in the lower limbs but other issues can include iron deficiency, pregnancy, certain medications, and chronic conditions like diabetes and Parkinson\’s disease. In most cases, RLS is connected to underlying vein problems.

 

\”In my experience, identifying any underlying vascular issues is a crucial first step in developing an effective treatment plan for RLS,\” notes Dr. Verebelyi. Venous insufficiency, a condition in which the veins struggle to efficiently return blood to the heart, can contribute to the uncomfortable sensations and urge to move that characterize RLS.

 

To understand the cause of Restless Leg Syndrome, your doctor will perform a physical exam and ask about your symptoms, medical history, and family history.  In most cases they will need to perform some basic imaging studies such as ultrasound to check the blood flow in the lower limbs.   In addition they may also order blood tests to check for iron deficiency or other underlying conditions. In some cases, a sleep study may be recommended to evaluate the severity of your symptoms and rule out other sleep disorders.

 

Lifestyle Changes and Home Remedies

For mild to moderate cases of RLS, lifestyle modifications and home remedies can be effective in managing symptoms. Establishing good sleep hygiene is crucial – aim for a consistent sleep schedule, create a relaxing bedtime routine, and ensure your sleep environment is cool, dark, and comfortable.

 

Regular exercise can also help alleviate RLS symptoms. Activities that maximally active the calf muscles are best.  Cycling, elliptical or swimming tend to be best and  can reduce the intensity and frequency of symptoms. Stretching, especially before bedtime, can also help relax the muscles and ease discomfort.

 

Certain dietary changes may also be beneficial. Limiting caffeine and alcohol, particularly in the evening, can improve sleep quality. If you have iron deficiency, increasing your intake of iron-rich foods or taking an iron supplement may help reduce RLS symptoms.

 

Elevating the lower legs and wearing compression hose may also help.  Some have reported that applying heat or cold to the affected area can also provide relief. Try taking a warm bath before bed, using a heating pad or ice pack, or massaging your legs to alleviate discomfort.  

 

While these lifestyle changes can be effective, it\’s important to know when to seek medical help. If your symptoms are severe, persistent, or significantly impacting your daily life, it\’s time to consult with a doctor.

 

Medical Treatment Options

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For cases where RLS exists with potential venous reflux, medical intervention may be necessary. Treatment options vary depending on the underlying cause of your symptoms.  63% of patients with RLS and venous reflux got either complete or significant relief of their RLS symptoms after their venous reflux was properly treated. 

As noted above, for many RLS sufferers, treating underlying venous insufficiency can provide significant relief. At Colorado Skin & Vein, we offer several minimally invasive treatments to address vein issues:

 

  • Radiofrequency ablation: This procedure uses heat to close off damaged veins, redirecting blood flow to healthier veins.
  • Endovenous laser treatment: Similar to radiofrequency ablation, this treatment uses laser energy to seal off problematic veins.
  • Sclerotherapy: This involves injecting a solution into the damaged vein, causing it to collapse and fade away.

 

\”In many cases, a combination of lifestyle modifications and medical interventions can make a world of difference for RLS sufferers,\” says Dr. Verebelyi. \”The key is working closely with your doctor to find the right treatment plan for you.\”

 

After undergoing treatment, ongoing care and follow-up appointments are important to monitor your progress and adjust your treatment plan as needed.

 

Overcoming Restless Leg Syndrome

Living with restless leg syndrome can be challenging, but it\’s important to remember that you\’re not alone. With the right combination of lifestyle changes, medical treatment, and support, most people with RLS are able to significantly reduce their symptoms and improve their quality of life.

 

If you think you may be suffering from RLS, the expert providers at Colorado Skin & Vein are here to help. As a national leader in vein treatment and aesthetic medicine, we have the knowledge and experience to accurately diagnose your condition and recommend the most effective therapies.

Don\’t let restless leg syndrome control your life any longer. Schedule your consultation and take the first step towards restful, symptom-free nights. A better night\’s sleep is within reach – contact us today to get started.

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Colorado's Vascular & Aesthetic Medicine

Stay Informed, Stay Healthy

Explore expert tips, guides, and the latest updates on vein health and treatments.

Danielle Killingsworth, NCMA, Aesthetics Coordinator at Colorado Skin & Vein in Denver

Danielle Killingsworth

NCMA, Aesthetics Coordinator

Danielle is a Colorado native who brings more than 22 years of experience in the medical field. Throughout her career she has developed a diverse clinical background across infectious disease, general surgery, and pain management — giving her a well-rounded understanding of patient care and of what it takes to create a safe, comfortable, and personalized experience.

