Restless Leg Syndrome Specialist

Nellestein Vein Institute

Michael E. Nellestein, M.D.

Vein Specialist located in Saint Joseph, MO

If you have uncontrollable sensations in your legs that make you just want to move to get relief, you may have restless leg syndrome. At Nellestein Vein Institute, phlebologist and vein specialist Dr. Michael Nellestein can help treat the syndrome and manage symptoms. Men and women in Saint Joseph, Missouri, and the greater Northwest Missouri region, can call his office or use the online tool to make an appointment and get a customized plan to treat restless legs.

Restless Leg Syndrome Q & A

What are the symptoms of restless leg syndrome?

The symptoms and sensations associated with restless leg syndrome usually begin after you’ve been sedentary for some time, such as when riding in a car or sitting in a theater. Specific symptoms include:

  • Throbbing and tingling sensations in your legs, and sometimes arms
  • Relief from sensation that comes with movement, including walking or stretching
  • Worse sensations in the evening
  • Leg twitching at night


What causes restless leg syndrome?

Restless leg syndrome runs in families. Pregnant women are also common sufferers. You can develop the syndrome at any age, but it is more common in older adults and women. Sometimes, you may have an underlying medical condition associated with restless leg syndrome, including iron deficiency, peripheral neuropathy, kidney failure, or spinal cord conditions.

CVI, or chronic venous insufficiency, can also cause restlessness in the legs. In this condition, the blood pools in the superficial veins of your legs because you have weakened or destroyed valves that are supposed to pump the blood upward. If you have CVI, your restless legs may be accompanied by pain, swelling, and leg tiredness.


How is restless leg syndrome diagnosed?

Dr. Nellestein takes a thorough medical history and conducts a complete physical exam. He’ll carefully consider your complaints, and you receive diagnosis if they fit the following:

  • Symptoms are worse at night
  • Symptoms can’t be explained by another medical condition
  • Symptoms worsen when you rest
  • Symptoms include an irresistible urge to move your legs


Dr. Nellestein may also order an ultrasound of the veins in your legs if he suspects CVI is causing your problems.


How is restless leg syndrome treated?

Treatment for restless leg syndrome usually involves managing the symptoms. Dr. Nellestein encourages you to avoid extended periods of time sitting or standing. Dropping extra weight and regularly elevating your legs also help alleviate some of the pressure that may be contributing to the problem.

Medical-grade compression stockings help increase blood flow and can help improve symptoms too. Dr. Nellestein will consider any underlying vitamin or mineral deficiencies that may be the root cause of your restless leg syndrome. If you have CVI, he may recommend treating the dysfunctional veins to provide you relief.

Call or book an appointment online with Dr. Nellestein to get relief from restless leg syndrome.