anxietas tibiarum


A condition defined as a distressing need or urge to move the legs (or arms)—akathisia—usually accompanied by an uncomfortable deep-seated sensation in the legs that is brought on by rest—sitting or lying down, relieved by moving or walking, and worse at night or in the evening. RLS may be accompanied by involuntary limb movements while the patient is asleep
Management For nightly symptoms, dopaminergics are the agents of first choice, opiates second choice; for pain, gabapentin, opiates, dopaminergics, then sedative-hypnotics