As Aesthetics Coordinator at Colorado Skin & Vein, Danielle combines that clinical knowledge with a genuine passion for aesthetics. She is dedicated to helping patients feel confident, informed, and supported throughout their aesthetic journey, from the initial consultation through treatment and follow-up care.

She believes one of the most rewarding parts of her career is building meaningful relationships with patients and helping them look and feel their very best.

Outside of work, Danielle enjoys spending time with her family, including her four boys, getting lost in a good book, and working in her garden. Fun fact: she is a dedicated Dallas Cowboys fan.

Nikki Moyta, Operations Director at Colorado Skin & Vein in Denver

Nikki Moyta

Operations Director

For over 26 years, Nikki has dedicated her career to the dermatology and aesthetics industry, building her experience from the ground up — starting in a patient scheduling call center, moving to the front desk, and rising to executive leadership overseeing multiple providers and locations.

Originally from Pittsburgh, she moved to Orlando before starting 10th grade and later attended Seminole State College of Florida. Her career in dermatology began in 2002, scheduling appointments for a multi-location practice. She grew quickly within the organization, moving into front-desk and checkout roles before being promoted to Office Manager in 2008. In 2012, her leadership and operational expertise led the CEO to seek her out for an expanded role overseeing multiple providers and locations — a position she held through 2022.

Outside of her professional career, Nikki is passionate about giving back to the community:

  • Community outreach
  • Voted “Cheerleader of the Practice”
  • 1st Place Winner — Miles for Melanoma

With a career built on leadership, dedication, and a genuine passion for patients and the aesthetics industry, she is excited to bring her experience and enthusiasm to the Colorado community. When she is not in the office, you can find Nikki with her Siberian husky, Compass, somewhere on top of a mountain.

Betina Lacson, RVT at Colorado Skin & Vein in Denver

Betina Lacson

RVT

Betina graduated from the Cardiovascular Technology Program at Grossmont College in California in 2020, and brings more than six years of experience in the duplex world of venous insufficiency. Much of her career has centered on superficial vein mapping and assisting in surgery while providing attentive patient care.

At Colorado Skin & Vein, she assists with venous ablation procedures as well as ultrasound-guided sclerotherapy. She is committed to quality care at every stage — from the initial consultation, through surgery, to post-operative appointments — making sure each patient feels fully supported.

In her free time, Betina loves Kizomba dancing with her Afro-Latin dance community, and can often be found at electronic dance music shows in different cities. If you are feeling generous, she will happily accept a karaoke room or an iced Thai milk tea.

Brooke Owens, PA-C, MPAS at Colorado Skin & Vein in Denver

Brooke Owens

PA-C, MPAS

Brooke Owens, PA-C, MPAS is a compassionate Physician Assistant who brings a strong clinical foundation, exceptional attention to detail, and a patient-centered approach to Colorado Skin & Vein.

Prior to joining the practice, Brooke spent several years in pediatric primary care, caring for patients with a wide range of acute and chronic conditions. She became known for her thorough evaluations, thoughtful clinical decision-making, and ability to build lasting relationships with patients and their families. That experience strengthened her diagnostic expertise while reinforcing the importance of listening carefully, educating patients, and creating individualized treatment plans.

Drawn to the unique blend of medicine, procedures, and patient transformation, Brooke was excited to move into vascular medicine and aesthetic care. She is passionate about helping patients improve not only their health but also their confidence — whether they are seeking treatment for vein disease, skin concerns, or cosmetic enhancements. By combining broad medical experience with advanced specialty training and a meticulous eye for detail, she delivers safe, effective, and personalized care.

Brooke believes the best outcomes begin with trust. She values taking the time to understand each patient’s goals, answer questions, and ensure they feel informed and comfortable throughout their care.

Angel Croce, Staff Manager at Colorado Skin & Vein in Denver

Angel Croce

Staff Manager

Angel has been in healthcare for more than 20 years. Her journey began in 2004, after her father suddenly passed away from a stroke. Losing him was a life-changing experience, and it inspired her to choose a career where she could help others and give patients and their families the care, compassion, and support they need during difficult times.

Throughout her career she has worked across cardiology, neurology, family practice, and urgent care — each experience helping her grow both personally and professionally. She now works in vascular care and aesthetics, where she enjoys building relationships with her patients, helping them understand their care, and making sure they feel comfortable and supported throughout their journey.

Outside of work, Angel is a proud mom of two. Family is incredibly important to her, and in her spare time she loves being outdoors with her husband and their two dogs — hunting, fishing, and enjoying Colorado.

For Angel, healthcare is more than a career — it is personal. What started as a way to honor her father’s memory has become more than two decades of caring for others, and she is grateful to keep doing something that means so much to her every day.