26/02/2025
This is my last post this month on the subject of Sleep and it’s a biggie …
What do I mean by restless legs and are they caused by the Menopause? Restless legs is that feeling of not being able to keep your legs still no matter how many times you move them; it can be an itchy or tingly or a crawling sensation; it also can be feelings of numbness and then there’s the aches and pains. It is often much worse at night. Whilst there are links to the menopause, it is not necessarily caused by it.
So, what does cause restless legs? There are quite possible culprits:
• Underlying medical conditions such as Parkinsons, Rheumatoid Arthritis, Fibromyalgia, Multiple Sclerosis, Peripheral Neuropathy or Pregnancy (unlikely but possible in perimenopause)
• Medication side-affects such as anti-depressants and antihistamines
• Genetics (yes restless legs do run in families – sorry couldn’t resist)
• Dietary deficiencies typically iron, magnesium or folic acid. Heavy periods during the perimenopause can lead to anaemia and as said previously, menopausal women are often deficient in magnesium (see earlier post this month). Deficiency in this important mineral can affect effective nerve and muscle function.
• There are possible links with the loss of oestrogen during menopause affecting the ability of muscles to properly relax
• Other considerations are stress, high blood pressure (which can be linked to menopause), lack of exercise, caffeine, alcohol or ni****ne use and weight.
There’s no doubt that restless legs on top of other menopausal symptoms can be miserable especially which they impact the quality of our sleep – so what can we do to help?
• Moving or rubbing your legs can often relieve the symptoms
• Avoiding stimulants in the evening, such as caffeine, to***co, sugar and alcohol
• Not smoking
• Regular daily exercise, but not close to bedtime
• Massaging your legs
• Taking a hot bath in the evening (see below)
• Applying a hot compress to your leg muscles
• Doing activities that distract your mind, such as reading or doing puzzles
• Relaxation exercises, such as yoga, tai chi, meditation or breathwork
• Walking and stretching (pointing your toes may help)
• Epsom salts or magnesium butter/oil
• Staying well-hydrated. A glass of chilled tonic water (the variety with quinine), or a hot ginger and lemon tea may help particularly.
• HRT could help but is a big decision to be fully discussed with your GP or specialist
• Medications such as gabapentin and pregabalin, codeine-based painkillers or pramipexole can also help but equally, they come with their own side effects and need to be fully discussed with your GP or specialist
Does anyone have any other tips that they have found useful dealing with this irritating/frustrating/challenging/distressing problem? Over to you …