Sleep Concern

My legs won't let me sleep

An irresistible urge to move your legs, worst at night.

Overview

Restless Legs Syndrome (RLS) is a neurological condition characterized by an irresistible urge to move the legs, usually accompanied by uncomfortable sensations, that appears or worsens at rest — especially in the evening and at night. It is one of the most underdiagnosed sleep disorders, partly because the symptoms are hard to describe and partly because they are so often dismissed.

Common Causes

Dysregulation of dopamine and iron in the brain's movement pathways.
Iron deficiency, even without anemia, is a common and treatable contributor.
Family history and genetic factors.
Pregnancy, kidney disease, and certain medications that worsen or trigger RLS.
Caffeine, alcohol, and sleep deprivation that can amplify symptoms.

What You May Be Experiencing

An irresistible urge to move the legs, worst in the evening and at rest.
Uncomfortable sensations — creeping, crawling, tingling, or aching — relieved by movement.
Difficulty falling asleep because the symptoms intensify when lying still.
Sleep disruption and daytime fatigue from delayed sleep onset and night waking.
Symptoms that worsen over time or with certain medications.

Dr. Morse's Approach

Dr. Morse treats RLS as a real, diagnosable, and often treatable neurological condition. Her approach begins with checking iron status (ferritin), because iron deficiency is a common and correctable driver that is too often missed. She reviews medications that can worsen RLS, addresses caffeine and alcohol, and refers for medical therapy when symptoms are significant. She is attentive to the profound impact RLS has on sleep and quality of life, and she does not dismiss it.

Treatment Options

Behavioral

Address caffeine, alcohol, and sleep deprivation; review medications that worsen RLS.

Lifestyle

Regular moderate exercise, warm baths or stretching before bed, and good sleep hygiene.

Medical

Iron assessment and supplementation if deficient; medication management under specialist guidance when needed.

Your Night-time Routine

A practical, step-by-step wind-down built around this concern's specific drivers. Follow it consistently for two to three weeks — rhythm, not perfection, is what resets sleep.

1
6:00 PM
No caffeine; it can significantly worsen RLS symptoms.
2
7:00 PM
Gentle leg stretching or a warm bath to ease symptoms before bed.
3
8:00 PM
No alcohol — it can trigger or worsen RLS through the night.
4
9:00 PM
A cool, calm wind-down; if symptoms surface, brief walking or stretching can provide relief.
5
9:30 PM
Go to bed only when symptoms have eased; discuss iron testing and medical options with your clinician.

Take this guide home

A printable PDF of this concern's full overview, routine, and treatment options.

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When to Seek Help

If leg discomfort is disrupting sleep two or more nights a week, or if symptoms are worsening, seek evaluation. Iron studies and, when appropriate, medication can make a dramatic difference — RLS is not something to simply live with.

Ready for personalized guidance?

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