Restless Legs Syndrome: How Physiotherapy Can Help You Find Relief

Written By Nicole Pereira

Have you ever felt an uncontrollable urge to move your legs, especially at night? Maybe it’s a tingling, crawling, or pulling sensation that makes it impossible to relax or fall asleep. If this sounds familiar, you might be experiencing Restless Legs Syndrome (RLS) — a common yet often misunderstood condition that affects millions of people worldwide. 

While RLS is primarily a neurological condition, physiotherapy can play a vital role in easing symptoms, improving sleep, and restoring quality of life. 

What Is Restless Legs Syndrome? 

Restless Legs Syndrome (RLS) — also known as Willis-Ekbom disease — is a sensory-motor disorder characterized by uncomfortable sensations in the legs and an irresistible urge to move them. These sensations typically: 

  • Occur during periods of rest or inactivity 

  • Worsen in the evening or at night 

  • Are temporarily relieved by movement (walking, stretching, or shaking the legs) 

  • Over time, RLS can lead to sleep disruption, fatigue, and reduced daytime concentration 

Common Causes and Contributing Factors 

RLS can occur on its own (primary RLS) or as a result of another condition (secondary RLS). Common contributing factors include: 

  • Genetic predisposition 

  • Iron deficiency or low ferritin levels 

  • Chronic diseases such as diabetes, kidney disease, or Parkinson’s 

  • Pregnancy (often in the third trimester) 

  • Certain medications, caffeine, nicotine, or alcohol use 

  • Sedentary lifestyle or poor circulation 

How Physiotherapy Can Help 

While there’s no single cure for RLS, physiotherapy offers several effective ways to manage symptoms and improve comfort, especially when paired with medical treatment. Here’s how: 

1. Stretching and Mobility Exercises 

Gentle stretches for the calves, hamstrings, quadriceps, and hips can relieve tension and improve blood flow. Regular mobility exercises help reduce the build-up of discomfort during long periods of sitting or lying down. 

2. Strengthening and Endurance Training 

Building strength and endurance in the lower limbs promotes better circulation and muscular balance. A physiotherapist can design a tailored exercise plan including low-impact activities such as cycling, swimming, or Pilates. 

3. Massage and Myofascial Release 

Soft tissue techniques can reduce muscle tightness, improve relaxation, and enhance blood flow to the legs. A physiotherapist may also teach self-massage techniques you can do before bed. 

4. Posture and Ergonomic Advice 

Poor posture or sitting positions (like crossing the legs) can worsen circulation. A physiotherapist can advise on ergonomic adjustments at work or home to minimise triggers. 

5. Lifestyle and Movement Coaching 

Your physiotherapist can help you develop daily movement habits, such as: 

  • Taking regular walking breaks 

  • Using gentle leg stretches before bed 

  • Avoiding long periods of inactivity 

These small, consistent changes often make a big difference. 

When to Seek Professional Help 

If restless legs are affecting your sleep or daily life, it’s important to speak to your GP or physiotherapist. They can help determine whether your symptoms are related to RLS or another condition and guide you toward appropriate care. 

Key Takeaway 

Restless Legs Syndrome can be frustrating, but it doesn’t have to control your life. Physiotherapy offers practical, non-invasive tools to reduce symptoms, improve circulation, and restore restful sleep. 

Nicole Pereira